"Correlation Between Patients Presented in Hypertensive Emergency in Tertiay Care Centreand Target End Organ Damage in Different Gender and Age Groups”

Background: Hypertensive emergency is a serious clinical condition characterized by severe elevation of blood pressure with acute target end-organ damage, requiring urgent evaluation and management. Aim: To assess the correlation between hypertensive emergencies and target end-organ damage among different age groups and genders in patients presenting to a tertiary care centre. Materials and Methods: This hospital-based observational study included 67 patients diagnosed with hypertensive emergency. Demographic details, hypertension history, treatment status, presenting symptoms, and evidence of target organ involvement were recorded. Neurological, cardiac, renal, and ocular damage were evaluated using clinical examination, electrocardiography, echocardiography, renal function tests, ultrasonography, and fundus examination. Associations with age and gender were statistically analyzed. Results: The mean age of patients was 54.48 ± 13.51 years, with most cases occurring in middle-aged and elderly individuals. Males constituted 59.7% of the study population. Headache was the commonest presenting symptom, followed by dyspnoea and chest pain. Neurological and cardiac involvement were the predominant forms of target organ damage, while renal and fundus changes were less frequent. Age showed significant association only with ECG ST-T changes, whereas gender showed no significant association with organ damage or outcome. Conclusion: Hypertensive emergencies were mainly associated with poor blood pressure control and predominantly involved neurological and cardiac systems.