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Department of Medicine

2014

Hypertensive Crisis; Tertiary.

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Full-Text Articles in Medicine and Health Sciences

Hypertensive Crisis, Burden, Management, And Outcome At A Tertiary Care Center In Karachi., Aysha Almas, Ayaz Ghouse, Ahmed Raza Iftikhar, Munawar Khursheed Aug 2014

Hypertensive Crisis, Burden, Management, And Outcome At A Tertiary Care Center In Karachi., Aysha Almas, Ayaz Ghouse, Ahmed Raza Iftikhar, Munawar Khursheed

Department of Medicine

Objectives. Hypertension, if uncontrolled, can lead to hypertensive crisis. We aim to determine the prevalence of hypertensive crisis, its management, and outcome in patients presenting to a tertiary care center in Karachi. Methods. This was a cross-sectional study conducted at the Aga Khan University, Karachi, Pakistan. Adult inpatients (>18 yrs) presenting to the ER who were known hypertensive and had uncontrolled hypertension were included. Results. Out of 1336 patients, 28.6% (387) had uncontrolled hypertension. The prevalence of hypertensive crisis among uncontrolled hypertensive was 56.3% (218). Per oral calcium channel blocker; 35.4% (137) and intravenous nitrate; 22.7% (88) were the …