CLINICAL CHARACTERISTICS, OFFICE BLOOD PRESSURE, AND HOME BLOOD PRESSURE OF PATIENTS DIAGNOSED WITH HYPERTENSION IN THE EMERGENCY DEPARTMENT

Authors : Fuat POLAT, Zeynettin KAYA, Mehmet Ali ÖZBEK, İsmail ATEŞ

Pages : 454-464

Doi:10.17343/sdutfd.1336150

View : 36 | Download : 29

Publication Date : 2023-09-23

Article Type : Research Paper

Abstract :Objective This study aimed to investigate the characteristics of patients presenting to the emergency department insert ignore into journalissuearticles values(ED); with high blood pressure for the first time, comparing their blood pressure measurements in the ED, office, and home settings, and evaluating the diagnostic value for hypertension. Material and Method A total of 109 patients with no previous history of hypertension, presenting with various symptoms, were included. Baseline characteristics and blood pressure measurements in the ED, office, and home were analyzed. Results: The study population insert ignore into journalissuearticles values(mean age: 48.5±12.9 years, 44% male); had a mean systolic blood pressure insert ignore into journalissuearticles values(SBP); of 166.87 insert ignore into journalissuearticles values(±16.24); mmHg and mean diastolic blood pressure insert ignore into journalissuearticles values(DBP); of 94.95 insert ignore into journalissuearticles values(±11.98); mmHg in the ED. SBP and DBP measured in the ED were significantly higher than office and home measurements insert ignore into journalissuearticles values(p<0.001);. According to both office and home blood pressure measurements, 56.9% of the patients were hypertensive insert ignore into journalissuearticles values(SBP ≥140 and/or DBP ≥90 mmHg); Significant correlations were found between SBP and grade 1 or higher hypertensive retinopathy insert ignore into journalissuearticles values(p=0.002);, hypothyroidism insert ignore into journalissuearticles values(p=0.007);, low hemoglobin levels insert ignore into journalissuearticles values(p=0.026);, high potassium levels insert ignore into journalissuearticles values(p=0.05);, and relative wall thickness insert ignore into journalissuearticles values(p=0.05);. DBP was significantly correlated with male gender insert ignore into journalissuearticles values(p=0.05);, grade 1 or higher hypertensive retinopathy insert ignore into journalissuearticles values(p=0.025);, obesity insert ignore into journalissuearticles values(p=0.037);, and low hemoglobin levels insert ignore into journalissuearticles values(p=0.047);. Conclusion Patients with initial high blood pressure in the ED had lower blood pressure readings in the office and at home. However, over half of these patients were diagnosed with hypertension during follow-up. These findings highlight the importance of considering the setting of blood pressure measurements and the need for follow-up evaluations to accurately diagnose hypertension in ED patients presenting with high blood pressure.
Keywords : Acil servis kan basıncı, ofis kan basıncı, ev kan basıncı