RETINOPATHY IN NEWLY DIAGNOSED ELDERLY HYPERTENSIVE PATIENTS (>60 YEARS) IN A RURAL TEACHING INSTITUTE OF SUB-HIMALAYAN REGION

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.

Download Full-text

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

10.36106/gjra/4308219 ◽

2020 ◽

pp. 1-2

Author(s):

Abhimanyu Patial ◽

Akshay Sharma ◽

Priya Dhora

Keyword(s):

Risk Factors ◽

Subsequent Development ◽

The Elderly ◽

Vegetarian Diet ◽

Newly Diagnosed ◽

Hypertensive Patients ◽

Elderly Hypertensive ◽

Elderly Hypertensive Patients ◽

Rural Teaching

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.

Download Full-text

Effect of Different Anti-hypertensive Drugs on Circadian Blood Pressure Profile in Elderly Hypertensive Patients

Rehabilitation Medicine ◽

10.3724/sp.j.1329.2017.05012 ◽

2017 ◽

Vol 27 (5) ◽

pp. 12

Author(s):

Bingqing YU ◽

Jinping ZHOU ◽

Zhongxian FENG ◽

Junxia XU

Keyword(s):

Blood Pressure ◽

Pressure Profile ◽

Hypertensive Patients ◽

Circadian Blood Pressure ◽

Blood Pressure Profile ◽

Elderly Hypertensive ◽

Elderly Hypertensive Patients ◽

Circadian Blood Pressure Profile

Download Full-text

The Effect of Prophylactic Ephedrine on Systemic Hypotension Caused by Induction of Anaesthesia with Propofol and Sufentanil in Elderly Hypertensive Patients: A Prospective Randomized, Double-blind Placebo-controlled Clinical Trial

10.22514/sv.2020.16.0081 ◽

2020 ◽

Keyword(s):

Blood Pressure ◽

General Anesthesia ◽

Normal Saline ◽

Saline Group ◽

Normal Saline Group ◽

Hypertensive Patients ◽

Group A ◽

Elderly Hypertensive ◽

Elderly Hypertensive Patients ◽

Group B

Objective: To study the effectiveness of prophylactic ephedrine to prevent hypotension caused by induction of anesthesia with propofol and sufentanil in elderly hypertensive patients. Methodology: 70 elderly ASA grade II-III hypertensive patients undergoing elective general anesthesia were randomized into two groups to receive either intravenous ephedrine,100 ug/kg in 5ml normal saline (Group B), or an equal volume of normal saline (Group A) before induction. Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP) and Heart Rate (HR) were recorded at T0 (after entry to the operating room), T1 (1 min after induction), T2 (2 min after induction), T3 ( 3 min after induction), T4 (4 min after induction), T5 (when intubated), T6 (2 min after intubation), and T7 (at the start of the procedure), as well as the incidence of hypotension and bradycardia. Results: SBP, DBP and HR were not significantly different at T0 and were significantly different at T1 to T7 after anesthesia induction. There were statistically significant effect on hypotension and bradycardia between the two groups and group B have a lower risk of hypotension and bradycardia relative to group A. SBP and DBP decreased significantly after induction in both groups. HR decreased significantly in group A while increased in group B. Conclusion: Ephedrine pretreatment can minimize hypotension and bradycardia caused by propofol and sufentanil during the induction of general anesthesia in elderly patients with hypertension.

Download Full-text