Abstract
Objective: The objective of the present study, A Descriptive study on Hypertensive Crisis inVisakhapatnam, India was to evaluate the modes of presentations, clinical profile, and spectrum oftarget organ damage in patients with hypertensive emergencies. Material and Methods: The studypopulation included patients admitted in this hospital with severely elevated blood pressure withclinical or laboratory evidence of acute target organ damage. Result: The clinical and laboratoryprofile of 50 of these patients were evaluated. Males had higher chances of developing ahypertensive emergency compared to females. The commonest presenting symptoms were chestpain, dyspnoea, and neurological deficit. The majority of the patients have known hypertensives.Higher levels of blood pressure at presentation were associated with an adverse outcome. Acute LVFwas the commonest target organ damage observed. In-hospital mortality of 14% was observed inthe present study. Conclusion: Known hypertensives are at a higher risk of presenting with acutetarget organ damage associated with chest pain. Acute LVF is the commonest form of target organdamage encountered in the present study.
Highlights
The study population included patients admitted in this hospital with severely elevated blood pressure with clinical or laboratory evidence of acute target organ damage
Known hypertensives are at a higher risk of presenting with acute target organ damage associated with chest pain
Patients who presented with an elevated blood pressure of systolic blood pressure of >180mm of Hg or diastolic blood pressure >110mm of Hg, with a history of acute target organ damage or with laboratory evidence of acute target organ damage were included in the study
Summary
The study population included patients admitted in this hospital with severely elevated blood pressure with clinical or laboratory evidence of acute target organ damage. The clinical and laboratory profile of 50 of these patients were evaluated. Hypertension emergency or crisis is defined as severe hypertension i.e. diastolic pressure usually >120mm Hg in patients with acute ongoing target organ damage. Target organ damage: Heart- Left Ventricular Hypertrophy, angina or prior myocardial infarction, prior coronary revascularization, and heart failure. Brain-Cerebro Vascular accident, Haemorrhagic Stroke or Ischemic attack
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