Cardiovascular risk factors in the elderly

Casíglia, Edoardo; Palatini, P

doi:10.1038/sj.jhh.1000668

Cited by 47 publications

(28 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…14,15 This is not in contrast with the here reported results showing a limited prognostic importance of arterial hypertension in the elderly: the beneficial effects of antihypertensive therapy could simply be due to accessory pharmacological actions of drugs, independent of BP lowering. 36 The results of our randomised trial are in keeping with this hypothesis. When the whole population, including NT subjects and HT patients, was considered, antihypertensive treatment did not influence mortality and was rejected from the Cox equations of risk.…”

Section: Discussionsupporting

confidence: 78%

Weak effect of hypertension and other classic risk factors in the elderly who have already paid their toll

et al. 2002

Self Cite

View full text Add to dashboard Cite

The aim of the CASTEL, a population-based (n ‫؍‬ 3282) prospective study which began 14 years ago, was to identify those items which had a prognostic impact in the elderly, and to evaluate whether the typical cardiovascular risk factors, particularly arterial hypertension, play a role after the age of 65 years. Initial screening, final follow-up and annual detection of mortality were performed. Mantel-Hanszel approach and multivariate Cox model were used for statistics. Cardiovascular mortality was 23.3% in normotensive, 23.3% in borderline, and 25% in the sustained hypertensive subjects (insignificant difference). In women, the incidence of stroke and coronary artery disease weakly depended on pulse pressure. Historical stroke and myocardial infarction predicted cardiovascular mortality in women; diabetes, uricaemia and high heart rate in men. In the very old, the predictors were less numerous, and blood pressure was not a predictor whatsoever; pulse blood

show abstract

Section: Discussionsupporting

confidence: 78%

Weak effect of hypertension and other classic risk factors in the elderly who have already paid their toll

et al. 2002

Self Cite

View full text Add to dashboard Cite

show abstract

“…Since elderly have higher blood pressures than young, 5 a higher prevalence of hypertension is expected. Also, elderly are more likely to have had isolated systolic hypertension (ISH), 5 a finding seen in about half of all our hypertensive elderly. If we discount ISH, the prevalence of hypertension in our study is comparable to that reported from studies on younger participants.…”

Section: Discussionmentioning

confidence: 99%

“…4 Most previous risk-factor studies have focused on young and middle aged adults, and results from these are usually extrapolated to elderly. 5 Three decades ago, we had performed CVD risk factor prevalence studies in middle and young adults in the same villages of rural central India, and prevalence of either hypertension or manifest coronary artery disease was low. 6,7 It is possible that with the passage of time, and a change in the life-style of rural people, more villagers could have acquired risk factors for CVD.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of cardiovascular risk factors among rural population of elderly in Wardha district

Joshi

Taksande

Kalantri

et al. 2013

Journal of Cardiovascular Disease Research

View full text Add to dashboard Cite

a b s t r a c tBackground: Cardiovascular diseases (CVD) are a leading cause of mortality among adults in India, and their risk factors (tobacco, hypertension, diabetes, overweight, and obesity) are common. Most risk-factor surveys have focused on young and middle aged adults. We measured the prevalence of risk factors for CVD among elderly (age 60 years or more) in rural India. Methods and results: In a door-to-door cross-sectional survey we did a non-laboratory based assessment of risk factors (smoking or tobacco use in any form, diabetes mellitus, either known or newly detected hypertension, abnormal waist-hip-ratio, or a high body mass index) among elderly living in 23 villages in rural central India. Laboratory based assessment of risk factors was done in those who had two or more of the five measured conventional risk factors. We compared the distribution of risk factors between men and women. Among 2424 elderly included in the study (51% women, mean age 67), the prevalence of smokeless tobacco use was 50.8% (95% CI 48.1e52.8; smoking 10.5% (95% CI 9.3e11.8); and hypertension46.3% (95% CI 44.3e48.4). Only 10.2% participants were previously known to have had hypertension, and remaining 36.1% were detected to be hypertensive during the survey. A total of 8.2%(95% CI 7.0e9.5) participants were overweight and 4.1% (95% CI 3.3e4.9) had central obesity. The prevalence of dyslipidemia in those who underwent blood based tests was 40.6% (95% CI 36.5e44.9); and hyperglycemia 4.9% (95% CI 3.2e7.1). Conclusions: Strategies to reduce the risk of cardiovascular disorders among elderly should be focused on reducing tobacco use and early detection and optimal control of hypertension.

show abstract

“…The CAS-TEL, which was started 14 years ago, has been used up to this time to demonstrate the feasibility of a longitudinal prospective study based on an elderly general population, 15 to define the role of cardiovascular risk factors in the elderly, [16][17][18][19] and to analyse the effects of special care on cardiovascular survival. 20,21 The study lasted 14 years and was carried out in accordance with the Declaration of Helsinki and approved by the CASTEL Ethics Committee.…”

Section: Study Populationmentioning

confidence: 99%

Pulse pressure and coronary mortality in elderly men and women from general population

et al. 2002

Self Cite

View full text Add to dashboard Cite

The aim of this work was to evaluate whether pulse pressure (PP) in elderly people is a better predictor of coronary mortality than systolic and diastolic blood pressure taken alone. For this aim, 3282 elderly subjects aged у65 years were studied in a population-based frame. Blood pressure was repeatedly measured and averaged; historical data, anthropometrics, blood tests and 14-year coronary mortality were recorded. Statistics included analysis of covariance, Cox analysis and bivariate vectorial analysis. Coronary mortality in women was predicted by PP (1.01 excess risk/mm Hg PP) and was significantly higher in the 3rd than in the 1st tertile of PP (relative risk 2.90); neither systolic nor diastolic pressure taken alone influenced mortality. When systolic and diastolic pressures were both entered into a Cox model, the former had a positive and

show abstract

Cardiovascular risk factors in the elderly

Cited by 47 publications

References 24 publications

Weak effect of hypertension and other classic risk factors in the elderly who have already paid their toll

Weak effect of hypertension and other classic risk factors in the elderly who have already paid their toll

Prevalence of cardiovascular risk factors among rural population of elderly in Wardha district

Pulse pressure and coronary mortality in elderly men and women from general population

Contact Info

Product

Resources

About