Arterial Hypertension (AH) detection risk increases with patient's age. AH with blood pressure levels around 160/95 mm. Hg occurs in 21%pattients after 65 years old, and 140/90 mm. Hg — above 65% cases. Effective diagnostics requires understanding of peculiarities of symptoms and differences in manifestations, especially at the background of greater number of comorbid illnesses.
59 patients with AH and no other significant illnesses in phase of exacerbation were examined. Ist group included 50–60 years old patients, 2nd - 60–70 years old patients. All subjects had standardized regimen of activity and rest, included equal quantity of males and females. Blood pressure (BP) was controlled by means of daily monitoring before treatment initiation and 14 days later. Treatment schedule included B-blockers, ICE, diuretics.
Increase of both systolic and diastolic BP was detected in aged patients with predominance of isolated systolc AH in the subgroup 2. Increased daily variability was observed in subgroup 2 comparing younger people:excessive night decrease, sharper morning peaks, which are independent predictors of complications development. Increased variability of BP caused the decrease of life quality of patients leading them to permanent expectation of BP increase episodes, multiple day and night time BP measurements and failure of regular medication intake.
All mentioned data should be taken into account when treatment schedule is chosen.