A CLINICAL STUDY ON PRESENTATION OF HYPERTENSIVE EMERGENCIES IN TERTIARY CARE HOSPITAL

Abstract

BACKGROUND:The clinical prole of hypertensive emergency patients presenting to hospitals in a developing country like ours is unknown. The current study sought to assess the modes of presentation, clinical prole, and spectrum of target organ damage in hypertensive emergency patients. AIM: Ÿ To evaluate the modes of presentations in patients with hypertensive emergencies. Ÿ To evaluate the modes of clinical prole. Ÿ To evaluate the modes of the spectrum of target organ damage in patients with hypertensive emergencies. MATERIALS AND METHODS: A six-month hospital-based prospective study was conducted in the Department of General Medicine, Santhiram Medical College, and General Hospital after approval from the Hospital Ethics and Research Committee. The study population included patients admitted to the hospital with severely elevated blood pressure and clinical evidence or laboratory evidence of acute target organ damage. The clinical prole and laboratory proles of fty of these patients were examined. RESULTS: Males were more likely than females to develop a hypertensive emergency. The most common symptoms were neurological decit, dyspnea, chest pain, convulsions, and vision loss. The vast majority of the patients had a history of hypertension. Higher blood pressure levels at presentation were linked to a poor outcome. Hyponatremia and hyperkalemia are two laboratory abnormalities observed in these patients. The most common type of target organ damage observed was intracerebral haemorrhage. In the current study, there was a 22% in-hospital mortality rate. CONCLUSION: Known hypertensives are more likely to present with acute target organ damage due to a hypertensive emergency. The most common mode of presentation is a neurological decit. The most common type of target organ damage in the current study was acute intracerebral haemorrhage