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Seminars in Cardiothoracic and Vascular Anesthesia
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Systolic Hypertension in Elderly Patients

Michel E. Safar, PhD

Diagnosis Center, Hôpital Hôtel-Dieu, 1, place du Parvis Notre-Dame, 75181 Paris Cedex 04, France michel.safar{at}htd.ap-hop-paris.fr

Pulsatile arterial hemodynamics in cardiovascular diseases indicate that the aortic blood pressure curve may be represented by 2 different phenotypes: one in patients 64 years old and younger and the other in subjects older than 65 years. The 2 blood pressure curves may have exactly the same mean arterial pressure (ie, the same cross-sectional area under the curve) but quite different shapes. In older subjects, systolic blood pressure and pulse pressure are higher, whereas diastolic blood pressure is lower than in younger subjects.

Key Words: systolic hypertension • elderly patients • arterial wall mechanics

Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 10, No. 3, 203-205 (2006)
DOI: 10.1177/1089253206291144


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