Clinical Profile of Hypertensive Patients More Than 40 Years Age with Special Reference to Lipid Profile and Its Co Relation with Retinopathy
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 3
Abstract
Abstract: Hypertension is becoming a major public health problem worldwide. Although chronic hypertension is an established risk factor for cardiovascular, cerebrovascular and renal disease, acute elevations in blood pressure can result in acute end organ damage with significant morbidity. This study was done to evaluate clinical profile and the risk factors for hypertensive retinopathy in patients of more than 40 years age and evaluate the dyslipidemia and its correlation to retinopathy. 420 patients attending OPD and admitted in medicine wards SGMH Rewa were included in study. Patients were interrogated and investigated including RBS, fundus examination and fasting lipid profile. Retinopathy was diagnosed by ophthalmoscope. In this study out of 420 patients 30.71% were having normal fundus examination and 69.29% patients had retinopathy. There is significant association of increasing retinopathy with age, male gender, illiteracy, hypertension, smoking, obesity, alcohol intake, tobacco chewing and dyslipidemia (p <0.0001). Hypertensive target organ damage(TOD) like hypertensive retinopathy can now be diagnosed early and, may be reversed with specific and aggressive treatment. Probably the most important aspect in the treatment of a hypertension is to adherence to antihypertensive therapy during long-term follow-up and early recognition of target organ damage.
Authors and Affiliations
Anurag Chaurasia, Datta Jude, Rakesh Patel, Manoj Indurkar
Keywords
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