Clinical study of Hypertension with other Comorbidities in Indoor patients at Tertiary care centre

Dr. Bipin Amin; Dr. Sarita Parmar; Dr. Meet Shah; Dr. Virendra Maliwad

Volume : VI, Issue : XII, December - 2017

Clinical study of Hypertension with other Comorbidities in Indoor patients at Tertiary care centre

Dr. Bipin Amin, Dr. Sarita Parmar, Dr. Meet Shah, Dr. Virendra Maliwad

Abstract :

Introduction: Hypertension is one of the leading causes of the global burden of disease(7.5 million deaths worldwide making 12.8% of total deaths).¹ Hypertension doubles the risk of cardiovascular diseases including CHF & CAD, stroke , renal failure , peripheral arterial disease. It is often associated with additional risk factors & comorbidities which again increases total burden of diseases.²

Aim: Our aim was to study association of vascular complications in patients with hypertension alone and hypertension along with other comorbidities & their overall impact on various disease outcomes.

Materials and to Methodology: This study was conducted retrospectively enrolling 225 essential hypertensive patients, admitted in medical ward irrespective of their initial presentation as well as final diagnosis in our institute during January 2016 to June 2017. The exclusion criteria include patients with secondary hypertension & pregnant females.

Results and Discussion: Out of 225 patients with hypertension, 134 patients were having hypertension along with one or more comorbidities. In this group, 43.9% of patients presented with CV stroke, 23.1% of patients presented with LVF & IHD, 14.8% of patients with renal involvement & 8.2% of patients with acute gastroenteritis & infectious disorders.

Conclusion:

In this study, Hypertensive patients with comorbidities like diabetes, Ischemic heart disease and chronic kidney disease were having more incidences of all types of vascular complications as compared to patients having hypertension alone. So, earlier identification of comorbidities and their aggressive control is the most important part of the management of hypertension.

Group A defines patients with hypertension without any comorbidity.

Group B defines patients with hypertension along with one or more comorbidity.