Một số yếu tố liên quan đến tăng huyết áp tâm thu đơn độc ở bệnh nhân tăng huyết áp cao tuổi

Abstract

Objectives: To investigate risk factors related to isolated systolic hypertension in elderly hypertensive patients. Methods: A cross-sectional descriptive study included of 276 hypertensive patients aged 60 and over who were diagnosed and treated at National Geriatric Hospital from 2/2012 to 10/2012. Results: The proportion of isolated systolic hypertension was 68,1%, the rate of isolated systolic hypertension increased with age. The rate of isolated systolic hypertension in males is higher that in females (73.3% and 65.2%, respectively). Isolated systolic hypertension was observed in lean, normal, and obese individuals with a higher rate of isolated systolic hypertension in overweight and obese than that the lean people. Of all isolated systolic hypertension group, 22.4% had a history of alcoholic, 23.8% had a history of smoking addiction, 30.6% had a history of stress or current stress, 51% of patients had a family history of hypertension and 53.7% of patients had lipid abnormalities; There was no statistically significant difference between the isolated systolic hypertension and mixture hypertension in terms of related factors. Conclusion: The rate of isolated systolic hypertension increased with advance age, higher in men than in women, higher in overweight and obese subjects than in lean subjects; more than half of patients with isolated systolic hypertension with dyslipidaemia or family history of hypertension