The Clinical Application of Ambulatory Blood Pressure Monitoring in Elderly Essential Hypertension with Left Ventricular Hypertrophy

Objective: To study the application of ambulatory blood pressure monitoring (ABPM) in the clinical observation in elderly essential hypertension (EH) with left ventricular hypertrophy (LVH). Method: The blood pressure ambulatory changes and left ventricular structure changes of 51 elderly EH and 46 non-elderly EH patients were measured with 24 hour ABPM and echocardiogram. Results: Isolated systolic hypertension (ISH) and disappearance of blood pressure rhythms (BPRD) were common in elderly EH. LVH was more often in elderly EH than in non-elderly EH, especially in elderly EH with BPRD. Conclusion: BPRD is common in elderly EH, which is related to LVH. ISH is often in elderly EH. Ambulatory blood pressure monitoring could predict target organ damage better than casual blood pressure.