Indian Journal of Public Health Research & Development
  • Year: 2018
  • Volume: 9
  • Issue: 12

Study of hypertension in elderly patients of both sexes in western Rajasthan population

1Principal Specialist (Medicine) Department of Medicine, Government Bangar Hospital, Pali (Rajasthan)

2Associate Professor of Medicine, Govt. Medical College, Pali, Rajasthan

Online published on 9 January, 2019.

Abstract

45 elderly male and 45 elderly female patient aged between 60–75 years suffering with Hypertension were studied their associated diseases were Diabetes Millitus 7(15.5%) in males 9(20%) in females. Obesity 4(8.8%) in males 5(11.1%) in females CVD 5(11.1%) in males 4(8.8%) in females stroke 7(15.5%) in males 5(11.1%) in female. Renal insufficiency was 5(11.1%) in males and 4(8.8%) in females. CCF was 3(6.6%) in males 4(8.8%) in females physical inactiveness 4(8.8%) males 5(11.1%) in females Alcoholic 5(11.1%) in males 2(4.4%) in females Tobacco chewers. 3(6.6%) in males 4(8.8%) in females Dementia 2(4.4%) in males 3(6.6%) in females patients. The recorded BP in elderly patients of both sexes were classified as Grade I (mild) SBP-140-159 DBP (90–99 Hgmm) were 14(31.1%) males 12(26.6%) in females patients Grade II moderate SBP (mm Hg) (160–179) DBP (Hgmm) (100–109) 10(22.2%) were males, 11(24.4%) were female patients. Grade III (severe) SBP (mmHg) >80 and DBP(MMHG) > 100. 21(46.6%) were males and 22(48.8%) were females. Isolated systolic BP SBP-140 DBP <90 17 (37.1) in males 18 (40%) female Patients. Causes of secondary HTN in females were Cushing syndrome 9(2%) in males 12(26.6%) in females coarctation of aorta 2(4.4%) in males, 1(2.2%) in females Reno vascular stenosis 5(11.1%) in males 3(6.6%) in females, Endocrine disorders 4(8.8%) in males 9(20%) in females obstructive sleep apnea 10(22.2%) in males, 8(17.5%) in females, Drugs 7(15.5%) in males and females chronic kidney diseases 5(11.1%), in Males, 3(6.6%) in females Pheochromocytoma 3(6.6%) in males, 2(4.4%) in females. This study of HTN in elderly patients with different clinical manifestation will certainly help the physician to treat such patients efficiently as HTN is an important risk factor for CVS morbidity and mortality.

Keywords

HTN-Hypertension, SBP-Systolic Blood pressure, DBP = Diastolic Blood pressure, ISH = Isolated systolic Hypertension CVD = cardiovascular disease