Abstract:Objective To investigate the relationship between morning blood pressure and 24 hour blood pressure in elderly people. Methods The research objects were selected from the elderly people who had undergone ambulatory blood pressure monitoring(ABPM) in our hospital from September to October in 2015. According to ABPM results, 44 hypertensive patients with increased average 24hour blood pressure and another 44 cases with normal average 24hour blood pressure were taken into our study, separately as hypertension group(group A) and control group(group B). Between the two groups, both of the average morning and 24hour blood pressure were compared, and the relativity between morning and 24hour systolic(diastolic) pressure was explored. Results In group A, the average level of morning and 24hour blood pressure were higher than those in group B. The morning systolic(diastolic) pressure in group B was positively correlated with 24hour systolic(diastolic) pressure, and the differences were statistically significant(P <0.001). Conclusion To a certain extent, morning blood pressure can reflect the level of 24hour blood pressure in elderly people. It is suggested to promote morning blood pressure management actively in elderly people.
[1] Hoshide S, Kario K. Early morning hypertension: a narrative review[J]. Blood Press Monit, 2013, 18(6):291-296.[2] Hoshide S, Kario K. Early morning hypertension/morning blood pressure surge[J]. Nihon Rinsho, 2014, 72(8):1395-1399.[3] 中华医学会心血管病学分会高血压学组. 清晨血压临床管理的中国专家指导建议[J]. 中华心血管病杂志, 2014, 42(9):721-725.[4] Shimizu M, Ishikawa J, Eguchi K, et al. Association of an abnormal blood glucose level and morning blood pressure surge in elderly subjects with hypertension[J]. Am J Hypertens, 2009, 22(6):611-616.[5] Murakami S, Otsuka K, Kono T, et al. Impact of outdoor temperature on prewaking morning surge and nocturnal decline in blood pressure in a Japanese population[J]. Hypertens Res, 2011, 34(1):70-73.[6] Ohira T, Tanigama T, Tabata M, et al. Effects of habitual alcohol intake on ambulatory blood pressure, heart rate, and its variability among Japanese men[J]. Hypertension, 2009, 53(1):13-19.[7] 邓小艳, 陈旭凤, 樊静静, 等. 清晨血压在高血压诊治中的价值[J].临床心电学杂志, 2015, 24(4):271-273.[8] Kaneda R, Kario K, Hoshide S, et al. Morning blood press ure hyper reactivity is an independent predictor for hypertensive cardiac hypertrophy in a communitydwelling population[J]. Am J Hypertens, 2005, 18(12 Pt1):1528-1533.[9] Metoki H, Ohkubo T, Kikuya M, et al. Prognostic significance of nighttime, early morning, and daytime blood pressures on the risk of cerebrovascular and cardiovascular mortality: the Ohasama Study[J]. J Hypertens, 2006, 24(9): 1841-1848.[10] Marfella R, Siniscalchi M, Portoghese M, et al. Morning blood pressure surge as a destabilizing factor of atherosclerotic plaque : role of ubiquitin proteasome activity[J]. Hypertension, 2007, 49(4):784-791.