Epidemiological Characteristic and Clinical Profile in Hypertensive Emergencies

Khizar Ahmed; D.B Bhusare; Zahna Riaz; Abhishek Chaudhary

Volume : VI, Issue : VII, July - 2017

Epidemiological Characteristic and Clinical Profile in Hypertensive Emergencies

Khizar Ahmed, D. B Bhusare, Zahna Riaz, Abhishek Chaudhary

Abstract :

Objective: Hypertension affects individuals of all classes and across all age groups. Unfortunately, hypertensive emergencies are among the most misunderstood and mismanaged of acute medical problems seen today. Over the last decade increasing numbers of patients with different forms of hypertensive emergencies have been observed in emergency departments. The objective of this study was to ascertain the clinical and epidemiological characteristics, modes of presentation and the affect on Target organs in patients of hypertensive emergencies.

Methods: In this prospective study 50 patients above 20 years of age with severely elevated blood pressure with clinical or laboratory evidence of acute target organ damage attending MGM Hospital Emergency Department for treatment from December 2014 to June 2016 were included.

Results: Majority of patients were males. Hypertension 76% was a major risk factor with majority of hypertensives were on Irregular treatment. The lethal outcome was significantly associated with age, male sex, SBP> 180, DBP>110. Commonest presenting symptoms were Headache, neurological deficit, dyspnoea, chest pain. Acute intracereal hemorrhage was the commonest mode of target organ damage detected radiologically. An in-hospital mortality of 34% was observed in the present study.