P. Cugini et al., CAMPODIMELE STUDY - BLOOD-PRESSURE AND HEART-RATE PATTERN IN CLINICALLY HEALTHY ELDERLY SUBJECTS, Chronobiology international, 11(6), 1994, pp. 381-392
Noninvasive ambulatory blood pressure (BP) monitoring is a developing
method in clinical practice. Its interpretation needs reference standa
rds stratified by age and gender. This study addresses ambulatory BP m
onitoring in elderly people with the purpose of quantifying the discre
te and periodic variability of BP pattern over a 24-h period. The ABPM
was performed in 92 clinically healthy subjects (45 men and 47 women)
ranging in age from 76 to 102 years. The results refer to the time-qu
alified mean values with their dispersion, to the circadian rhythm wit
h its parameters, and to the daily baric impact (BI) with its variabil
ity. The conclusion is drawn that BP preserves its nychtohemeral varia
bility and circadian rhythmicity despite old age. The daily BP mean le
vel and BI in older people in good health are comparable with those of
young subjects, suggesting that humans surviving into old age are cha
racterized by a eugenic control of their pressure regimen.