Prevalence and risk factors of postural hypotension among hypertensive patients in a primary care setting

Ooi, Inn Jia and Chia, Yook Chin * (2022) Prevalence and risk factors of postural hypotension among hypertensive patients in a primary care setting. Journal of Hypertension, 40. ISSN 1473-5598

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Abstract

Objective: The aim of this study was to examine the prevalence of postural hypotension and the risk factors among hypertensive patients in a primary care setting. Design and method: This is a cross-sectional questionnaire study carried out at the University Malaya of Medical Centre Primary Care Clinic from July 2017 to July 2019. Patients aged = /> 18 years with hypertension were consecutively recruited. Hypertension was defined as systolic blood pressure (BP) = /> 140mmHg or diastolic BP = /> 90mmHg or taking antihypertensive medication. Postural hypotension in this study was defined as a fall in systolic BP (SBP) of = /> 20mmHg or diastolic BP (DBP) of = /> 10mmHg when getting up from sitting to standing position. Associations between the risk factors/ determinants (sociodemographic & medical comorbidities) with postural hypotension were assessed using Chi-Square test and odds ratio. Confounders were assessed using bivariate logistic regression. Results: 682 hypertensive patients were included in this study: Mean age 66.1 +/- 9.9 years, 56.9% female, mean BMI 27.06 +/- 5.14 kg/m2. Mean SBP was 144.5 +/- 19.1 mmHg and DBP was 82.5 +/- 10.8 mmHg, and mean heart rate was 71 +/- 12 beat/min. Prevalence of postural hypotension was 3.5% (n = 24), 1.5% had a decrease of = /> 20mmHg in SBP and 2.1% had a decrease of = /> 10 mmHg in DBP.

Item Type: Article
Uncontrolled Keywords: postural hypotension; hypertension; heart failure;
Subjects: R Medicine > RC Internal medicine
Divisions: Others > Non Sunway Academics
Sunway University > School of Medical and Life Sciences [formerly School of Healthcare and Medical Sciences until 2020] > Department of Medical Sciences
Depositing User: Ms Yong Yee Chan
Related URLs:
Date Deposited: 03 Aug 2024 07:48
Last Modified: 03 Aug 2024 07:48
URI: http://eprints.sunway.edu.my/id/eprint/2958

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