The Relationship Of Depression-Anxiety Inspection And Hypertension In Newly Diagnosed Young Hypertensive Patients

Abstract

Aim: Hypertension (HT) is a very important risk factor for cerebrovascular, renal and various vascular diseases, especially
 cardiovascular diseases. It is seen in almost 1/3 of the adult world population and its incidence is gradually increasing.
 95% of HT is essential and various reasons are emphasized in the etiology. Conditions that cause psychological stress,
 especially depression; Although the relationship between them is not clear, it was seen as a risk factor for HT. Because
 they will live with HT for a long time, early diagnosis and treatment is important, especially in young patients. Predisposing
 factors should also be taken into account in treatment. Anxiety and depression, which are called increased sympathetic
 activity in young people, can be a trigger for HT. In this study, we wanted to investigate the susceptibility to depressionanxiety in newly diagnosed young hypertensive patients. According to the result, we thought that we could make new
 recommendations in the treatment of HT.
 Materials and Methods: 175 patients under the age of 45 with newly diagnosed HT and 125 individuals under 45 without
 any health problems were included in the study. Those diagnosed with HT with secondary reasons and those with chronic
 diseases such as coronary artery disease (CAD), diabetes mellitus (DM), chronic renal failure (CRF), congestive heart failure
 (CHF) were excluded from the study. Testing was performed with the Hospital Depression Anxiety Scale (HDAS). In this test
 for both anxiety and depression; 0-7 points were considered normal, 8-10 points were considered borderline, and over 11
 points were considered abnormal.
 Results: When the results were evaluated, there was no difference between the groups in terms of age, gender, and
 routine biochemical tests. Both depression and anxiety scales were found to be significantly higher in the HT group. In
 young hypertensive patients, we have seen that HT and depression-anxiety frequently coexist.
 Conclusion: In this case, we should definitely examine the psychological stress states of young patients we diagnosed with
 HT. It would be appropriate to refer patients who we think may have depression and anxiety for psychological support and
 treatment. When psychological problems are treated, HT may improve without the need for antihypertensive treatment.
 Thus, we can develop new approaches in HT treatment.