Dr Soha Khan, Dr Zainab Mehreen , Dr Zainab Mustansar
Aim: To determine the frequency of isolated systolic hypertension in elderly hypertensive patients. Study Design: A descriptive study. Place and Duration: In the Medicine Unit II of Nishter Hospital Multan for six months duration from September 2019 to February 2020. Methods: 148 cases over 50 years old of both men and women were included. The blood pressure of all these people was measured with a standard sphygmomanometer at admission and 2 weeks after the patient lay comfortably for at least five minutes. The mean of two measurements was taken as final blood pressure. Those hypertensive patients over 50 years of age were enrolled from both, in- patients as well as out-patient department of the Nishter Hospital Multan. A specially designed form was used to collect data using random probability sampling. Results: Of 148 cases, 24 (16.2%) had isolated systolic hypertension, 20 (13.5%) was in the range of isolated systolic hypertension, in 82 (55.4%) systolic diastolic hypertension was observed, and 8 (5, 4%) had diastolic hypertension. Conclusion: It has been observed that the incidence of isolated systolic hypertension increased in the elderly group. As the frequency of systolic hypertension increases, the risk of stroke, cardiovascular disease and ischemic heart disease increases in older people. It remains the main indicator of systolic blood pressure, cardiovascular mortality, myocardial infarction, left ventricular hypertrophy and renal dysfunction among blood pressure indicators. Cardiovascular risk gradually increases and doubles with every 20/10 mm Hg increase in blood pressure. Although its frequency drops in the West, it is increasing in Asia. Key words: isolated systolic hypertension (ISH), isolated borderline systolic hypertension (BISH), isolated diastolic hypertension, and systolic diastolic hypertension.