BACKGROUND: Control of hypertension is unsatisfactory among older women. Data about Mediterranean countries are not currently reported.
AIM: The aim of the present study was to describe the features of blood pressure (BP) control and the clustering of other cardiovascular (CV) risk factors in Mediterranean post-menopausal hypertensive women.
PATIENTS AND METHODS: We consecutively selected 516 post-menopausal female patients (mean age 69±11 years) with drug-treated essential hypertension (ESH/ESC grade 1 and 2) for this cross-sectional study. All patients were divided in 4 groups: < 60 years; 60-69 years; 70-79 years; ≥ 80 years.
RESULTS: The Kruskal-Wallis analysis of variance showed a significant difference among the 4 age groups both for systolic BP (p < 0.001) and diastolic BP (p < 0.01). Mann-Whitney test for multiple comparisons of each age group vs. octogenarians demonstrated that there is a significant incremental trend of SBP through the age decades. Mean diastolic BP values were significantly higher in younger patients (age decades < 60 and 60-69 years, p < 0.01 and p < 0.05 respectively), while in patients aged 70-79 years there was no difference vs. octogenarians. Dyslipidemia was the more prevalent clustered risk factor with a peak rate of 49% in patients aged 60-69 years, statistically different (p < 0.05) from octogenarians. Global BP control (i.e. treated BP < 140/90 mmHg) was low (33.5% in the whole population) and there was no trend through age decades.
CONCLUSIONS: BP control varied across age groups, but was poor. Nevertheless, the studied population appeared to be at low cardiovascular risk, due to a modest clustering of traditional risk factors.Free PDF Download
To cite this article
G. Pannarale, M.C. Acconcia, R. Licitra, E. Centaro, G. Pannitteri
Blood pressure control and clustering of cardiovascular risk factors in Mediterranean post-menopausal hypertensive women
Eur Rev Med Pharmacol Sci
Vol. 17 - N. 8