Key result
Stage-2 hypertension linked to worse kidney function and ~8-fold higher LVH prevalence versus stage-1.
Why the study?
What are the electrocardiographic and kidney function abnormalities present at the time of diagnosis in newly diagnosed hypertensive patients?
Observational (n=120)
No
What are the electrocardiographic and kidney function abnormalities present at the time of diagnosis in newly diagnosed hypertensive patients?
Answers are grounded in this paper and cite their sources.
A significant proportion of newly diagnosed hypertensive patients already exhibit target organ damage such as left ventricular hypertrophy and impaired kidney function, emphasizing the need for early detection.
BACKGROUND per the fact sheet published by World Health Organisation, South East Asia, nearly one billion people have high blood pressure are one of the most common causes of premature death worldwide. About one third of the adult population in the South Asia region is having hypertension. In our country, the number of people with hypertension are undiagnosed and untreated, early detection and treatment of hypertension will decrease the complication of hypertension and premature death due to it. AND METHODS is a prospective study conducted in the Department of General Medicine, Konaseema Institute of Medical Sciences, , from May 2015 to August 2017. This study was started with an aim to know that electrocardiographic abnormalities kidney function at the time of diagnosis of hypertension in a patient in coastal Andhra Pradesh. have found ECG changes in both the stages of hypertensive group patients. In stage-1 hypertensive group patients, out of 80 patients, 6 patients having sinus tachycardia, 2 having sinus bradycardia, 4 patients having left bundle-branch block and 6 right bundle-branch block. ST elevation was found in 1 patient and ST depression was found in 8 patients. AV block was in 2 patients. Right ventricular hypertrophy was present in 1 patient and left ventricular hypertrophy was present in 4 . T-wave inversion was found in 4 patients. In stage-2 hypertensive patients, sinus tachycardia in 6 patients and in 1 patient, LBBB was found in 8 patients. ST depression was found in 6 patients and ST elevation was found in 2 out of 40 patients. AV block was present in 3 patients. Left ventricular hypertrophy patients 16 out of 40, but right hypertrophy was only 1. T-wave inversion was found in 6 patients. our study, we have found that stage-2 hypertensive patients have higher BMI, serum urea and creatinine than stage-1 . We have found that stage-2 hypertension is associated with increase in PR and QT interval. Left ventricular hypertrophy commonest ECG abnormality detected. In our study, at the time of diagnosis, already some have developed cardiac . So, early diagnosis and management of hypertension is essential for further progress of disease.
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Jawaharlal et al. (2017) conducted an observational in Newly diagnosed hypertension (n=120). Stage-2 hypertension vs. Stage-1 hypertension was evaluated on Electrocardiographic abnormalities and kidney function at the time of diagnosis. Newly diagnosed stage-2 hypertensive patients had higher BMI, serum urea, and creatinine than stage-1 patients, and a higher prevalence of left ventricular hypertrophy.
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