Analysis on the status and risk factors of cardiovascular events in elderly patients with hypertension in convalescent center

ObjectiveTo explore the status quo and risk factors of cardiovascular events in elderly hypertensive patients in convalescent center.

MethodsA total of 825 elderly patients with hypertension were investigated, and the patients were divided into the cardiovascular event group and non-cardiovascular event group according to whether cardiovascular events occurred.The clinical data of all cases were collected to analyze the risk factors of cardiovascular events.

ResultsThe incidence rate of cardiovascular events in 825 elderly patients with hypertension was 10.42%(86/825), the ratio of male to female was 1.53∶1, the majority age of patients was 70 years or above(46/86, 53.49%), and the patients included 41 cases of angina pectoris, 24 cases of acute myocardial infarction, 13 cases of chronic heart failure and 8 cases of cardiogenic death.The differences of the levels of coronary heart disease history, smoking, alcohol consumption, heart rate, pulse pressure, SBP and urinary protein, TC, TG, HDL, LDL, FIB, BUN, UA, Hcy, ApoA and Cr between two groups were statistically significant(P < 0.05 to P < 0.01).The results of logistic regression analysis showed that the history of coronary heart disease, smoking, alcohol consumption, and abnormalities of SBP, TC, TG, LDL, FIB, UA, Hcy and ApoA were the independent risk factors of cardiovascular events in elderly patients with hypertension(P < 0.05).

ConclusionsThe incidence rate of cardiovascular events in elderly patients with hypertension in convalescent center is low, and the majority of them are male, and 70 years old and over.Taking the intervention measures for the independent risk factors such as history of coronary heart disease, smoking, alcohol consumption, SBP, TC, TG, LDL, FIB, UA, Hcy and ApoA abnormalities can reduce the risk of cardiovascular events.