Abstract:
Introduction: Arterial hypertension (AHT)is the most common cause of morbidity and mortality in developed societies. Recent data assessed the current prevalence of arterial hypertension in
the world around 30 %.
Materials and Methods: According to the working hypothesis and proposed tasks we
approached closely the procedure of selecting patients on which we would focus our exploration,
examining a sample of 150 patients diagnosed with hypertension. The assessment was based on
questionnaires previously developed under the general and special methods of clinical examination. For
each patient selected was completed an original questionnaire that included: general data, historical data,
clinical data, laboratory and instrumental examinations performed and supportive treatment. So we
followed the following inclusion criteria: certain diagnosis of hypertension and age>65 years.
Results: We found that patients with predominant isolated systolic arterial hypertension was
- 36,66 %. The ratio of male / female predominance certified women in the study group - 59.33%.
One of the most important criteria that was statistically evaluated is the classification of patients
after BP values. The results show that in the study group predominates isolated systolic
hypertension - 36,66%, AHT III - 28.66%, AHT gr. II - 32%, AHT gr. I - 2.6%. Laboratory
evaluation found that the most common ECG abnormalities encountered in elderly patients with
AHT are HVS (38 %), atrial fibrillation (26%) and reduced FE by echocardiography detect 18.66 %
cases. From antihypertensive drugs in elderly with arterial hypertension are commonly used
diuretics: loop (71.33 %), thiazide - like (26,66 %) and aldosterone (24%), angiotensin-converting
enzyme inhibitors (83.33 %) and the calcium channels blockers (56 %).
Analyzing the treatment of the patient we found that most patients receive combination treatment
of 3 antihypertensive drugs 39,33% (59 patients), the combination of two antihypertensives was noted
in 33,33% (50 patients), the combination of four drugs have been reported in 37 patients and
administration of a single drug has been found in 4 patients in the study group.
Conclusions: Hypertension is a major risk factor for cardiovascular morbidity and mortality,
particularly in elderly, so the correct treatment reduces death rates and rates of CV effects related to
people over 65 and people aged over 80 years, the treatment does not appear to significantly reduce
the overall rates of death, but decreases the risk of heart disease.
