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

Fuat Polat; Zeynettin Kaya; Mehmet Ali Özbek; İsmail Ateş

Article Details

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

Publisher:

Süleyman Demirel University

Main Topics:

Cardiovascular Medicine and Haematology (Other)

Journal:

Medical Journal of Süleyman Demirel University Vol.30 Issue 3, pp.454-464

Document Type:

Article

Publication Date:

9/2023

Document Language:

English

Document ID (Org No.):

2001299116

pISSN:

1300-7416

Keywords:

Abstract:

 Objective This study aimed to investigate the characteristics of patients presenting to the emergency department 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 mean age: 48.512.9 years, 44 male had a mean systolic blood pressure SBP of 166.87 16.24 mmHg and mean diastolic blood pressure DBP of 94.95 11.98 mmHg in the ED. SBP and DBP measured in the ED were significantly higher than office and home measurements p0.001. According to both office and home blood pressure measurements, 56.9 of the patients were hypertensive SBP 140 andor DBP 90 mmHg Significant correlations were found between SBP and grade 1 or higher hypertensive retinopathy p0.002, hypothyroidism p0.007, low hemoglobin levels p0.026, high potassium levels p0.05, and relative wall thickness p0.05. DBP was significantly correlated with male gender p0.05, grade 1 or higher hypertensive retinopathy p0.025, obesity p0.037, and low hemoglobin levels p0.047. 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.

 Objective This study aimed to investigate the characteristics of patients presenting to the emergency department 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 mean age: 48.512.9 years, 44 male had a mean systolic blood pressure SBP of 166.87 16.24 mmHg and mean diastolic blood pressure DBP of 94.95 11.98 mmHg in the ED. SBP and DBP measured in the ED were significantly higher than office and home measurements p0.001. According to both office and home blood pressure measurements, 56.9 of the patients were hypertensive SBP 140 andor DBP 90 mmHg Significant correlations were found between SBP and grade 1 or higher hypertensive retinopathy p0.002, hypothyroidism p0.007, low hemoglobin levels p0.026, high potassium levels p0.05, and relative wall thickness p0.05. DBP was significantly correlated with male gender p0.05, grade 1 or higher hypertensive retinopathy p0.025, obesity p0.037, and low hemoglobin levels p0.047. 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.

 Objective This study aimed to investigate the characteristics of patients presenting to the emergency department 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 mean age: 48.512.9 years, 44 male had a mean systolic blood pressure SBP of 166.87 16.24 mmHg and mean diastolic blood pressure DBP of 94.95 11.98 mmHg in the ED. SBP and DBP measured in the ED were significantly higher than office and home measurements p0.001. According to both office and home blood pressure measurements, 56.9 of the patients were hypertensive SBP 140 andor DBP 90 mmHg Significant correlations were found between SBP and grade 1 or higher hypertensive retinopathy p0.002, hypothyroidism p0.007, low hemoglobin levels p0.026, high potassium levels p0.05, and relative wall thickness p0.05. DBP was significantly correlated with male gender p0.05, grade 1 or higher hypertensive retinopathy p0.025, obesity p0.037, and low hemoglobin levels p0.047. 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.

 Amaç Bu çalışmanın amacı, acil servise ilk kez yüksek tansiyon ile başvuran hastaların özelliklerini araştırmak, acil servis, ofis ve ev ortamlarındaki kan basınç ölçümlerini karşılaştırmak ve hipertansiyon için tanısal değerini değerlendirmektir. Gereç ve Yöntem Daha önce hipertansiyon öyküsü olmayan, çeşitli semptomlarla başvuran toplam 109 hasta dahil edildi. Acil serviste, ofiste ve evde temel özellikler ve kan basıncı ölçümleri analiz edildi. Bulgular Çalışma popülasyonunun ortalama yaş: 48,512,9 yıl, 44 erkek acil serviste ortalama sistolik kan basıncı SKB 166,87 16,24 mmHg ve ortalama diyastolik kan basıncı DKB 94,95 11,98 mmHg idi. Acil serviste ölçülen SKB ve DKB, ofis ve ev ölçümlerinden anlamlı olarak yüksekti p0.001. Hem ofis hem de ev kan basıncı ölçümlerine göre hastaların 56,9u hipertansif SKB 140 veveya DBP 90 mmHg idi. SKB ile grade 1 ve üzeri hipertansif retinopati p0,002, hipotiroidizm p0,007, düşük hemoglobin düzeyi p0,026, yüksek potasyum düzeyi p0,05 ve göreceli duvar kalınlığı  p0.05. DKB, erkek cinsiyet p0,05, grade 1 ve üstü hipertansif retinopati p0,025, obezite p0,037 ve düşük hemoglobin düzeyi p0,047 ile anlamlı korelasyon gösterdi. Sonuç Acil serviste başlangıçta yüksek tansiyonu olan hastalarda, ofiste ve evde daha düşük tansiyon değerleri vardı. Ancak bu hastaların yarısından fazlasına takip sırasında hipertansiyon tanısı konmuştur. Bu bulgular, yüksek tansiyon ile başvuran acil servis hastalarında hipertansiyonu doğru bir şekilde teşhis etmek için kan basıncı ölçümlerinin ayarlanmasının ve takip değerlendirmelerinin dikkate alınmasının önemini vurgulamaktadır.

Article Details

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

Publisher:

Süleyman Demirel University

Main Topics:

Cardiovascular Medicine and Haematology (Other)

Journal:

Medical Journal of Süleyman Demirel University Vol.30 Issue 3, pp.454-464

Document Type:

Article

Publication Date:

9/2023

Document Language:

English

Document ID (Org No.):

2001299116

pISSN:

1300-7416

Emergency department blood pressure

office blood pressure

home blood pressureAcil servis kan basıncı

ofis kan basıncı

ev kan basıncı

Issues

Article Details

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

Publisher: Süleyman Demirel University

Main Topics: Cardiovascular Medicine and Haematology (Other)

Journal: Medical Journal of Süleyman Demirel University Vol.30 Issue 3, pp.454-464

Document Type: Article

Publication Date: 9/2023

Document Language: English

Document ID (Org No.): 2001299116

pISSN: 1300-7416

Emergency department blood pressure

office blood pressure

home blood pressureAcil servis kan basıncı

ofis kan basıncı

ev kan basıncı

Issues

Authors:

Fuat Polat | Zeynettin Kaya | Mehmet Ali Özbek | İsmail Ateş

Publisher:

Süleyman Demirel University

Main Topics:

Cardiovascular Medicine and Haematology (Other)

Journal:

Medical Journal of Süleyman Demirel University Vol.30 Issue 3, pp.454-464

Document Type:

Article

Publication Date:

9/2023

Document Language:

English

Document ID (Org No.):

2001299116

pISSN:

1300-7416