Document Detail


Role of pre-eclamptic toxaemia or eclampsia in hypertensive women attending cardiac clinic of Ahmadu Bello University Teaching Hospital Zaria, Nigeria.
MedLine Citation:
PMID:  19253523     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Patients with pre-eclampsia and eclampsia constitute a special high risk group for future hypertension. They require a long term follow up to be able to detect and treat emerging hypertension early enough to prevent complications. Unfortunately, this is not so. This study was undertaken to find out the incidence of history of pre-eclamptic toxaemia (PET) in our female hypertensive patients attending cardiac clinic and to also determine the incidence of complications of hypertension in those with previous history of PET. METHODS: Fifty consecutive female hypertensive patients seen in cardiac clinic were recruited. Detailed history including full obstetric and family history was taken. A full clinical examination was done including blood pressure and a search for complications of hypertension. Findings were then analyzed and various frequencies determined. RESULTS: Forty-nine patients were studied. The mean age was 47.29 +/- 11.46 years. The mean SBP, DBP and MAP were 143.18 +/- 25.05, 90.49 +/- 14.19 and 108.12 +/- 16.71 mmHg respectively. Between the last child birth and the time of established hypertension in those who had PET ranged from 3-25 years. Sixteen, (32.7%) of the 49 patients had history of PET and 7(43.75%) of these 16 patients had complications of hypertension. CONCLUSION: The incidence of history of PET in our female hypertensive patients attending cardiac clinic is significant (32.7%). Also the 43.8% incidence of complications of hypertension seen in those patients with history of PET in this study is high. PET patients, therefore, constitute a special risk group for future hypertension. Therefore collaboration between the Obstetricians and the Cardiologists is important for patients with PET and eclampsia.
Authors:
Albert Imhoagene Oyati; Solomon Sulei Danbauchi; Mohammed Sani Isa; Mohammed Ahmed Alhassan; Bala Garko Sani; Chinasaokwu Amajuoyi Anyiam; Istifanus Bala Bosan; Samuel Olorunfemi David
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of African medicine     Volume:  7     ISSN:  1596-3519     ISO Abbreviation:  Ann Afr Med     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2009-03-03     Completed Date:  2009-03-12     Revised Date:  2010-06-10    
Medline Journal Info:
Nlm Unique ID:  101231417     Medline TA:  Ann Afr Med     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  133-7     Citation Subset:  IM    
Affiliation:
Cardiology Unit, Department of Medicine, Ahmadu Bello University Teaching Hospital Zaria, Nigeria. oyatialbert@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Eclampsia / epidemiology*
Female
Hospitals, Teaching
Humans
Hypertension / epidemiology*,  prevention & control
Incidence
Middle Aged
Nigeria / epidemiology
Pre-Eclampsia / epidemiology*,  physiopathology
Pregnancy
Pregnancy Complications, Cardiovascular / epidemiology*
Risk Factors

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