CLINICAL PROFILE AND COMPLICATIONS IN PATIENTS PRESENTING WITH HYPERTENSIVE CRISIS IN TERTIARY CARE HOSPITAL IN NORTH KARNATAKA

Dr. Mohan D. Kashinkunti, Dr. M. V. Kalasuramath* and Dr. Tvisha J. Ijner

ABSTRACT

Hypertension is a major health concern all across the globe. Due to non-specific symptoms and vague presentation, it is often undiagnosed or diagnosed late. This in turn leads to inadequate management which is further contributes to the burden of Hypertensive Crisis in the Emergency Department. The objective of the present study is to determine the clinical profile and address the complications and outcome of patients presenting with Hypertensive crisis. Observational study was conducted in a tertiary care hospital. Detailed history with laboratory and radiological data was collected from 116 patients during June 2017 to August 2018. Majority of the patients were male (69%) and in the age group of 50-80 years (69%). The most common presentation was giddiness (58%) followed by headache (50%), breathlessness (33%) and hemiparesis (31%). End organ damage was most commonly Neurological (43%), followed by cardiovascular (27%) and Renal (21%). Mortality was most commonly due intracranial bleed, followed by myocardial infarction, ischemic stroke, followed by renal failure. The in-patient mortality in the present study was 24%. Health Education, Early diagnosis and treatment of Hypertension, therefore, need to be strengthened to reduce the prevalence and mortality associated with Hypertension.

Keywords: Hypertension, Hypertensive Crisis, Hypertensive Emergency.