Volume : IX, Issue : II, February - 2020
OUTCOME OF HYPERTENSIVE EMERGENCIES
Dr. Wasim Akram, Dr. Nagarajan. N
Abstract :
Aims and objectives: To study the outcome of hypertensive emergencies in an tertiary care teaching hospital in rural area and to study the clinical presentation of hypertensive emergencies related to cardiovascular, neurological and renovascular system. Methods: Type of Study: Cross–sectional, observational study. Duration of study: 18 months (MARCH 2018 to AUGUST 2019) Sample size: 50 patients of hypertensive emergencies, Above 18years of age group patients with Hypetension in PES hospital, Kuppam. Inclusion criteria –1. All patients above 18 years of age. 2. Systolic blood pressure > 180 mmHg Diastolic blood pressure > 120 mm Hg Exclusion criteria– 1 Patients less than 18 years of age, 2.Pregnant women, pre–eclampsia We classified as hypertensive emergencies all cases in which the increase in blood pressure was associated with one or more of the following types of acute or ongoing end–organ damage: hypertensive encephalopathy; stroke (cereal infarction or intracereal or subarachnoid hemorrhage, transient ischemic attack); acute pulmonary edema, left ventricular failure; acute myocardial infarction or unstable angina, progressive renal insufficiency features suggestive of retinopathy. All these conditions were diagnosed clinically or by approprriate diagnostic tests. Conclusion: The most common presenting complaint in patients was eathlessness seen in 17 patients (34%), followed by neurological deficit in 24 patients (48%). Twenty seven patients (54%) had complaints of headache, whereas 12 (24%) patients complained of chest pain on admission and other symptoms included vomiting, and giddiness. Maximum hypertensive emergency cases were belongs to 56–65 years age group (40%) and ≥66 years (34%).Most common system involved neurovascular system followed by cardiovascular system and renal sytem. Out of 50 patients , 12 patients was expired and 38 patients was discharged. The outcome of hospital patient mortality was 24 %.
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DOI : https://www.doi.org/10.36106/paripex
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OUTCOME OF HYPERTENSIVE EMERGENCIES, Dr. Wasim Akram, Dr. Nagarajan.N PARIPEX-INDIAN JOURNAL OF RESEARCH : Volume-9 | Issue-2 | February-2020
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OUTCOME OF HYPERTENSIVE EMERGENCIES, Dr. Wasim Akram, Dr. Nagarajan.N PARIPEX-INDIAN JOURNAL OF RESEARCH : Volume-9 | Issue-2 | February-2020