Risk from low blood pressure in frail older adults: diastolic pressure and pulse pressure are important
Abstract Blood pressure measurement with a cuff in patients with stiff arteries can be misleading, with false elevation of the diastolic pressure. Coronary flow, and most of the cerebral blood flow occur during diastole. There is a marked diastolic J curve in patients with diastolic pressure 60 mmHg...
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| Veröffentlicht in: | Age and ageing 2021-11, Vol.50 (6), p.e5-e6 |
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| creator | Spence, J David |
| description | Abstract
Blood pressure measurement with a cuff in patients with stiff arteries can be misleading, with false elevation of the diastolic pressure. Coronary flow, and most of the cerebral blood flow occur during diastole. There is a marked diastolic J curve in patients with diastolic pressure 60 mmHg. Aiming for a systolic target of 120 mmHg is not safe in some frail older patients. |
| doi_str_mv | 10.1093/ageing/afaa084 |
| format | Article |
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Blood pressure measurement with a cuff in patients with stiff arteries can be misleading, with false elevation of the diastolic pressure. Coronary flow, and most of the cerebral blood flow occur during diastole. There is a marked diastolic J curve in patients with diastolic pressure <60 mmHg and pulse pressure >60 mmHg. Aiming for a systolic target of 120 mmHg is not safe in some frail older patients.</description><identifier>ISSN: 0002-0729</identifier><identifier>EISSN: 1468-2834</identifier><identifier>DOI: 10.1093/ageing/afaa084</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Arteries ; Blood flow ; Blood pressure ; Cerebral blood flow ; Frail ; Hypotension ; Measurement ; Older people</subject><ispartof>Age and ageing, 2021-11, Vol.50 (6), p.e5-e6</ispartof><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com 2020</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c374t-fcbbab015362ac2b5c07c2859c5e84089dd5f339511f0e8a23ba4538df62a06e3</citedby><cites>FETCH-LOGICAL-c374t-fcbbab015362ac2b5c07c2859c5e84089dd5f339511f0e8a23ba4538df62a06e3</cites><orcidid>0000-0001-7478-1098</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,1579,27905,27906,30980</link.rule.ids></links><search><creatorcontrib>Spence, J David</creatorcontrib><title>Risk from low blood pressure in frail older adults: diastolic pressure and pulse pressure are important</title><title>Age and ageing</title><description>Abstract
Blood pressure measurement with a cuff in patients with stiff arteries can be misleading, with false elevation of the diastolic pressure. Coronary flow, and most of the cerebral blood flow occur during diastole. There is a marked diastolic J curve in patients with diastolic pressure <60 mmHg and pulse pressure >60 mmHg. Aiming for a systolic target of 120 mmHg is not safe in some frail older patients.</description><subject>Arteries</subject><subject>Blood flow</subject><subject>Blood pressure</subject><subject>Cerebral blood flow</subject><subject>Frail</subject><subject>Hypotension</subject><subject>Measurement</subject><subject>Older people</subject><issn>0002-0729</issn><issn>1468-2834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqFkEtLxDAUhYMoOD62rgNudNGZPPpI3cngCwYE0XW4TZMhY6apSYv4783QAcWNq8u95zuXw0HogpI5JTVfwFrbbr0AA0BEfoBmNC9FxgTPD9GMEMIyUrH6GJ3EuEkrLSibofWLje_YBL_Fzn_ixnnf4j7oGMegse2SBNZh71odMLSjG-INbi3EwTurfkjokm10Uf867R5sex8G6IYzdGQgyef7eYre7u9el4_Z6vnhaXm7yhSv8iEzqmmgSdl4yUCxplCkUkwUtSq0yImo27YwnNcFpYZoAYw3kBdctCbxpNT8FF1Nf_vgP0YdB7m1UWnnoNN-jJLllDFGRSUSevkH3fgxdCmdZCUXRcpQ0kTNJ0oFH2PQRvbBbiF8SUrkrnc59S73vSfD9WTwY_8f-w3iJYdS</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Spence, J David</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7478-1098</orcidid></search><sort><creationdate>20211101</creationdate><title>Risk from low blood pressure in frail older adults: diastolic pressure and pulse pressure are important</title><author>Spence, J David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c374t-fcbbab015362ac2b5c07c2859c5e84089dd5f339511f0e8a23ba4538df62a06e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Arteries</topic><topic>Blood flow</topic><topic>Blood pressure</topic><topic>Cerebral blood flow</topic><topic>Frail</topic><topic>Hypotension</topic><topic>Measurement</topic><topic>Older people</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Spence, J David</creatorcontrib><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Age and ageing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Spence, J David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk from low blood pressure in frail older adults: diastolic pressure and pulse pressure are important</atitle><jtitle>Age and ageing</jtitle><date>2021-11-01</date><risdate>2021</risdate><volume>50</volume><issue>6</issue><spage>e5</spage><epage>e6</epage><pages>e5-e6</pages><issn>0002-0729</issn><eissn>1468-2834</eissn><abstract>Abstract
Blood pressure measurement with a cuff in patients with stiff arteries can be misleading, with false elevation of the diastolic pressure. Coronary flow, and most of the cerebral blood flow occur during diastole. There is a marked diastolic J curve in patients with diastolic pressure <60 mmHg and pulse pressure >60 mmHg. Aiming for a systolic target of 120 mmHg is not safe in some frail older patients.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><doi>10.1093/ageing/afaa084</doi><orcidid>https://orcid.org/0000-0001-7478-1098</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Applied Social Sciences Index & Abstracts (ASSIA); Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Arteries Blood flow Blood pressure Cerebral blood flow Frail Hypotension Measurement Older people |
| title | Risk from low blood pressure in frail older adults: diastolic pressure and pulse pressure are important |
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