A Profile of Young Hypertensive Patients at a Tertiary Care Hospital in South India

Krupa, George (2016) A Profile of Young Hypertensive Patients at a Tertiary Care Hospital in South India. Masters thesis, Christian Medical College, Vellore.


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OBJECTIVES: 1. To study and profile patients with young onset hypertension who present to the General Medicine department of CMC, Vellore during a period of 1 year. 2. To determine the prevalence of secondary hypertension among young hypertensives presenting to the Department of General Medicine. 3. To identify the modifiable risk factors for Essential hypertension in young hypertensive patients. METHODS: This was a prospective observational study. Subjects who were included were patients presenting with hypertension, diagnosed between the ages of 18 and 40, attending the General Medicine Outpatient department. Informed consent was obtained and patient confidentiality assured. A questionnaire was used to collect details with regards to demography and the history of hypertension. A detailed clinical examination was performed. Measurements of height, weight, blood pressure, hip circumference, waist circumference and body composition were taken. A stress questionnaire was administered. A dietary evaluation was done by a dietitian. An exercise evaluation was done by a physiotherapist. Laboratory test results were obtained from the electronic medical records. RESULTS: 85 patients were included in this study. 9 (11%) were found to have a secondary cause for the hypertension with the commonest causes being renal and endocrine related. Of those with primary hypertension, the following were the findings: 1. The majority of patients were from Tamil Nadu, West Bengal and Bangladesh. 2. 60% of patients were incidentally detected to have hypertension. 3. 64% were men and 36% women. 66% were from an urban residence. 4. There was a positive family history of hypertension in 70% of the subjects with primary hypertension. 5. 11% had co existing diabetes mellitus and 39% had dyslipidaemia. 6. High stress was perceived in 46% of subjects. 7. Assessment of physical activity showed that only 26% had high levels of physical activity. 8. Most of the subjects (91%) added salt to their food. 9. Blood pressure was well controlled in only 40% of subjects. 10. 37% had left ventricular hypertrophy which was used as a marker of end organ damage. 11. Subjects from West Bengal/ Bangladesh were found to have an earlier age of detection of hypertension. 12. A positive family history of hypertension was seen in a significantly larger number of those from a urban residence.

Item Type: Thesis (Masters)
Additional Information: Reg.No.201311460
Uncontrolled Keywords: Young hypertension, primary hypertension, secondary hypertension, modifiable risk factors, stress, physical activity.
Subjects: MEDICAL > General Medicine
Depositing User: Subramani R
Date Deposited: 05 Feb 2019 23:59
Last Modified: 05 Feb 2019 23:59
URI: http://repository-tnmgrmu.ac.in/id/eprint/10483

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