Clinical, biochemical and echocardiographic profile of young hypertensive patients

Abstract

Introduction: Essential hypertension (idiopathic) and secondary hypertension (secondary to a recognized cause) are the two main categories of hypertension. Even in younger patients, about two-thirds of those with hypertension have essential hypertension. The term "young hypertension" refers to the start of the condition before the age of 45. 6 It is a major contributor to cardiovascular morbidity and death in the productive age group and is frequently asymptomatic at this age. Obesity, a positive family history, and a sedentary lifestyle are typical risk factors for hypertension. Aim: to study clinical, biochemical and echocardiographic profile of the young hypertensive patients attending PES medical college Results: The median age of the study participants was 30 years. Majority of the patients were male. Chronic Kidney disease was seen in 4 patients(6.25%). Mean Systolic blood pressure was 159 mm Hg (155, 163). Mean Diastolic blood pressure was 101 mm Hg (98.8 – 103). Abnormal ECG findings was seen in 35.9% i.e., 23 patients. Conclusion: Majority had proteinuria. Among ECG findings Left ventricular hypertrophy was commonest followed by LBBB, Prolonged PR interval. Among Echocardiography findings, Diastolic dysfunction was common followed by Left Ventricular Hypertrophy, Left atrial enlargement. Hypertensive retinopathy was seen in more than half of study population