A clinical and echocardiographic study in elderly hypertensive patients
Journal Title: Annals of Geriatric Education and Medical Sciences - Year 2018, Vol 5, Issue 2
Abstract
Introduction Isolated systolic hypertension is the commonest cause of raised blood pressure in the older population As the age progresses more and more persons will be hypertensive It is a disease which is definitely the most prevalent remediable risk factor for cardiovascular diseases and cerebrovascular diseasesObjective To study the clinical profile of hypertension in elderly to find out associated risk factors especially on cardiac through echocardiographyMaterials and Methods A total number of sixty elderly hypertensive patients of 60 years with systolic blood pressure 140 and diastolic blood pressure 90 mm of Hg were included in this study A detailed history with general and systemic examination with fundus examination was carried out Complete blood count urine analysis blood sugar renal profile lipid profile chest xray electrocardiogram and echocardiogram were done in all patientsResults Sixty patients were evaluated and the mean age was 67727004 years of which 35 5833 were males and 25 4167 females and the common age group was 6065 years Chest pain in 45 and breathlessness in 3833 were commonest clinical presentation Family history smoking history and total cholesterol were associated risk factors of hypertension Hypertensive retinopathy was observed in 3833 patients Ischemic changes in 3167 followed by left ventricular hypertrophy in 20 were most common electrocardiographic findings The echocardiographic evaluation showed left ventricular dysfunction in 6333 was common entity in the form of left ventricular hypertrophy in 30 left ventricular dilatation in 15 and left ventricular diastolic dysfunction in 4833 Ischemic heart disease was diagnosed in 55 patients Out of these 18 5455 had anterior 4 1212 lateral 3 909 inferior and 4 1212 septal infarcts One patient had global hypokinesia and three patients had more than one segment involvement There was strong co relation between left ventricular hypertrophy ischemia and systolic blood pressureConclusion The elderly hypertensive patients tend to have isolated systolic hypertension Smoking history family history and dyslipidemia are important determinants of hypertension Left ventricular hypertrophy and other associated risk factors are responsible for coronary artery diseaseKeywords Diastolic Echocardiography Elderly Hypertension Hypertrophy Ischemic Systolic Ventricular
Authors and Affiliations
Sharan Badiger
Keywords
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- EP ID EP487243
- DOI 10.18231/2348-7240.2018.0014
- Views 81
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