scholarly journals DYSLIPIDEMIA IN NEWLY DIAGNOSED ELDERLY HYPERTENSIVE PATIENTS (>60 YEARS) IN A RURAL TEACHING INSTITUTE OF SUBHIMALAYAN REGION

2020 ◽  
pp. 1-2
Author(s):  
Abhimanyu Patial ◽  
Akshay Sharma ◽  
Priya Dhora

Introduction: Elevated lipid levels are associated with the subsequent development of hypertension. However, the role of dyslipidemia in hypertension in the elderly has received little attention. Aim: We evaluated dyslipidemia in newly diagnosed elderly hypertensive patients at Dr RPGMC Kangra at Tanda. Methods: One hundred patients above 60 year of age newly diagnosed with hypertension and presenting to outpatient clinic of Department of Medicine, Dr RPGMC Kangra were included. Statistical analysis was performed using SPSS v21.0 (IBM, USA). Results: Mean age of the patients was 70.9±6.8 years. 52% were males, 61% were taking vegetarian diet, 33% were smokers, 23% were abusing alcohol, and 19% were diabetic. Mean BMI was 23.6±2.4 Kg/m2. 25% had hypercholesterolemia (>230 mg/dl), 22% had triglyceridemia (>160 mg/dl), and 22% had LDL levels more than 120 mg/dl. In this study, non-vegetarian diet and diabetes were significantly associated with increased levels of cholesterol and triglycerides while only diabetes was a risk factors for increased LDL. Dyslipidemias were not associated with abnormal findings on ECG and Echo. Conclusion: Non-vegeterian diet and presence of diabetes are risk factors of dyslipidemia among the newly diagnosed elderly patients with hypertension.

2020 ◽  
pp. 1-2
Author(s):  
Abhimanyu Patial ◽  
Akshay Sharma ◽  
Priya Dhora

Introduction: Hypertensive retinopathy is among the vascular complications of essential hypertension. It is known that the auto-regulation of retinal circulation fails as blood pressure increases beyond a critical limit. There is a paucity of data of retinopathy in newly diagnosed elderly hypertensive patients (>60 years) in India. Aim: To assess retinopathy in newly diagnosed elderly hypertensive patients (>60 years) at Dr RPGMC Kangra at Tanda. Methods: One hundred patients above 60 year of age newly diagnosed with hypertension and presenting to outpatient clinic of Department of Medicine, Dr RPGMC Kangra were included. Statistical analysis was performed using SPSS v21.0 (IBM, USA). Results: 30% patients had retinopathy; 21% had hypertensive retinopathy (5% grade 1, 12% grade 2, and 4% grade 3) while 9% had bilateral non-proliferative diabetic retinopathy (NPDR) with hypertensive retinopathy. Age, sex, BMI, diet, smoking and alcohol consumption were not associated with retinopathy. There was a significant higher number of retinopathy patients were diabetic (11/30 vs. 8/70; P=0.003). There were a significantly higher proportion of retinopathy in patients with chronic kidney disease (P=0.003). There were a significant number of patients with dyslipidemia among retinopathy patients (P<0.05). Increasing stage of hypertension was associated with retinopathy. Conclusion: This study proved a definite association between dyslipidemia, diabetes, and CKD and hypertension with retinopathy in newly diagnosed elderly hypertensive patients.


2019 ◽  
Vol 15 (2) ◽  
pp. 103
Author(s):  
Sukma Sahadewa ◽  
Kadek Dwipa ◽  
Gede Abi Yoga ◽  
Mandasari Dwi Pertiwi

Abstract: Hypertension is a condition of elevated abnormal arterial blood pressure that lasts persistently. Some knowledge that should be known by hypertensive patients are such as the meaning of hypertension, the cause of hypertension, the symptoms that come along, and the importance of regular and long term treatment, also knowing the dangers posed if not taking the medication. This study aims to determine the correlation between knowledge and adherence to taking antihypertensive medication in elderly hypertensive patients at the Krian Public Health Center, Sidoarjo Regency. In this study, the population was elderly hypertensive patients who examined themselves or only took control to take medication at the Elderly Polyclinic of Krian Public Health Center in Sidoarjo Regency with 332 populations with 75 samples taken. The result of this research was obtained sig. value = 0,000 (<0,05). This study used the Spearman Correlation statistical test in analyzing the data. From the results of this study it was concluded that there was a relationship between knowledge and adherence to taking antihypertensive medication in elderly hypertensive patients at the Krian Public Health Center, Krian District, this was proved by the acquisition of sig values. = 0,000 (<0.05). Keywords: knowledge, the adherence of taking medication, hypertension


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