THE CLINICAL FEATURES, PARACLINICAL CHARACTERISTICS, AND PULSE WAVE VELOCITY INDEX IN PATIENTS WITH RESISTANT HYPERTENSION IN CAN THO FROM 2023 TO 2024
Nội dung chính của bài viết
Tóm tắt
Background: Resistant hypertension has become increasingly prevalent in recent years, raising concerns due to its impact on patient health and treatment outcomes. Despite appropriate treatment, blood pressure remains uncontrolled, leading to symptoms such as headaches, chest pain, and fatigue, which affect quality of life. The high rate of organ damage highlights the need for further research into clinical characteristics and pulse wave velocity (PWV) as an important indicator of vascular health. Objectives: To describe the clinical and paraclinical characteristics of resistant hypertension patients in Can Tho from 2023 to 2024 and evaluate the pulse wave velocity index in these patients. Materials and methods: This study was conducted on 60 patients with resistant hypertension at Cardiology Department at Can Tho Central General Hospital and Can Tho University of Medicine and Pharmacy Hospital. Results: 60 patients with an average age of 66.3 ± 14.9 years (65% female) showed a higher prevalence of hypertension in those over 65 years (58.4%). Fatigue was the most common reason for hospitalization (57%). The majority of patients had hypertensive crises (85%), with risk factors like diabetes (20.3%), dyslipidemia (13.3%), smoking (21.7%), and alcohol use (33.3%). Females had a higher incidence of overweight. Paraclinical findings showed that patients with resistant hypertension for ≥ 10 years had a higher risk of carotid artery stenosis (OR = 3.208). Those aged ≥ 65 were more likely to have stenosis (OR = 3.778). Abnormal ABI (≤ 0.9) was found in some, with 2 cases of severe peripheral artery disease. Females had a higher incidence of microalbuminuria (51.6%). Elevated CF-PWV was linked to higher cardiovascular risk and target organ damage. Conclusion: Females had elevated heart rates, blood pressure, and more complications. Age and gender influenced pulse wave velocity (PWV), with older patients having greater arterial stiffness. PWV and BMI were not significantly related. Early detection and management of resistant hypertension-related complications are keys.
Từ khóa
Resistant hypertension, CF-PWV
Chi tiết bài viết
Tài liệu tham khảo
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