A study of risk factors and complications in elderly hypertensive subjects

T Y Sri Hari1, T Y Sree Sudha2, Anjaly Mary Varghese3

  • 1Senior Registrar (MICU-I), Krishna Institute of Medical Sciences, Secunderabad, Telangana, India.

Insights

Elderly hypertension is linked to significant risk factors including smoking, alcohol, and family history. Lifestyle choices and obesity also contribute, leading to serious cardiovascular complications like heart attack and stroke.

Area of Science:

  • Geriatric Medicine
  • Cardiovascular Disease Epidemiology
  • Public Health

Background:

  • Hypertension is a prevalent and treatable cardiovascular disease in the elderly population.
  • Effective management of hypertension in older adults is crucial for preventing severe health outcomes.

Purpose of the Study:

  • To identify key risk factors for hypertension in elderly individuals residing in urban areas.
  • To inform strategies for improving quality of life and reducing cardiovascular complications in this demographic.

Main Methods:

  • A cross-sectional observational study was conducted.
  • 125 elderly subjects were included based on specific selection criteria.
  • Data on risk factors were collected using a pretested questionnaire.

Main Results:

  • Significant risk factors for hypertension in the elderly included smoking (62%), alcohol consumption (21%), family history of hypertension (26%), and family history of diabetes (70%).
  • Sedentary lifestyle, overweight/obesity, abnormal waist circumference, and waist-hip ratio were also identified as significant risks.

Conclusions:

  • Lifestyle factors and anthropometric measures are critical risk factors for hypertension in the elderly.
  • Major complications observed were myocardial infarction (20%), stroke (14%), and heart failure (12%), highlighting the severity of hypertension in this population.
Abstract

Related Concept Videos

Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
114
Hypertension II: Pathophysiology01:29

Hypertension II: Pathophysiology

Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
199
Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
95
Drug Dosing: Geriatric Patients01:15

Drug Dosing: Geriatric Patients

Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
49
Hypertension I: Introduction01:28

Hypertension I: Introduction

Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
188
Hypertension and Regulation of Blood Pressure01:18

Hypertension and Regulation of Blood Pressure

Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
3.4K