Clinical Study of Hypertension in Young Adults

Supriya Barsode, Diwan A, Chaudhary S, Vora A

Supriya Barsode, Diwan A, Chaudhary S, Vora A

Keywords: Secondary hypertension, young adults, risk factors, target organ damage.

Abstract

This prospective study was undertaken in 40 patients of hypertension in the age group of 18 - 40 years, randomly selected from the in and outdoor patient department over a period of two years. The aim was to study the clinical profile, associated risk factors, assess the target organ damage and identify the causes of hypertension in young adults. In conclusion a definite male preponderance with a male to female ratio of 1.35:1, especially stage II hypertension. 77.5% patients showed target organ damage in the present study (Hypertensive retinopathy), incidence of LVH was seen in 40%. The commonest cause of secondary hypertension observed was renal parenchymal disease (44.44%). The relative possibility of the hypertension being secondary was increased, which had a distinct
possibility of cure.

References

1. Chandwani H. Prevalence and correlates of hypertension among adults in urban area of Jamnagar, Gujarat. Electronic physician. 2010;2:52-59.
2. Chobanian AV. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure. Hypertension. 2003;42: 1206.
3. Kaplan N. Measurement of blood pressure. Clinical hypertension; ed.9th Philadelphia; Lippincott Williams &Wilkins. 2006;48-95.
4. Kutty VR, et al. Prevalence of coronary heart disease in the rural population of Thiruvanthapuram district, Kerela, India. Int J Cardiol. 1993;39(1):59-70.
5. Theodore K et al. Hypertensive vascular disease. Harrison’s principles of internal medicine 17th ed. New York: Megraw hill Publications. 2008 VolII:1549-1562.
6. Anthony J V et al. Diagnosis of Secondary Hypertension: An Age –Based Approach. Am Fam Physician. 2010;82(12):1471- 1478.
7. Gopinath N et al. Epidemiological study of hypertension in young Delhi urban population. IJMR. 1994;99:32-34.
8. Nanivadekar S A et al. Hypertension in young. IHJ. 1971;31:13-20.
9. PanjaM et al. Hypertension in the young in Eastern India. IHJ. 1996;48:663-666.
10. Breckenbridge A et al. Hypertension in the young. QJM. 1967;144:549-563.
11. Ooi B S et al. Causes of hypertension in the young. British Medical Journal 1970;3:744-746.
12. Chowta K N et al. Comparative study of clinical profile of elderly and young hypertensives. Indian Journal for the Practicing Doctor 2009;5(6):01-02.
13. Higgins M et al. Studies blood pressure in Tecumseh, Michigan. AJ Epidemiol. 1980;111(2): 142-155.
14. Klatsky A L et al. Alcohol consumption and blood pressure. NEJM.1977;296:1194-1198.
15. Hansen K W et al. Night blood pressure and cigarette smoking: disparate association in healthy subject and diabetic patient. Blood pressure .1994;3(6):381-383.
16. Wasir et al. Prevalence of hypertension in a closed urban community. Indian Heart J. 1984;36:250-253.
17. Jagannandharao P. Lipid profile in Essential Hypertension. Egyptian Journal of Biochemistry and Molecular Biology. 2009;6(1):521-529.
18. Kannel W B et al. A prognostic comparison of asymptomatic left ventricular hypertrophy and unrecognized myocardial infarction. The Framingham study. AHJ. 1986;111:391-397.
19. Larstorp AC et al. Changes in electrocardiographic left ventricular hypertrophy and risk of major cardiovascular events in isolated systolic hypertension: the LIFE study. J Hum
Hypertension.2011;25(3):178-85.