Characteristics of arterial hypertension in elderly

Abstract

Introduction: Cardiovascular diseases are responsible for about 17 million of deaths per year worldwide, representing almost a third of total mortality. Of these, 9.4 million of deaths a year are caused by complications of high blood pressure (hypertension). Hypertension causes at least 45% of deaths from cardiovascular disease and 51% of deaths from strokes celebration. In some populations, the number of hypertensive exceeds 50% between people over the age of 60 years. Purpose and objectives: Determination of the clinic-evolutionary features of hypertension in the elderly. Materials and methods: The study was conducted on a sample of 90 patients’ currents during October 2013-January 2014. Results: Based on the established goal we assigned patients into two groups: the first group is the active patients of working age to 65 years and the second group is represented by patients older than 65 years. Distribute these groups by sex was determined that both groups of woman sex prevail: in the group with patients up to 65 years - 63% and in the group of elderly patients - 53%. Following the distribution of patients with hypertension by age observed that patients aged up to 65 years represent - 33.4%, but patients over 65 years represent - 66.6%. Analyzing triggers hypertension in both groups was revealed that in patients up to 65 years predominate multiple factors (stress, coffee, alcohol) - 46.6%, the second factor is stress - 40% in elderly multiple factors predominate (stress, coffee, excessive consumption o f food) - 86.6%, stress as single - factor as 10%. HTA values is divided as follows: in patients up to 65 years dominate HTA of first degree 30% and second degree 40%, a controversy is observe in elderly patients where prevails hypertension of the third grade - 36.6% and hypertension isolated systolic - 41.6%. As concomitant diseases are prevalent in elderly patients - 58.3% compared to patients up to 65 years - 46.6%. Of these diseases in the elderly is frequently pathology: renal - 8.2%, articular - 20%, DZ - 15%, hypertensive encephalopathy - 10%. Analysis revealed dyslipidemia, in patients up to 65 years hypercholesterolemia - 60%, hypertriglyceridemia - 47%, hypercholesterolemia in elderly patients - 74%, hypertriglyceridemia - 52%. Conclusion: Analyzing all the particulars we determined hypertension in the elderly: major factors in the onset of hypertension are multiple factors (stress, coffee, excessive consumption of food). Blood pressure values indicate greater weight of third degree and HTA and isolated systolic hypertension and not least the presence of concomitant diseases and changes lipids is found in most elderly patients.