H. Universitaire-de-bordeaux and .. , 46 e) Mesure de la pression artérielle de consultation, p.46

.. Définition-des-hypotensions-orthostatiques-de-l-'étude, 49 a) L'hypotension orthostatique 49 b) L'hypotension orthostatique de consultation, HO Consult, p.50

D. Ho-quantitative, 85 E. Analyse de régression logistique multivariée des variables : Hypotension orthostatique de consultation, Hypotension orthostatique 1, Hypotension orthostatique 2, Hypotension orthostatique M et Hypotension orthostatique, Différence des moyennes de pression artérielle entre la position couchée et la position

B. Mesure-de-la-pression-artérielle and .. , 98 a) Diagnostic de l'hypotension orthostatique, p.98

. La-prévalence-de-l, HO de consultation est ici de 14.50 %, selon le seuil consensuel, ce qui est proche de celles retrouvées dans la littérature, pp.66-70

S. La and . Établi-la-prévalence-de-l, HO en France à 16 % chez les patients âgés de plus de 65 ans

L. Hiitola, 67) datant de 2009 a mis en évidence une prévalence de l'HO de 34 % chez des patients autonomes âgés en moyenne de, p.81

. Alagiakristhnan, 68), dans leur étude de 2014, ont observé une prévalence de l'HO de 17 % chez des sujets âgés en moyenne de 74 ans non institutionnalisés et présentant des comorbidités cardiovasculaires

. Dans-l-'étude-de-fedorowski, 69), datant de 2014, les auteurs ont constaté une prévalence de l'HO de 12 % dans une population de patients hypertendus (n=10985) âgés en moyenne de 52 ans sans comorbidité cardiovasculaire initiale

. Dans-une-autre-Étude-datant-de, Fedorowski70), quant à eux, ont identifié une prévalence de l'HO de 6 % chez des patients âgés en moyenne de 50 ans (n=2033), 2010.

L. Cremer, menée chez 7425 patients âgés de plus de 65 ans, a trouvé une prévalence de l'HO égale à 13%

. Dans-notre-Étude, HO de consultation est associée à l'âge et aux ATCD

V. Choix, . Seuil-d-'hypotension, and . Orthostatique, Nous avons décidé, tout au long de cette étude, d'utiliser le seuil consensuel de l'HO, à savoir la baisse d'au moins 20 mmHg de la PAS

V. Limites and . Notre, Limites méthodologiques

. Cependant, il est possible que la mauvaise qualité de la retranscription des valeurs de PA affecte l'évaluation globale de la PA des sujets

. En-1999 and . Nordmann, 88) ont mené une étude chez 54 patients hypertendus âgés en moyenne de 56 ans Ils ont demandé aux patients de réaliser l'automesure tensionnelle et ont, sans les prévenir au préalable, vérifié les enregistrements disponibles sur les auto-tensiomètres

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K. Johnson, D. Partsch, L. Rippole, D. Mcvey, J. Fleg et al., Reliability of self-reported blood pressure measurements Arch Intern Med Orthostatic Hypotension in the ACCORD (Action to Control Cardiovascular Risk in Diabetes) Blood Pressure Trial: Prevalence, Incidence, and Prognostic Significance Hypertens Dallas Tex 1979 Working Group on Blood Pressure Monitoring of the European Society of Hypertension International Protocol for validation of blood pressure measuring devices in adults Reliability of patients measuring blood pressure at home: prospective observational study, 3?17. 88. Nordmann A,):1172. RESUME Introduction : L'hypotension orthostatique (HO) est une situation fréquente qui touche environ 7% de la population générale en France. L'HO est associée à un sur-risque de mortalité et d'évènements cardiovasculaires. Le but de notre étude est d'évaluer la faisabilité de la détection de l'HO au cours de l'automesure tensionnelle (AMT). L'objectif secondaire est de proposer une méthode adaptée de détection de l'HO, 1999.

M. Matériel, Il s'agit d'une étude prospective multicentrique de janvier à décembre, 2016.