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Automesure de la pression artérielle chez les personnes âgées en population générale : faisabilité et impact évalués à partir de l'étude 3C-HBPM

Abstract : Hypertension is one of the main modifiable risk factor of cardiovascular events. Due to the high blood pressure variability, classical assessment of blood pressure using mercury sphygmomanometer method is inaccurate, particularly in the elderly. Therefore, complementary measurement methods have been developed, as home blood pressure measurement. We addressed the contribution of this method, specifically in the elderly, based on cross-sectional and longitudinal data from the 3C-HBPM Study, performed in a sample of 1,814 individuals aged 73 to 97 years old. First of all, we showed that home blood pressure measurement feasibility was excellent in the elderly of the general population. We also showed that blood pressure diagnosis based on office measures was erroneous in near to 30% of cases, and that hypertension was under-diagnosed in the elderly. Moreover, white-coat and masked hypertension were associated with an increased risk of developing one-year sustained hypertension. Finally, our results suggest that the high blood pressure variability could be involved in the high vascular risk observed in masked hypertensives. These results are in favor of home blood pressure measurement use within the framework of hypertension management in the elderly, and provide new perspectives of vascular prevention
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https://tel.archives-ouvertes.fr/tel-00827793
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Submitted on : Wednesday, May 29, 2013 - 5:31:08 PM
Last modification on : Monday, December 14, 2020 - 9:53:11 AM
Long-term archiving on: : Tuesday, April 4, 2017 - 1:09:01 PM

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  • HAL Id : tel-00827793, version 1

Citation

Cécilia Cacciolati. Automesure de la pression artérielle chez les personnes âgées en population générale : faisabilité et impact évalués à partir de l'étude 3C-HBPM. Santé publique et épidémiologie. Université Pierre et Marie Curie - Paris VI, 2012. Français. ⟨NNT : 2012PAO66156⟩. ⟨tel-00827793⟩

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