The results for the continuous variables shown in Tables 1 and 2 and Figure 1 are expressed as the mean ± standard deviation or as a proportion or percentage. The SBPc and SBPb measurement procedure was performed only once and was based on a previous description. The components of the SBP surveyed were the SP, DP, PP, and mean arterial pressure (MAP) (both central and brachial). Patients with SAH, a SBPb ≥ 140/90 mmHg, or a SBPb ≤ 140/90 mmHg with the use of one or more antihypertensive drugs (controlled) were considered.Ī Sphygmocor XCEL applanation tonometry device (AtCor Medical, Sydney, Australia) was used to measure both SBPb and SBPc simultaneously and noninvasively. This study was conducted in accordance with the attributes defined in Resolution CNS 466/12 and approved by the Ethics Committee in Research of the Federal University of Uberlândia under opinion number 224,540 and CAAE 374401.5152. All patients were active, stable, and conscious. The first 69 hypertensive participants were included in the study and were divided into three groups of patients as follows: (I) overall study population: years, (II) women: years, and (III) men: years. This study was a quantitative, descriptive, cross-sectional study with elderly patients ≥60 years of age who were admitted and selected from the spontaneous and scheduled demand at basic health units (BHUs) in the municipal network of Uberlândia, Minas Gerais, Brazil, from March 2013 to March 2014. Therefore, the objective of the present study is to compare the central and brachial SBP values between women and men over 60 years of age with systemic arterial hypertension (SAH). Īs good markers of CVR, central and peripheral blood pressure values could diverge in the same patient and behave differently in elderly female patients. Additionally, CVD is the leading cause of mortality in postmenopausal women, with a prevalence equal to or higher than the prevalence in men due to low plasma oestrogen levels, among other factors. Other contributors to vascular stiffness also exist, especially in women.Įpidemiological studies have confirmed that the physiological hormonal changes that occur in women during and after menopause affect the systemic circulation, thereby increasing SBP and consequently CVR. In the elderly of both sexes, progressive arterial stiffness and early reflection waves amplify PP and elevate SP. demonstrated that SP and pulse pressure (PP) were early and independent markers of CVR, whereas other studies described PP as a new marker of cardiovascular disease (CVD). Among the SBP components, Jankowski et al. Evidence has shown that SBPc, compared with brachial SBP (SBPb), is more closely associated with the injury of target organs. SBP levels measured indirectly through cuffs placed either on the upper limbs or at the aortic root constitute independent factors for cardiovascular risk (CVR). Systolic blood pressure (SP) rises progressively, whereas diastolic blood pressure (DP) rises until the 6th decade of life and then stabilizes or gradually decreases. Systemic blood pressure (SBP) changes with ageing. Elderly women exhibited higher blood pressure values than elderly hypertensive men. Additionally, females exhibited higher blood pressure levels than males. Significant differences were found in the blood pressure values of the whole population in the central versus brachial systolic blood pressure (SP) and in the central versus brachial pulse pressure (PP). We included 69 study participants and compared central and brachial SBP using a Sphygmocor® XCEL device (AtCor Medical, Sydney, Australia). This study was a quantitative, descriptive, cross-sectional study with elderly patients admitted to and selected from spontaneous and scheduled demand at basic health units in Uberlândia, Minas Gerais, Brazil, between March 2013 and March 2014. To compare the values of central and brachial systemic blood pressure (SBP) between women and men over 60 years of age with systemic arterial hypertension.
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