Clinical Study of Hypertensive Crisis in Medicine Ward
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 11
Abstract
Introduction: A majority of hypertensive crisis cases are consequent of inadequate medical treatment. Hypertensive crisis is an urgent situation in the emergency department and presents various clinical patterns. The present study aimed to evaluate the risk factors and spectrum of end organ damage in hypertensive crisis. Material and Methods: This study was carried out among 200 patients with SBP ≥180 mm Hg or DBP ≥ 120 mm Hg admitted to medicine ward. On admission detailed history, complete clinical examination, and necessary investigations were done to assess the end organ damage. Among 200 patients of hypertensive crisis (HTN-C), 144 individuals (72%) met the criteria for hypertensive emergency (HTN-E) and 56 (28%) met the criteria for hypertensive urgency (HTN-U). Results: Patients with HTN-E were older (P<0.001), more sedentary (P=0.037), more smoker (p=0.0073) and more non adherent to anti hypertensive medications (p=0.049) than those with HTN-U. Furthermore, fewer HTN-E patients than HTN-U patients had known history of hypertension (P=0.0029). Retinopathy (66%), ischemic stroke (23%), hemorrhagic stroke (16%), acute heart failure (18%) and acute coronary syndrome (16%) were target-organ damage in HTN-E. The prevalence of hypertensive crisis in the patients admitted to the ICU is approximately 1.76%. Conclusion: The early detection of end organ damage and appropriate treatment are key determinants to avoid severe complications of hypertension.
Authors and Affiliations
Shailendra Kumar Manjhvar, Shivaji Thakare, Hariom Gupta, Manoj Indurkar
Keywords
Related Articles
- EP ID EP424009
- DOI -
- Views 134
- Downloads 0
Study to Correlate Trace Minerals Status with Glycaemic Control in Type 2 Diabetes Mellitus
Introduction: Diabetes mellitus (DM) is lingering disease embodied by persistent hyperglycemia and derangement in homeostasis of metabolism of protein, fat, and carbohydrate. Disturbance in trace mineral metabolism was u...
Study of Oxidative Stress in Hypercholesterolemia
Introduction: Oxidative stress is an imbalance between free radicals formation and their scavenging (antioxidant system) in the body. In hypercholesterolemia, there is an increase of total cholesterol pool in cells which...
Screening of Cervical Cancer by Artificial Intelligence based Analysis of Digitized Papanicolaou-Smear Images
Introduction: Cervical cancer is one of the main causes of female mortality due to cancer in the world. Researchers have suggested that by regular cervical cancer screening its incidence and mortality a can be reduced by...
Acute Ruptured Ectopic Pregnancy: A Comparative Study between Salpingectomy without Mopping and Salpingectomy with Mopping
Introduction: Acute ruptured ectopic pregnancy represents a serious hazard to women’s health and their reproductive potential requiring prompt recognition and aggressive intervention. Study aimed to compare the results o...
Pre-eruptive Intra Coronal lesions Revisited: Report of Two Rare Cases and their Treatment
Introduction: Intra coronal radiolucencies in clinically unerupted teeth are a rare occurrence and are usually detected unintentionally on routine intraoral or panoramic radiographs. Despite the fact that various documen...