Statement of Initial Therapy of Elderly Patients with Hypertension in Wakayama Prefecture.
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Accession number;02A0191493
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| Title;Statement of Initial Therapy of Elderly Patients with Hypertension in Wakayama Prefecture. |
| Author;
OMORI HISASHI
(Wakayamaken'idai Junkankinaika)
HANO TAKUZO
(Wakayamaken'idai Junkankinaika)
ITO SHUHEI
(Itonaika)
NISHIO ICHIRO
(Wakayamaken'idai Junkankinaika)
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Journal Title;Japanese Journal of Geriatrics
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Journal Code:Z0680A
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ISSN:0300-9173
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VOL.39;NO.1;PAGE.57-61(2002)
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| Figure&Table&Reference;FIG.4, TBL.1, REF.14 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;In order to evaluate the characteristics of initial therapy for elderly hypertensive patients in Wakayama prefecture, a case-card survey was performed in February 1997. The investigation consisted of blood pressure when starting therapy, initial physical examination and laboratory tests, and the initial drug therapy, and it's effects 3 months later. The initial physical examination and laboratory tests were the diagnostic procedures for determining the presence of target organ damage, they included electrocardiogram (ECG), chest X-rays, echocardiogram (UCG), funduscopy and urinalysis. Data of 7,647 cases from 156 facilities were obtained. These cases were divided into 2 groups, a non-elderly group (under 65 years, 3,396 cases) and an elderly group (65 years or over, 4,012 cases). The blood pressure at the start of pharmacological treatment was 174.9.+-.17.4/93.7.+-.11.0mmHg (mean.+-.SD) in the elderly group, and 170.6.+-.17.8/98.6.+-.11.2mmHg in the non-elderly group. Systolic blood pressure in the elderly group was higher than in that the non-elderly group and diastolic blood pressure was lower in the elderly group than that in the non-elderly group. Cases of ECG (98.3% vs 71.3%; the non-elderly group vs the elderly group), chest X-ray (86.5% vs 65.2%), UCG (27.1% vs 23.7%), urinary test (96.0% vs 69.3%), examination of ophthalmic fundi (27.0% vs 24.3%), were much lower in the elderly group than in the non-elderly group. The rate of positive findings of left ventricular hypertrophy by ECG criteria (24.8% vs 20.3%), cardiomegaly by chest X-p (35.3% vs 26.6%), proteinuria by urinary test (14.8% vs 12.9%) was lower in the elderly than non-elderly.... (author abst.) |
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