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- W2808797739 abstract "AimsTo assess the prevalence of hypertensive emergency among the hospital admission over the period of 2 months and to assess the risk factors, clinical presentation and profile of patients.MethodsIt is a cross sectional descriptive hospital based study done in patients admitted in admitting unit and medicine ward of Stanley medical college. The patients more than 18 years of age and severe elevations in BP (>180/120 mmHg) associated with evidence of progressive target organ damage at the time of admission (JNC 7 criteria) were included in the study. On admission detailed history, examination and relevant investigations will be done.ResultsThe study population contained 82 patients, 43 were male and 39 were female. 42 % were elderly; headache and giddiness were the most common presentation. One third of patients were newly diagnosed as having hypertension, among the causes 93 % were essential hypertension and the 7 %were secondary hypertension all of them are having renal disease. 77 % were recently diagnosed hypertension less than 5 years and 48 % were on irregular treatment and follow up. The mean systolic BP is 202 and the diastolic BP is 127 mm Hg. The hypertensive retinopathy were present in 58% of patients and 8 % were having papilledema. ECG changes were present in 52 % of patients and 38% were having stroke. System wise the most common is neurological in which intracerebral haemorrhage is most common. The second most common presentation is cardiovascular consisting of acute left ventricular failure.ConclusionThe prevalence of hypertensive emergencies in our setup is 0.68. In this 42 % were more than 60 years. Headache and giddiness were the most common presenting symptom. The hypertension was undiagnosed in nearly one third of patients. In hypertension 93 % were essential hypertension and 7% is due to renal failure. Nearly 50% of hypertensive emergencies were on irregular treatment and follow up. Majority were recently diagnosed. The most common system wise presentation is neurological. The second most common is cardiovascular system." @default.
- W2808797739 created "2018-06-29" @default.
- W2808797739 creator A5084902499 @default.
- W2808797739 date "2015-04-01" @default.
- W2808797739 modified "2023-09-27" @default.
- W2808797739 title "Prevalence and clinical characteristics of hypertensive emergencies in tertiary care teaching institute, Chennai – 600001." @default.
- W2808797739 hasPublicationYear "2015" @default.
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