Abstract
Objective: The aim of this study was to investigate gender inequality in age groups of hypertensive (HTN) patients admitted for severe HTN urgencies that were not controlled in the emergency department (ED). Design and method: Starting from all hypertensive patients admitted to the Internal Medicine Clinic between December 2012 and December 2015 (5762 pts) we studied those admitted for severe HTN urgencies that did not respond to treatment in the ED and thus necessitated further observation/intervention to obtain blood pressure (BP) control. Patients with HTN emergencies – stroke, acute coronary syndromes (ACS), pulmonary edema, acute renal failure/acutely decompensated chronic renal disease (CRD), were excluded. This population was further evaluated for CV risk factors and comorbidities focusing on gender differences and age. Results: See figure.Conclusions: Females admitted with severe refractory HTN urgencies had a significantly higher CV burden – they were more frequently obese, diabetic, dyslipidemic and already had a more complex CV history. However, when comparing age groups, females were significantly more affected after 45 years of age, while the situation is reversed in the younger age group.
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