Medication, nocturnal dipping profile and hypertensive emergency

Autores/as

  • Vamsi Varahabhatla Interno clínico, Hospital King George, Visakhapatnam, India
  • Juraj Jug Universidad de Zagreb, Facultad de Medicina, Croacia.
  • Ingrid Prkačin Universidad de Zagreb, Facultad de Medicina, Croacia Hospital Clínico Merkur, Zagreb, Croacia
  • Martina Lovrić Benčić Universidad de Zagreb, Facultad de Medicina, Croacia Centro Hospitalario Universitario de Zagreb, Croacia

DOI:

https://doi.org/10.51581/rccm.v25i1.465

Palabras clave:

Emergencia, Hipertensión

Resumen

Methods: A total of 233 patients (108 male, 125 female), 184 had hypertensive urgency/ 53 emergency (54.44% /50.95% in women) at the Emergency department during 11 months. Patients were divided in five age groups as decades starting from the age of 40 (mean 65.85 years) and a total ten groups depending on which type of hypertensive medication they were using (ACEi, ARB, BB, CCB, diuretics, moxonidine, and their combinations). Results: By using antihypertensive monotherapy percentage of hypertensive emergencies were 100.00%, 50.00%, 41.66%, 33.33%, 21.05%. Using ACEi + CCB + diuretic significantly decreased the number of emergencies to 0%, 18.47%, 21.05%, 25.00%, 33.33%; but adding beta blocker additionally diminished the risk. Overall 53 patients had no medication (22.75%) and 68 of 233 patients were smokers (29.18%, 63.23% male) of which 36 patients had hypertensive emergency (52.94% of smokers). The biggest number of non-dippers was found in patients who took ARBs, diuretics and/or CCB but the smallest number was shown in patients who took ACEi in combination with moxonidine (-20.07%). 22.02% of smokers were non-dippers (-54.67% nonsmokers). Odds ratio for getting hypertensive emergency in case patient had a non-dipper profile was 4.18 (CI 1.02 – 18.89, p < 0.05). Patients taking different medication (or none) did not have increased chance for hypertensive emergency development (OR 1.21, p = NS).  

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Biografía del autor/a

Vamsi Varahabhatla, Interno clínico, Hospital King George, Visakhapatnam, India

Interno clínico, Hospital King George, Visakhapatnam, India

Juraj Jug, Universidad de Zagreb, Facultad de Medicina, Croacia.

Universidad de Zagreb, Facultad de Medicina, Croacia.

Ingrid Prkačin, Universidad de Zagreb, Facultad de Medicina, Croacia Hospital Clínico Merkur, Zagreb, Croacia

Universidad de Zagreb, Facultad de Medicina, Croacia
Hospital Clínico Merkur, Zagreb, Croacia

Martina Lovrić Benčić, Universidad de Zagreb, Facultad de Medicina, Croacia Centro Hospitalario Universitario de Zagreb, Croacia

Universidad de Zagreb, Facultad de Medicina, Croacia
Centro Hospitalario Universitario de Zagreb, Croacia

Citas

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Publicado

2022-09-19

Cómo citar

1.
Varahabhatla V, Jug J, Prkačin I, Lovrić Benčić M. Medication, nocturnal dipping profile and hypertensive emergency. Rev Cient Cien Med [Internet]. 19 de septiembre de 2022 [citado 29 de septiembre de 2022];25(1):28-34. Disponible en: https://rccm-umss.com/index.php/revistacientificacienciamedica/article/view/465

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