Document Detail


Hypertensive crisis. Clinical presentation, comorbidities, and target organ involvement.
MedLine Citation:
PMID:  20714692     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the clinical presentation and comorbidities of hypertensive crisis in our own population.
METHODS: In this cohort based study, we investigate the clinical presentation and comorbidities of hypertensive crisis by evaluating the data collected between January and April 2009. We included 154 patients admitted with systolic and diastolic blood pressure of >179 mm Hg and >119 mm Hg (based on the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure criteria) in the Department of Internal Medicine, Salmaniya Medical Complex, Kingdom of Bahrain.
RESULTS: In the study population, 64.3% had hypertensive urgency (blood pressure elevation without end organ damage) and 35.7% had hypertensive emergency (blood pressure elevation with end organ damage). The mean age group was 45-65 years (56% of the study population) and more men were affected than women (100:54). Shortness of breath and neurological deficits had a strong statistical association with hypertensive emergency, and headache and blurring of vision had the same tendency toward hypertensive urgency. Diabetes mellitus was an independent risk factor for hypertensive crisis.
CONCLUSION: Most of the studied patients were known hypertensive. Diabetes mellitus is powerful predictor for hypertensive crisis. Dyspnea and neurological deficits have significant statistical correlation with hypertensive emergencies.
Authors:
Rashed Al-Bannay; Aysha A Husain
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Saudi medical journal     Volume:  31     ISSN:  0379-5284     ISO Abbreviation:  Saudi Med J     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-17     Completed Date:  2010-12-02     Revised Date:  2012-05-08    
Medline Journal Info:
Nlm Unique ID:  7909441     Medline TA:  Saudi Med J     Country:  Saudi Arabia    
Other Details:
Languages:  eng     Pagination:  916-20     Citation Subset:  IM    
Affiliation:
Cardiology Unit, Internal Medicine Department, Salmaniya Medical Complex, PO Box 12, Manama, Kingdom of Bahrain. abdullarashed@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Female
Humans
Hypertension / complications,  physiopathology*
Male
Middle Aged

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