Hypertension in a group of centenarians

Gareri, Pietro; Lacava, Roberto; Rossi, Máximo; Iorio, Cesare Di; Galasso, M.; Pansini, L.; Curti, A; Mercurio, Matteo; Olivo, Domenico; Mattace, R

doi:10.1016/0167-4943(96)86964-0

Cited by 12 publications

(11 citation statements)

References 7 publications

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“…These data support the protective role of low total cholesterol values also with regard to longevity [76]. Even if blood pressure progressively increases with age [77], Gareri et al have not found it in centenarians [78]. The lesser frequency of hypertension in centenarians certainly depends on genetic and constitutional factors, but also their style of life and alimentary habits (decreased sodium intake, increase of calcium and potassium intake) could be determinant [79,80].…”

Section: Introductionsupporting

confidence: 55%

“…The lesser frequency of hypertension in centenarians certainly depends on genetic and constitutional factors, but also their style of life and alimentary habits (decreased sodium intake, increase of calcium and potassium intake) could be determinant [79,80]. The extraordinary longevity of centenarians can not be explained even if hypertension, that is a risk factor for cardiovascular and cerebrovascular morbidity and mortality, is present for all the ages of life [78]. …”

Section: Introductionmentioning

confidence: 99%

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Centenarians and supercentenarians: a black swan. Emerging social, medical and surgical problems

et al. 2012

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The Black Swan Theory was described by Nassim Nicholas Taleb in his book “The Black Swan”. This theory refers to “high-impact, hard-to-predict, and rare events beyond the realm of normal expectations”. According to Taleb’s criteria, a Black Swan Event is a surprise, it has a major impact and after the fact, the event is rationalized by hindsight, as if it had been expected. For most of human history centenarians were a rare and unpredictable phenomenon. The improvements of the social-environmental conditions, of medical care, and the quality of life caused a general improvement of the health status of the population and a consequent reduction of the overall morbidity and mortality, resulting in an overall increase of life expectancy. The study of centenarians and supercentenarians had the objective to consider this black swan and to evaluate the health, welfare, social and economic consequences of this phenomenon.

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Section: Introductionsupporting

confidence: 55%

Section: Introductionmentioning

confidence: 99%

Centenarians and supercentenarians: a black swan. Emerging social, medical and surgical problems

et al. 2012

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“…4 Comparing our data with other centenarian studies of BP, our results were similar to studies of centenarians in Poland (36% were hypertensive) 7 and Uygur in East Asia (39%). 14 However, the Swedish (7%), 8 Italian (19%), 9 and New England Centenarian Study in the United States (19%) 10 reported much lower rates of hypertension among their centenarian participants, which was mainly due to the different definitions of hypertension (as ≥160/90 mm Hg rather than 140/90 mm Hg) in the Italian and Swedish studies.…”

Section: Bp and Functional Statusmentioning

confidence: 82%

“…There is limited data from other centenarian studies with notable exceptions such as the BP studies among centenarians in Poland, 7 Sweden, 8 Italy, 9 and the United States. 10 At present, there is no data on hypertension and hypercholesterolaemia among centenarians in Australia.…”

mentioning

confidence: 94%

Higher Blood Pressure Associated With Higher Cognition and Functionality Among Centenarians in Australia

Richmond

Law

Kay‐Lambkin

2011

American Journal of Hypertension

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“…Available data suggest that hypertension is less prevalent in centenarians compared to younger old individuals, in contrast to the evidence of increasing blood pressure values with age [8] . An Italian study conducted in 1996 on 73 centenarians reported a prevalence of hypertension of 19.2% [9] . The prevalence of hypertension in our centenarians is 33.3%, higher than in the cited study.…”

Section: Discussionmentioning

confidence: 99%

Electrocardiographic Changes in Centenarians: A Study on 42 Subjects and Comparison with the Literature

et al. 2011

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Background: Aging is associated with extensive and pervasive changes in cardiovascular structure and function, which may result in electrocardiographic alterations. The typical modifications seen in an electrocardiogram (ECG) in elders are: prolonged PR and QT intervals, QRS left-axis deviation and microvolt T wave. Several studies have included elderly people, but not long-living elderly and centenarians in particular who represent an increasing part of the population. Objective: The aim of this study was to investigate the electrocardiographic findings in a population of centenarians and to compare the results with the few studies present in the literature. Methods: We analyzed 42 healthy centenarians (12 males, 30 females; average age 101.43 ± 1.80 years) living in Messina, a municipality of Eastern Sicily, in Italy. They were clinically and functionally evaluated. All ECGs were analyzed by a single observer blind to clinical data. We assessed survival by phone recall. Results: PR interval mean duration was 190 ± 3.3 ms, QRS 90 ± 1.4 ms, QTc interval mean duration was 370 ± 3.5 ms. Entirely normal ECG recordings were found in 7 centenarians (16.6%). The most frequently observed abnormalities included left-axis deviation and left anterior hemiblock in 16 centenarians (38.09%), left ventricular hypertrophy and aspecific ST-T wave abnormalities in 13 subjects (30.95%). We found no statistically significant differences between men and women. The mean age at death was 102.44 ± 2.45, and we did not find significant differences in age at death in long-living elderly in relation to different electrocardiographic findings. Comparing our results with two previous studies in the literature, the first conducted in Switzerland [Cornu: Rev Med Suisse Rom 1979;99:107–113] and the second in Nebraska [Lakkireddy et al.: Am J Cardiol 2003;92:1249–1251], we found a higher frequency of left ventricular hypertrophy that was compatible with the prevalence of hypertension in our centenarians (33.3%). Moreover, we did not find left bundle branch block, and the frequency of premature beats was remarkably less than that observed in the Swiss and US studies. Conclusions: Considering the increasing rate of centenarians, we believe that the results of the present study on electrocardiographic changes in centenarians may also be useful in clinical practice.

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Hypertension in a group of centenarians

Cited by 12 publications

References 7 publications

Centenarians and supercentenarians: a black swan. Emerging social, medical and surgical problems

Centenarians and supercentenarians: a black swan. Emerging social, medical and surgical problems

Higher Blood Pressure Associated With Higher Cognition and Functionality Among Centenarians in Australia

Electrocardiographic Changes in Centenarians: A Study on 42 Subjects and Comparison with the Literature

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