[Diagnosis and therapeutic aspects of isolated systolic hypertension].
The isolated systolic hypertension is a distinct entity concerning evolving, pathological, diagnosis and treatment particularities. The present study analyzed the behavior of the blood pressure by continuous ambulatory monitoring of a group of patients diagnosed with isolated systolic hypertension by office measurement.


METHODS
One hundred and twenty nine patients with isolated systolic hypertension at office were included. They were subjected to continuous ambulatory monitoring of blood pressure, then the treatment was started. After six months the patients were reassessed.


RESULTS
Continuous ambulatory monitoring better indicates the increase of systolic tension and the reduction of the diastolic tension by aging. The pulse pressure is significantly higher at the over sixty-five group. The systolic tension is directly correlated with the pulse pressure and indirectly with the diurnal index. (r = 0.36). After six months of treatment the reevaluation shows a statistically significant reduction of the pathological parameters although without achieving tensional control.


CONCLUSIONS
The ambulatory monitoring better highlights the values of hypertension and assesses the LOAD and Day Index values. Achieving the therapeutic goal regarding systolic hypertension proves difficult.
Doctorand al Universităţiide Medicină şi Farmacie Gr.T. Popa Iaşi, Spitalul Judeţean de Urgenţă Bacău, Secţia de Medicină internă.
Elena
E
Alistar
Georgeta
G
Datcu
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001794:Blood Pressure / Q000187:drug effects; D018660:Blood Pressure Monitoring, Ambulatory; D002940:Circadian Rhythm; D004232:Diuretics / Q000627:therapeutic use*; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000188:drug therapy* / Q000453:epidemiology / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D012383:Romania / Q000453:epidemiology; D013599:Systole / Q000187:drug effects; D013997:Time Factors
D000959:Antihypertensive Agents; D004232:Diuretics