HYPERTENSION PREVALENCE AND TREATMENT OUTCOME
Journal Title: International Journal of Medical Science and Diagnosis Research (IJMSDR) - Year 2018, Vol 2, Issue 6
Abstract
High blood pressure (BP) is ranked as the third most important risk factor for attributable burden of disease in south Asia. Raised blood pressure is a major risk factor for chronic heart disease, stroke, and coronary heart disease. WHO rates hypertension as one of the most important causes of premature death worldwide and in India 57% of all stroke deaths and 24% of all coronary heart disease (CHD) deaths are due to hypertension. Other than coronary heart disease and stroke, complications include peripheral vascular disease, heart failure, renal impairment, retinal hemorrhage, and visual impairment. Material and Methods: Study population was adult patients who had been receiving antihypertensive treatment at hospital for at least 6 months. Interviews were conducted with all the participants and the questionnaires were filled. Demographic and anthropometric data were obtained for the patient which includes height and weight, BMI (Body Mass Index), personal medical history was obtained, and diagnosis of hypertension and other co-morbid conditions were recorded. Results: 223 patients were included in the study of which 131 (58.74%) were male and 92 (41.26%) were female. Mean age of male patients was 52 ± 18.29 while in female it was 53 ± 17.88.Maximum number of cases were observed in the >60 age group in both the sexes. Hypertension was most prevalent in overweight group in both the sexes.54 male (41.22%) and 45 (48.91%) female had history of hypertension with Less than 5 years. while 78 (59.54%) male and 47 (51.09%) female had hypertension for more than five years. Diabetes was observed in 41 (31.30%) male and 23 (25.00%) female. 14 (10.96%) male and 6 (6.52%) of female had myocardial infarction and in 3 (2.29%) male and 1(1.09%) female had history of renal failure. Before start of the study 142 (63.68%) had controlled blood pressure, 74 (33.18%) had uncontrolled BP, Hypertensive crisis was seen in 5 (2.24%) patients and Resistant hypertension was seen in 2 (0.90%) cases. After study period 163 (73.09%) had controlled blood pressure, 57 (25.56%) had uncontrolled BP, Hypertensive crisis was seen in 2 (0.90%) patients and Resistant hypertension was seen in 1 (0.45%) case. Conclusion: Chronic uncontrolled high blood pressure which can be reduced by proper management, counselling and lifestyle modification. Prevalence of hypertension in males was slightly higher than female counterparts .Control of hypertension was more in female patients. Also patient assessment should be improved in order to increase the identification and management of hypertension
Authors and Affiliations
Dr. Laxman Prasad Gupta
Keywords
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