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Comparative Study of Clinical Profile of Elderly and Young Hypertensives.

Chowta, Nithyananda K and *, Sundeep S and Chowta, Mukta N (2009) Comparative Study of Clinical Profile of Elderly and Young Hypertensives. Indian Journal for the Practising Doctor, 5 (6). pp. 41-45.

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Abstract

Context: Hypertension, though a common medical problem in the elderly, is not limited to the elderly population, but also involves younger people. In India, the awareness of hypertension, its risk factors and complications is very poor. Scanty information is available from India regarding the prevalence of hypertension and its complications in the younger age group. Aims: Present study aims at comparative analysis of common symptoms of presentation and prevalence of target organ damage among the elderly and the young hypertensives. Settings and Design: Prospective, comparative study between the two groups (>60 &<40 yr). Methods and Material: Two hundred adult patients with hypertension who were diagnosed at the age of 60years or above and two hundred adult patients with hypertension aged below 40years were included in the study. Age, sex, body mass index, presenting complaints and their progress, duration of hypertension, history of other concomitant diseases, smoking, alcohol intake, family history of hypertension were recorded. Blood pressure was recorded in the right arm, with the subjects seated with their arm supported at heart level. Two readings were taken separated by 2 minute interval. Target organ damage was assessed in each patient by evaluating ECG, laboratory investigations, history, and clinical examination. Statistical analysis used: Chi square and Guassian(Z) test Results: Present study included 200 young (<40 yr old) hypertensives and 200 elderly (>60 yrs old) hypertensives. 68 of the the young hypertensives and 72 of the elderly hypertensives presented with headache. Hypertension was detected during routine clinical evaluation in 62 young and 56 elderly hypertensives. 123 of the elderly hypertensives, had evidence of cardiovascular complications as compared to 74 of the young hypertensives. Cerebrovascular complications were seen in 29 elderly and 8 young hypertensives. 158 elderly patients had evidence of one or more target organ damage compared to 92 young hypertensives which was statistically significant (p<0.001). Conclusions: In both, the young and elderly hypertensives, headache was the chief complaint. The prevalence of target organ damage was significantly higher in the elderly hypertensives compared to the young hypertensives.

Item Type: Article
Uncontrolled Keywords: Hypertension, target organ damage, headache
Subjects: Medicine > KMC Mangalore > Pharmacology
Medicine > KMC Mangalore > Medicine
Depositing User: KMCMLR User
Date Deposited: 23 Sep 2011 06:19
Last Modified: 24 Oct 2011 10:11
URI: http://eprints.manipal.edu/id/eprint/1371

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