ObjectiveTo explore the situation of orthostatic hypotension (OH) and orthostatic hypertension (OHT), blood pressure levels, and targeted organ damages in patients with type H hypertension. MethodsA total of 300 patients with type H hypertension who were hospitalized in our hospital from January 2019 to June 2020 were selected as the observation objects, and the concomitant conditions of OH and OHT, blood pressure levels, and targeted organ damage of these patients were detected and analyzed. ResultsAmong the 300 patients with type H hypertension, 102 were OH patients, accounting for 34.0%, whereas 38 were OHT patients, accounting for 12.7%, and 160 were ONT patients (normal orthostatic blood pressure, without the above-mentioned OHT and OH), accounting for 53.3%. There were no statistically significant differences in gender, age, BMI, CRP, Hcy, UA, fasting blood glucose, NT-proBNP, serum creatinine and MAU levels among the OH group, OHT group, and ONT group (P＞0.05). The whole day blood pressure, daytime blood pressure, and nocturnal blood pressure in the three groups presented in a descending order as follows: the OHT group, the OH group, and the ONT group, with statistically significant differences (P＜0.05). The incidence of stroke, left ventricular high voltage, eGFR decrease, and retinal artery disease presented in a descending order as below: the OHT group, the OH group, and the ONT group, with statistically significant differences (P＜0.05). ConclusionThe proportion of type H hypertension patients with OHT or OH is high, and the targeted organs of patients with OHT or OH are severely damaged. Active control of blood pressure level may effectively reduce or delay the occurrence of acute cardiovascular and cerebrovascular events in these patients.

无