Arterial hypertension as a risk factor for cardiovascular diseases in the group of patients referred for coronary catheterization after the age of 65
Journal Title: Postępy Nauk Medycznych - Year 2013, Vol 26, Issue 2
Abstract
<b>Introduction. </b>Arterial hypertension morbidity rate and the risk of related diseases and complications increases with age.<br><b>Aim.</b> The aim of the work was to evaluate the frequency of occurrence of arterial hypertension in patients referred for coronary catheterization, with consideration of patients after the age of 65, and evaluation of occurrence of risk factors for cardiovascular diseases in the population under analysis.<br><b>Material and methods. </b>A group of 423 patients with coronary thrombosis, referred for coronarography, was subject to a retrospective survey. The patients were divided into two groups: below and over 65 years old.<br><b>Results.</b> On the basis of medical history, arterial hypertension was found in 83.45% of the patients. In the group > 65 y.o., 58.7% had arterial hypertension, and in the group < 65 y.o., the rate was 41.3%. In both age groups, arterial hypertension affected males significantly (p < 0.001) more often. Average values of systolic pressure at admission to the clinic were significantly higher in patients > 65 y.o. (141.95 ± 24.02 mmHg vs 136.32 ± 19.430 mmHg; p < 0.026), also SBP during the stay in hospital was significantly higher (p < 0.001) in the group of older patients. Average diastolic pressure at admission and during hospitalization was comparable in both groups. Patients over 65 were significantly more often overweight (21.9% vs 12.1%; p < 0.013) whereas obesity occurred in a bigger number of younger people (86.6% vs 77.5%). The average value of eGRF (estimated in accordance with the MDRD formula) was significantly lower (p < 0.001) in the group of patients > 65 y.o. Patie<br><b>Conclusions.</b> Patients with arterial hypertension over 65 y.o. constitute a high percentage of those suffering from coronary thrombosis referred for coronarogaphy. It is the population of patients charged with additional risk factors (overweight, lower eGRF and higher values of systolic pressure).
Authors and Affiliations
Grażyna Kobus, Jolanta Małyszko, Izabela Stasiewicz, Sławomir Dobrzycki, Hanna Bachórzewska-Gajewska
Keywords
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