scholarly journals A descriptive study on the hypertensive crisis in Visakhapatnam, Andhra Pradesh, India

2020 ◽  
Vol 8 (6) ◽  
pp. 386-391
Author(s):  
Dr. Salla Surya Prakasa Rao ◽  
◽  
Dr. Salla Sweta Ramani ◽  
Dr. Pudi Venkat Sai Kiran ◽  
Dr. Siddanati Kiran Prasad ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Andhra Pradesh ◽  
Adverse Outcome ◽  
Target Organ Damage ◽  
Hypertensive Crisis ◽  
Descriptive Study ◽  
Organ Damage ◽  
Target Organ ◽  
Elevated Blood ◽  
Presenting Symptoms

Objective: The objective of the present study, A Descriptive study on Hypertensive Crisis inVisakhapatnam, India was to evaluate the modes of presentations, clinical profile, and spectrum oftarget organ damage in patients with hypertensive emergencies. Material and Methods: The studypopulation included patients admitted in this hospital with severely elevated blood pressure withclinical or laboratory evidence of acute target organ damage. Result: The clinical and laboratoryprofile of 50 of these patients were evaluated. Males had higher chances of developing ahypertensive emergency compared to females. The commonest presenting symptoms were chestpain, dyspnoea, and neurological deficit. The majority of the patients have known hypertensives.Higher levels of blood pressure at presentation were associated with an adverse outcome. Acute LVFwas the commonest target organ damage observed. In-hospital mortality of 14% was observed inthe present study. Conclusion: Known hypertensives are at a higher risk of presenting with acutetarget organ damage associated with chest pain. Acute LVF is the commonest form of target organdamage encountered in the present study.

Essential hypertension: Diagnosis, assessment, and treatment

2020 ◽  
pp. 3753-3778
Author(s):  
Bryan Williams ◽  
John D. Firth
Keyword(s):  
Blood Pressure ◽  
Essential Hypertension ◽  
Severe Hypertension ◽  
Target Organ Damage ◽  
Organ Damage ◽  
Target Organ ◽  
Elevated Blood ◽  
Hypertensive Patients ◽  
Assessment And Treatment ◽  
Hypertension Diagnosis

Essential hypertension is invariably symptomless and usually detected by routine screening or opportunistic measurement of blood pressure. However, once a patient has been labelled as ‘hypertensive’ it is not uncommon for them to associate preceding symptoms to their elevated blood pressure. Some patients will claim that they can recognize when their blood pressure is elevated, usually on the basis of symptoms such as plethoric features, palpitations, dizziness, or a feeling of tension. Screening surveys have demonstrated that these symptoms occur no more commonly in untreated hypertensive patients than they do in the normotensive population. However, there are two important caveats to the symptomless nature of essential hypertension: (1) symptoms may develop as a consequence of target organ damage, (2) headache may be a feature of severe hypertension.

Elevated blood pressure, cardiometabolic risk and target organ damage in youth with overweight and obesity

2020 ◽  
Vol 30 (10) ◽  
pp. 1840-1847 ◽  
Author(s):  
Procolo Di Bonito ◽  
Lucia Pacifico ◽  
Maria Rosaria Licenziati ◽  
Claudio Maffeis ◽  
Anita Morandi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Cardiometabolic Risk ◽  
Target Organ Damage ◽  
Organ Damage ◽  
Overweight And Obesity ◽  
Target Organ ◽  
Elevated Blood Pressure ◽  
Elevated Blood
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