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• W2085194760 abstract "A incidência e prevalência da emergência hipertensiva têm sido pouco abordadas na literatura. No entanto, tem-se observado ao longo da última década um aumento da chegada aos centros de urgências de pacientes jovens com diferentes formas de crise hipertensiva. Realizamos este estudo a fim de conhecer as características clínicas e epidemiológicas dos pacientes de idade até 45 anos internados com o diagnóstico de emergência hipertensiva. Foi realizado um estudo observacional, descritivo, transversal e proletivo a 123 pacientes internados com emergências hipertensivas no Hospital do Prenda, de maio de 2011 a junho de 2012. A idade média foi de 36,62 ± 5,49 anos, principalmente sexo masculino (52,85%). O principal fator de risco foi a hipertensão arterial (65,9%), com uma adesão de 17,3%. Formas de apresentação fundamentais: encefalopatia hipertensiva e acidente vascular cerebral hemorrágico (9,8 e 82,1%, respetivamente). As principais drogas utilizadas foram os diuréticos, inibidores da ECA e antagonistas de cálcio. Trinta e um pacientes morreram durante o internamento para uma mortalidade de 25,2%, com acidente vascular cerebral hemorrágico, a causa mais comum. Existiu associação significativa entre idade e mortalidade durante o internamento. 30,1% dos pacientes internados com emergência hipertensiva eram jovens de idade até 45 anos. O acidente vascular cerebral hemorrágico foi a apresentação mais comum. Há relação significativa entre o modo de apresentação, a idade e mortalidade durante o internamento. The incidence and prevalence of hypertensive emergency have been little addressed in the literature. However, over the last decade increasing numbers of young patients with different forms of hypertensive crisis have been observed in emergency departments. We performed this study to ascertain the clinical and epidemiological characteristics of patients aged ≤45 years admitted with a diagnosis of hypertensive emergency. We conducted an observational, descriptive, cross-sectional prospective study of 123 patients hospitalized for hypertensive emergency in the Hospital do Prenda, Luanda, between May 2011 and June 2012. Mean age was 36.62±5.49 years, and most were male (52.85%). The main risk factor was hypertension (65.9%), with 17.3% complying with therapy. The most frequent forms of presentation were hypertensive encephalopathy and hemorrhagic stroke (9.8% and 82.1%, respectively). The main drugs used were diuretics, angiotensin-converting enzyme inhibitors and calcium channel blockers. Mortality during hospitalization was 25.2% (31 patients), hemorrhagic stroke being the most common cause. There was a significant association between age and in-hospital mortality. Of patients admitted with hypertensive emergency, 30.1% were aged ≤45 years. Hemorrhagic stroke was the most common presentation. There was a significant relationship between mode of presentation, age and in-hospital mortality." @default.
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• W2085194760 date "2014-01-01" @default.
• W2085194760 modified "2023-10-18" @default.
• W2085194760 title "Caracterização dos pacientes com menos de 46 anos internados com emergência hipertensiva no Hospital do Prenda" @default.
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• W2085194760 doi "https://doi.org/10.1016/j.repc.2013.04.017" @default.
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