- SDÜ Tıp Fakültesi Dergisi
- Cilt: 30 Sayı: 3
- CLINICAL CHARACTERISTICS, OFFICE BLOOD PRESSURE, AND HOME BLOOD PRESSURE OF PATIENTS DIAGNOSED WITH ...
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, Ismail Ateş
Pages : 454-464
Doi:10.17343/sdutfd.1336150
View : 19 | Download : 23
Publication Date : 2023-09-23
Article Type : Research
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: 48.5±12.9 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 (p<0.001). According to both office and home blood pressure measurements, 56.9% of the patients were hypertensive (SBP ≥140 and/or DBP ≥90 mmHg) Significant correlations were found between SBP and grade 1 or higher hypertensive retinopathy (p=0.002), hypothyroidism (p=0.007), low hemoglobin levels (p=0.026), high potassium levels (p=0.05), and relative wall thickness (p=0.05). DBP was significantly correlated with male gender (p=0.05), grade 1 or higher hypertensive retinopathy (p=0.025), obesity (p=0.037), and low hemoglobin levels (p=0.047). 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.Keywords : Acil servis kan basıncı, ofis kan basıncı, ev kan basıncı