systhiperСистемные гипертензииSystemic Hypertension2075-082X2542-2189LLC «ИнтерМедсервис»systhiper-144Research ArticleСТАТЬИARTICLESАртериальная гипотензия как фактор риска смертностиТюринаТ. В.noemail@neicon.ruЛенинградский областной кардиологический диспансер, ЦГФЦСКиЭ им. В.А.Алмазова МЗ РФ, Санкт-ПетербургRussian Federation200823122022531418Copyright © Тюрина Т.В., 20222022Тюрина Т.В.Тюрина Т.В.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.syst-hypertension.ru/jour/article/view/144ReferencesBishop L. Constitutional low arterial tension. New York Med J 1904; 79: 1138-46.Bishop L. Constitutional low arterial tension. New York Med J 1904; 79: 1138-46.Ланг Г.Ф. Вопросы кардиологии. Л.: Огиз, 1936; c. 49.Ланг Г.Ф. Вопросы кардиологии. Л.: Огиз, 1936; c. 49.Robertson D, Mosqueda-Garcia R, Robertson RM, Biaggioni I. Chronic hypotension: in the shadow of hypertension. Am J Hypertens 1992; 5 (6), Pt. 2: S200-5.Robertson D, Mosqueda-Garcia R, Robertson RM, Biaggioni I. Chronic hypotension: in the shadow of hypertension. Am J Hypertens 1992; 5 (6), Pt. 2: S200-5.Robbins JM, Korda H, Shapiro MF. Treatment for a nondisease: the case of low blood pressure. Soc Sci Med 1982; 16 (1): 27-33.Robbins JM, Korda H, Shapiro MF. Treatment for a nondisease: the case of low blood pressure. Soc Sci Med 1982; 16 (1): 27-33.Stewart JM. Relation of reduction in pressure to first myocardial infarction in patients receiving treatment for severe hypertension. Lancet 1979; 861-5.Stewart JM. Relation of reduction in pressure to first myocardial infarction in patients receiving treatment for severe hypertension. Lancet 1979; 861-5.Cruickshank JM, Thorp JM, Zacharias FJ. Benefits and potential harm of lowering high blood pressure. Lancet 1987; 1: 581-4.Cruickshank JM, Thorp JM, Zacharias FJ. Benefits and potential harm of lowering high blood pressure. Lancet 1987; 1: 581-4.Staessen JA, Fagard R, Thijs L et al. Subgroup and Per-Protocol Analysis of the Randomized European Trial on Isolated Systolic Hypertension in the Elderly. Arch Intern Med 1998; 158: 1681-91.Staessen JA, Fagard R, Thijs L et al. Subgroup and Per-Protocol Analysis of the Randomized European Trial on Isolated Systolic Hypertension in the Elderly. Arch Intern Med 1998; 158: 1681-91.Ohkubo T, Imai Y, Tsuji I et al. Reference Values for 24-Hour Ambulatory Blood Pressure Monitoring Based on a Prognostic Criterion. The Ohasama Study. Hypertension 1998; 32: 255-9.Ohkubo T, Imai Y, Tsuji I et al. Reference Values for 24-Hour Ambulatory Blood Pressure Monitoring Based on a Prognostic Criterion. The Ohasama Study. Hypertension 1998; 32: 255-9.Kikuya M, Hozawa A, Ohokubo T et al. Prognostic Significance of Blood Pressure and Heart Rate Variabilities. The Ohasama Study. Hypertension 2000; 36: 901-6.Kikuya M, Hozawa A, Ohokubo T et al. Prognostic Significance of Blood Pressure and Heart Rate Variabilities. The Ohasama Study. Hypertension 2000; 36: 901-6.Witteman JC, Grobbee DE, Valkenburg HA et al. J-shaped relation between change in diastolic blood pressure and progression of aortic atherosclerosis. Lancet 1994; 343: 504-7.Witteman JC, Grobbee DE, Valkenburg HA et al. J-shaped relation between change in diastolic blood pressure and progression of aortic atherosclerosis. Lancet 1994; 343: 504-7.Bots ML, Witteman JC, Hofman A et al. Low diastolic blood pressure and atherosclerosis in elderly subjects. The Rotterdam study. Arch Intern Med 1996; 156: 843-8.Bots ML, Witteman JC, Hofman A et al. Low diastolic blood pressure and atherosclerosis in elderly subjects. The Rotterdam study. Arch Intern Med 1996; 156: 843-8.Zaninelli A, Fariello R, Boni E et al. Elevated cardiovascular mortality in subjects over 75 with low values of arterial pressure. G Ital Cardiol 1993; 23: 153-8.Zaninelli A, Fariello R, Boni E et al. Elevated cardiovascular mortality in subjects over 75 with low values of arterial pressure. G Ital Cardiol 1993; 23: 153-8.Boshuizen HC, Izaks GJ, van Buuren S, Ligthart GJ. Blood pressure and mortality in elderly people aged 85 and older: community based study. BMJ 1998; 316: 1780-4.Boshuizen HC, Izaks GJ, van Buuren S, Ligthart GJ. Blood pressure and mortality in elderly people aged 85 and older: community based study. BMJ 1998; 316: 1780-4.Franklin SS, Larson MG, Khan SA et al. Does the Relation of Blood Pressure to Coronary Heart Disease Risk Change With Aging? The Framingham Heart Study. Circulation 2001; 103: 1245.Franklin SS, Larson MG, Khan SA et al. Does the Relation of Blood Pressure to Coronary Heart Disease Risk Change With Aging? The Framingham Heart Study. Circulation 2001; 103: 1245.VokЧ ML, Bots L, Hofman A et al. J-Shaped Relation Between Blood Pressure and Stroke in Treated Hypertensives. Hypertens 1999; 34: 1181-5.VokЧ ML, Bots L, Hofman A et al. J-Shaped Relation Between Blood Pressure and Stroke in Treated Hypertensives. Hypertens 1999; 34: 1181-5.Hansson L. How far should blood pressure be lowered? What is the role of the J-curve? Am J Hypertens 1990; 3: 726-9.Hansson L. How far should blood pressure be lowered? What is the role of the J-curve? Am J Hypertens 1990; 3: 726-9.Grossman E. Does the "J-curve" still hold in the post «HOT» era? J Hum Hypertens 1998; 12 (11): 729-30.Grossman E. Does the "J-curve" still hold in the post «HOT» era? J Hum Hypertens 1998; 12 (11): 729-30.Adelman EM. When the patient's blood pressure falls: what does it mean? What should you do? Nursing 1987; 17 (10): 66-73.Adelman EM. When the patient's blood pressure falls: what does it mean? What should you do? Nursing 1987; 17 (10): 66-73.Farnett L, Mulrow CD, Linn WD et al. The J-curve phenomenon and the treatment of hypertension: is there a point beyond which pressure reduction is dangerous? JAMA 1991; 265 (4): 498-5.Farnett L, Mulrow CD, Linn WD et al. The J-curve phenomenon and the treatment of hypertension: is there a point beyond which pressure reduction is dangerous? JAMA 1991; 265 (4): 498-5.Somers VK, Conway J, Le Winter M, Sleight P. The role of baroreflex sensitivity in post-exercise hypotension. J Hypertens 1985; 3 (Suppl. 3): S129-30.Somers VK, Conway J, Le Winter M, Sleight P. The role of baroreflex sensitivity in post-exercise hypotension. J Hypertens 1985; 3 (Suppl. 3): S129-30.Hoshide S, Kario K, Fujikawa H et al. Hemodynamic cerebral infarction triggered by excessive blood pressure reduction in hypertensive emergencies. J Am Geriatr Soc 1998; 46 (9): 1179-80.Hoshide S, Kario K, Fujikawa H et al. Hemodynamic cerebral infarction triggered by excessive blood pressure reduction in hypertensive emergencies. J Am Geriatr Soc 1998; 46 (9): 1179-80.Verghese J, Lipton RB, Hall CB et al. Low blood pressure and the risk of dementia in very old individuals. Neurology 2003; 61: 1667-72.Verghese J, Lipton RB, Hall CB et al. Low blood pressure and the risk of dementia in very old individuals. Neurology 2003; 61: 1667-72.Guo Z, Viitanen M, Winblad B, Fratiglioni L. Low blood pressure and incidence of dementia in a very old sample: dependent on initial cognition. J Am Geriatr Soc 1999; 47 (6): 723-6.Guo Z, Viitanen M, Winblad B, Fratiglioni L. Low blood pressure and incidence of dementia in a very old sample: dependent on initial cognition. J Am Geriatr Soc 1999; 47 (6): 723-6.Verghese J, Lipton RB, Hall CB et al. Low blood pressure and the risk of dementia in very old individuals. Neurology 2003; 61: 1667-72.Verghese J, Lipton RB, Hall CB et al. Low blood pressure and the risk of dementia in very old individuals. Neurology 2003; 61: 1667-72.Qiu C, Strauss E, Fastbom J et al. Low Blood Pressure and Risk of Dementia in the Kungsholmen Project 6-Year Follow-up Study. Arch Neurol 2003; 223-8.Qiu C, Strauss E, Fastbom J et al. Low Blood Pressure and Risk of Dementia in the Kungsholmen Project 6-Year Follow-up Study. Arch Neurol 2003; 223-8.Owens PE, Lyons SP, O'Brien ET. Arterial hypotension: prevalence of low blood pressure in the general population using ambulatory blood pressure monitoring. J Hum Hypertens 2000; 14 (4): 243-7.Owens PE, Lyons SP, O'Brien ET. Arterial hypotension: prevalence of low blood pressure in the general population using ambulatory blood pressure monitoring. J Hum Hypertens 2000; 14 (4): 243-7.Fotherby MD, Robinson TG, Potter JF. Clinic and 24h blood pressure in elderly treated hypertensives with postural hypotension. J Hum Hypertens 1994; 8 (9): 711-6.Fotherby MD, Robinson TG, Potter JF. Clinic and 24h blood pressure in elderly treated hypertensives with postural hypotension. J Hum Hypertens 1994; 8 (9): 711-6.Fotherby MD, Iqbal P, Potter J. Orthostatic blood pressure changes on prolonged standing in elderly hospital in-patients. Blood Press 1997; 6: 343-8.Fotherby MD, Iqbal P, Potter J. Orthostatic blood pressure changes on prolonged standing in elderly hospital in-patients. Blood Press 1997; 6: 343-8.Vanhanen H, Thijs L, Birkenhager W et al. Prevalence and persistency of orthostatic blood pressure fall in older patients with isolated systolic hypertension. Syst-Eur Investigators. J Hum Hypertens 1996; 10: 607-12.Vanhanen H, Thijs L, Birkenhager W et al. Prevalence and persistency of orthostatic blood pressure fall in older patients with isolated systolic hypertension. Syst-Eur Investigators. J Hum Hypertens 1996; 10: 607-12.Mo R, Omvik P, Lund-Johansen P. The Bergen Blood Pressure Study. Estimated prevalence of postural hypotension is influenced by the alerting reaction to blood pressure measurement. J Hum Hypertens 1994; 8: 171-6.Mo R, Omvik P, Lund-Johansen P. The Bergen Blood Pressure Study. Estimated prevalence of postural hypotension is influenced by the alerting reaction to blood pressure measurement. J Hum Hypertens 1994; 8: 171-6.Applegate WB, Davis BR, Black HR et al. Prevalence of postural hypotension at baseline in the Systolic Hypertension in the Elderly Program (SHEP) cohort. J Am Geriatr Soc 1991; 39 (11): 1057-64.Applegate WB, Davis BR, Black HR et al. Prevalence of postural hypotension at baseline in the Systolic Hypertension in the Elderly Program (SHEP) cohort. J Am Geriatr Soc 1991; 39 (11): 1057-64.Fried LP, Borhani NO, Enright P et al. The Cardiovascular Health Study: design and rationale. Ann Epidemiol 1991; 1 (3): 263-76.Fried LP, Borhani NO, Enright P et al. The Cardiovascular Health Study: design and rationale. Ann Epidemiol 1991; 1 (3): 263-76.Rutan GH, Hermanson B, Bild DE et al. Orthostatic hypotension in older adults. The Cardiovascular Health Study. CHS Collaborative Research Group. Hypertension 1992; 19 (6), Pt. 1: 508-19.Rutan GH, Hermanson B, Bild DE et al. Orthostatic hypotension in older adults. The Cardiovascular Health Study. CHS Collaborative Research Group. Hypertension 1992; 19 (6), Pt. 1: 508-19.Masaki KH, Schatz IJ, Burchfiel CLM et al. Orthostatic Hypotension Predicts Mortality in Elderly Men. Circulation 1998; 98: 2290-5.Masaki KH, Schatz IJ, Burchfiel CLM et al. Orthostatic Hypotension Predicts Mortality in Elderly Men. Circulation 1998; 98: 2290-5.Eigenbrodt ML, Rose KM, Couper DJ et al. Orthostatic hypotension as a risk factor for stroke. The Atherosclerosis Risk in Communities (ARIC) Study, 1987-1996. Stroke 2000; 31: 2307-13.Eigenbrodt ML, Rose KM, Couper DJ et al. Orthostatic hypotension as a risk factor for stroke. The Atherosclerosis Risk in Communities (ARIC) Study, 1987-1996. Stroke 2000; 31: 2307-13.Rose KM, Eigenbrodt ML, Biga RL et al. Orthostatic hypotension predicts mortality in middle-aged adults. Circulation 2006; 114: 630-6.Rose KM, Eigenbrodt ML, Biga RL et al. Orthostatic hypotension predicts mortality in middle-aged adults. Circulation 2006; 114: 630-6.Grodzicki T, Rajzer M, Fagard R et al. Ambulatory blood pressure monitoring and postprandial hypotension in elderly patients with isolated systolic hypertension. Systolic Hypertension in Europe (SYST-EUR) Trial Investigators. J Hum Hypertens 1998; 12 (3): 161-5.Grodzicki T, Rajzer M, Fagard R et al. Ambulatory blood pressure monitoring and postprandial hypotension in elderly patients with isolated systolic hypertension. Systolic Hypertension in Europe (SYST-EUR) Trial Investigators. J Hum Hypertens 1998; 12 (3): 161-5.Mitro P, Feterik K, Cverckova A, Trejbal D. Occurrence and relevance of postprandial hypotension in patients with essential hypertension. Wien Klin Wochenschr 1999; 111 (8): 320-5.Mitro P, Feterik K, Cverckova A, Trejbal D. Occurrence and relevance of postprandial hypotension in patients with essential hypertension. Wien Klin Wochenschr 1999; 111 (8): 320-5.Sasaki E, Kitaoka H, Ohsawa N. Postprandial hypotension in patients with non-insulin-dependent diabetes mellitus. Diabetes Res Clin Pract 1992; 18: 113-21.Sasaki E, Kitaoka H, Ohsawa N. Postprandial hypotension in patients with non-insulin-dependent diabetes mellitus. Diabetes Res Clin Pract 1992; 18: 113-21.Farnsworth TA, Heseltine D. The effect of postprandial hypotension on rehabilitation of the frail elderly with cerebrovascular disease. J Int Med Res 1994; 22 (2): 77-84.Farnsworth TA, Heseltine D. The effect of postprandial hypotension on rehabilitation of the frail elderly with cerebrovascular disease. J Int Med Res 1994; 22 (2): 77-84.Catz A, Mendelson L, Solzi P. Symptomatic postprandial hypotension in high paraplegia. Paraplegia 1992; 30 (8): 582-6.Catz A, Mendelson L, Solzi P. Symptomatic postprandial hypotension in high paraplegia. Paraplegia 1992; 30 (8): 582-6.Loew F, Gauthey L, Koerffy A et al. Postprandial hypotension and orthostatic blood pressure responses in elderly Parkinson's disease patients. J Hypertens 1995; 13 (11): 1291-7.Loew F, Gauthey L, Koerffy A et al. Postprandial hypotension and orthostatic blood pressure responses in elderly Parkinson's disease patients. J Hypertens 1995; 13 (11): 1291-7.Rowat AM, Wardlaw JM, Dennis MS, Warlow CP. The influence of food ingestion on blood pressure in stroke patients. Cerebrovasc Dis 2001; 12 (3): 152-8.Rowat AM, Wardlaw JM, Dennis MS, Warlow CP. The influence of food ingestion on blood pressure in stroke patients. Cerebrovasc Dis 2001; 12 (3): 152-8.Aronow WS, Ahn C. Association of postprandial hypotension with incidence of falls, syncope, coronary events, stroke, and total mortality at 29-month follow-up in 499 older nursing home residents. J Am Geriatr Soc 1997; 45 (9): 1051-3.Aronow WS, Ahn C. Association of postprandial hypotension with incidence of falls, syncope, coronary events, stroke, and total mortality at 29-month follow-up in 499 older nursing home residents. J Am Geriatr Soc 1997; 45 (9): 1051-3.Kohara K, Jiang Y, Igase M et al. Postprandial hypotension is associated with asymptomatic cerebrovascular damage in essential hypertensive patients. Hypertension 1999; 33 (1): 565-8.Kohara K, Jiang Y, Igase M et al. Postprandial hypotension is associated with asymptomatic cerebrovascular damage in essential hypertensive patients. Hypertension 1999; 33 (1): 565-8.Dubach P, Goebbels U, Ratti R. Blood pressure reaction during exertion. Schweiz Med Wochenschr 1996; 126 (33): 1400-2.Dubach P, Goebbels U, Ratti R. Blood pressure reaction during exertion. Schweiz Med Wochenschr 1996; 126 (33): 1400-2.Fagard R, Pardaens K, Vanhaecke J. Prognostic significance of exercise versus resting blood pressure in patients with chronic heart failure. J Hypertens 1999; 17 (12), Pt. 2: 1977-81.Fagard R, Pardaens K, Vanhaecke J. Prognostic significance of exercise versus resting blood pressure in patients with chronic heart failure. J Hypertens 1999; 17 (12), Pt. 2: 1977-81.Senitko AN, Charkoudian N, Halliwill JR. Influence of endurance exercise training status and gender on postexercise hypotension. J Appl Physiol 2002; 92: 2368-74.Senitko AN, Charkoudian N, Halliwill JR. Influence of endurance exercise training status and gender on postexercise hypotension. J Appl Physiol 2002; 92: 2368-74.Эмоциональный стресс. Под ред. Л.Леви. Л.: Медицина, 1970.Эмоциональный стресс. Под ред. Л.Леви. Л.: Медицина, 1970.Fontaine R, Boisvert D. Psychophysiological disorders in anxious patients: hypertension and hypotension. Psychother Psychosom 1982; 38 (1): 165-72.Fontaine R, Boisvert D. Psychophysiological disorders in anxious patients: hypertension and hypotension. Psychother Psychosom 1982; 38 (1): 165-72.Ohkubo T, Imai Y, Tsuji I et al. Prediction of mortality by ambulatory blood pressure monitoring versus screening blood pressure measurements: a pilot study in Ohasama. J Hypertens 1997; 15 (4): 357-64.Ohkubo T, Imai Y, Tsuji I et al. Prediction of mortality by ambulatory blood pressure monitoring versus screening blood pressure measurements: a pilot study in Ohasama. J Hypertens 1997; 15 (4): 357-64.Watanabe N, Imai Y, Nagai K et al. Nocturnal Blood Pressure and Silent Cerebrovascular Lesions in Elderly Japanese. Stroke 1996; 27 (8): 1319-27.Watanabe N, Imai Y, Nagai K et al. Nocturnal Blood Pressure and Silent Cerebrovascular Lesions in Elderly Japanese. Stroke 1996; 27 (8): 1319-27.Kario K, Pickering TG, Matsuo T et al. Stroke prognosis and abnormal nocturnal blood pressure falls in older hypertensives. Hypertension 2001; 38 (4): 852-7.Kario K, Pickering TG, Matsuo T et al. Stroke prognosis and abnormal nocturnal blood pressure falls in older hypertensives. Hypertension 2001; 38 (4): 852-7.Kukla C, Sander D, Schwarze J et al. Changes of Circadian Blood Pressure Patterns Are Associated With the Occurrence of Lacunar Infarction. Arch Neurol 1998; 255: 683-8.Kukla C, Sander D, Schwarze J et al. Changes of Circadian Blood Pressure Patterns Are Associated With the Occurrence of Lacunar Infarction. Arch Neurol 1998; 255: 683-8.Pierdomenico SD, Bucci A, Costantini F et al. Circadian blood pressure changes and myocardial ischemia in hypertensive patients with coronary artery disease. J Am Coll Cardiol 1998; 31 (7): 1627-34.Pierdomenico SD, Bucci A, Costantini F et al. Circadian blood pressure changes and myocardial ischemia in hypertensive patients with coronary artery disease. J Am Coll Cardiol 1998; 31 (7): 1627-34.Bassetti C, Aldrich M. Night time versus daytime transient ischaemic attack and ischaemic stroke: a prospective study of 110 patients. J Neurol Neurosurg Psychiat 1999; 67 (4): 463-7.Bassetti C, Aldrich M. Night time versus daytime transient ischaemic attack and ischaemic stroke: a prospective study of 110 patients. J Neurol Neurosurg Psychiat 1999; 67 (4): 463-7.Hayreh SS, Zimmerman MB, Podhajsky P, Alward WL. Nocturnal arterial hypotension and its role in optic nerve head and ocular ischemic disorders. Am J Ophthalmol 1994; 117 (5): 603-24.Hayreh SS, Zimmerman MB, Podhajsky P, Alward WL. Nocturnal arterial hypotension and its role in optic nerve head and ocular ischemic disorders. Am J Ophthalmol 1994; 117 (5): 603-24.Hayreh SS. Role of nocturnal arterial hypotension in the development of ocular manifestations of systemic arterial hypertension. Cur Opin Ophthalmol 1999; 10 (6): 474-82.Hayreh SS. Role of nocturnal arterial hypotension in the development of ocular manifestations of systemic arterial hypertension. Cur Opin Ophthalmol 1999; 10 (6): 474-82.Graham SL, Drance SM. Nocturnal hypotension: role in glaucoma progression. Surv Ophthalmol 1999; 43 (Suppl. 1): S10-6.Graham SL, Drance SM. Nocturnal hypotension: role in glaucoma progression. Surv Ophthalmol 1999; 43 (Suppl. 1): S10-6.Chobanian AV, Bakris GL, Black HR et al. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension 2003; 42: 1206-52.Chobanian AV, Bakris GL, Black HR et al. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension 2003; 42: 1206-52.2007 Guidelines for the Management of Arterial Hypertension. J Hypertens 2007; 25: 1105-87.2007 Guidelines for the Management of Arterial Hypertension. J Hypertens 2007; 25: 1105-87.
The authors declare that there are no conflicts of interest present.