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Category: Volume 11 Issue 02 February 2023
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Title: A Study on the Etiological and Clinical Profile of Hypertensive Emergency in a Tertiary Care Hospital, Kishanganj, Bihar - A Cross -Sectional Study

Authors: Dr Sourav Chattopadhay, Dr K.P.V. Yogesh Kumar

 DOI: https://dx.doi.org/10.18535/jmscr/v11i2.15

Abstract

Introduction

Systemic Hypertension is a common medical condition affecting over 1 billion people worldwide1. Among the population considered, the prevalence is found to be 24%,for which the people are affected with hypertension. The significant mortality affecting cardiovascular, cerebrovascular and renal is mainly due to hypertension and its emergencies. The treatment strategies focussed on hypertension are mostly associated with the urgency and emergency. A hypertensive emergency is characterized by rapid deterioration of target-organs and poses an immediate threat to life. The reduction in mortality of hypertension emergencies is associated with focus on the early detection of end organ damage caused due to factors leading from hypoertension.

This study provides a view on hypertensive emergencies, focusing on one of its most serious complications: hypertensive emergency; a serious condition in which blood pressure undergoes an elevation >180/120 mm Hg, and is associated with end organ dysfunction (e.g. heart, kidneys, eyes or brain). The most common clinical presentations of hypertensive emergencies are cerebral infarction (24.5%), pulmonary edema (22.5%), hypertensive encephalopathy (16.3%) and congestive heart failure(12%). other clinical presentations associated with hypertensive emergencies include intracranial haemorrhage, aortic dissection and eclampsia.

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Corresponding Author

Dr Sourav Chattopadhay

Associate Professor, Dept. of General Medicine, MGM Medical College & LSK Hospital, Kishanganj, Bihar