ASSESSMENT OF CARDIOVASCULAR HEALTH IN HYPERTENSIVE PATIENTS BASED ON TERTIARY CARE HOSPITAL: A CROSS-SECTIONAL STUDY.
Main Article Content
Keywords
Cardiovascular complications, Hypertension, Medication adherence, Risk factors, Tertiary care
Abstract
Introduction: Cardiovascular complications among hypertensive patients represent a significant public health challenge, particularly in tertiary care settings. This study aimed to assess cardiovascular health status and identify associated risk factors among hypertensive patients in a tertiary care hospital.
Methods: A hospital-based cross-sectional study was conducted among 400 hypertensive patients at a tertiary care center over six months. Participants were selected using systematic random sampling. Data was collected through structured questionnaires, clinical examinations, and laboratory investigations. Cardiovascular assessment included ECG, echocardiography, and carotid doppler studies where indicated. Statistical analysis was performed using SPSS version 25.0, employing descriptive statistics and appropriate inferential tests.
Results: The study revealed that 58% of patients had uncontrolled hypertension, with physical inactivity (62.0%) and dyslipidemia (58.5%) being the predominant risk factors. Left ventricular hypertrophy was the most common complication (39.0%), followed by coronary artery disease (24.5%). Only 37.5% of patients showed good medication adherence. Uncontrolled hypertension was significantly associated with cardiovascular complications (54.8% vs 28.0%, p<0.05). Poor medication adherence correlated with a higher incidence of complications (27.3% vs 24.5%, p<0.05).
Conclusion: The study highlights the significant burden of uncontrolled hypertension and its strong association with cardiovascular complications in tertiary care settings. The findings emphasize the need for improved blood pressure control, enhanced medication adherence, and comprehensive risk factor modification strategies to prevent cardiovascular complications among hypertensive patients.
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Dr. Gautam Kumar
Assistant Professor, Department of Physiology, Shree Narayana Medical Institute & Hospital, Saharsa Bihar
Dr. Chirag Malik
Assistant Professor, Department of Physiology, Government Medical College, Kota Rajasthan
Dr. Mausumi Barthakur
Assistant Professor, Department of Physiology, IQ City Medical College Hospital Durgapur West Bengal
Dr. Ashish Raj
Assistant Professor, Department of Physiology, Mayo Institute of Medical Sciences, Barabanki Uttar Pradesh