PREVALENCE OF HYPERTENSIVE EMERGENCY AND SELECTED FACTORS ASSOCIATED WITH THE ONSET OF HYPERTENSIVE EMERGENCY AMONG PATIENTS DIAGNOSED WITH HYPERTENSIVE CRISIS
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Abstract
Background: Hypertensive emergency is characterized by a sudden and severe elevation in blood pressure accompanied by acute target-organ damage and is associated with substantial inhospital and post-discharge mortality. The burden of disease is increasing in low-income settings, while determinants of onset remain incompletely elucidated. Objectives: 1. To determine the prevalence of hypertensive emergency at Thong Nhat – Dong Nai General Hospital from 2025 to 2026; 2. To investigate selected factors associated with the onset of hypertensive emergency at Thong Nhat – Dong Nai General Hospital from 2025 to 2026. Materials and methods: A cross-sectional descriptive study was conducted on 341 patients diagnosed with hypertensive crisis at the Emergency Department of Thong Nhat – Dong Nai General Hospital from 5/2025 to 2/2026. Results: Hypertensive emergency accounted for 42.5% of cases. The overall female-to-male ratio was 1.3. Male predominance was observed in the hypertensive emergency group compared with the hypertensive urgency group (58.6% vs. 33.2%; p < 0.001). The mean age was lower in the hypertensive emergency group than in the hypertensive urgency group (60.0 ± 14.6 vs. 64.1 ± 14.8; p = 0.012). Dyslipidemia was more prevalent in the hypertensive emergency group (22.8% vs. 7.7%; p < 0.001). Target-organ involvement included cerebral (39.8%), cardiac (36.1%), renal (21.9%), ocular and aortic complications (1.1% each). Nonadherence to antihypertensive therapy, smoking, alcohol consumption, using of NSAIDs/corticoid and psychological stress were associated with increased odds of hypertensive emergency (p < 0.05). Conclusion: Hypertensive emergency accounted for 42.5% of hypertensive crisis cases. The likelihood of hypertensive emergency increased in the presence of treatment non-adherence, smoking, alcohol consumption, using of NSAIDs/corticoid and psychological stress.
Keywords
Hypertensive crisis, hypertensive emergency, onset of hypertensive emergency
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References
2. Siddiqi T.J., Usman M.S., Rashid A.M., Javaid S.S., Ahmed A., et al. Clinical Outcomes in Hypertensive Emergency: A Systematic Review and Meta-Analysis. J Am Heart Assoc. 2023. 12(14), e029355, doi: 10.1161/JAHA.122.029355.
3. Paini A., Tarozzi L., Bertacchini F., Aggiusti C., Rosei C.A., et al. Cardiovascular prognosis in patients admitted to an emergency department with hypertensive emergencies and urgencies. J Hypertens. 2021. 39(12), 2514-2520, doi: 10.1097/HJH.0000000000002961.
4. Samuel N., Nigussie S., Jambo A., Dechasa M., Demeke F., et al. Treatment Outcome and Associated Factors Among Patients Admitted with Hypertensive Crisis in Public Hospitals at Harar Town, Eastern Ethiopia: A Cross-Sectional Study. Integr Blood Press Control. 2022. 15, 113-122, doi: 10.2147/IBPC.S386461.
5. Hội Tim mạch học Quốc gia Việt Nam. Đồng Thuận Quan Điểm Của Một Số Chuyên Gia Của Phân Hội Tăng Huyết Áp VSH/ VNHA 2024 Về Chiến Lược Thực Hành Lâm Sàng Quản Lý Tăng Huyết Áp tại Việt Nam. 2024. https://vnras.com/drug/wp-content/uploads/2025/08/dongthuan-tang-huyet-ap-2024-vnras.pdf.
6. Shanko T., Assele D.D., Motera Z., Mohammed Y.E. Prevalence and associated factors of hypertensive emergency among hypertensive crisis patients admitted to the emergency department at Hawassa University Comprehensive Specialized Hospital, Ethiopia. Int J Emerg Med. 2025. 18(1), 267, doi: 10.1186/s12245-025-01073-1.
7. Gebresillassie B.M., Debay Y.B. Characteristics, treatment, and outcome of patients with hypertensive crisis admitted to University of Gondar Specialized Hospital, northwest Ethiopia: A cross-sectional study. J Clin Hypertens (Greenwich). 2020. 22(12), 2343-2353, doi: 10.1111/jch.14056.
8. Shao P.J., Sawe H.R., Murray B.L., Mfinanga J.A., Mwafongo V., et al. Profile of patients with hypertensive urgency and emergency presenting to an urban emergency department of a tertiary referral hospital in Tanzania. BMC Cardiovasc Disord. 2018. 18(1), 158, doi: 10.1186/s12872018-0895-0.
9. Vũ Mạnh Tấn, Lê Trường Giang. Đặc điểm lâm sàng, cận lâm sàng và một số yếu tố liên quan đến cơn tăng huyết áp ở bệnh nhân tăng huyết áp cấp cứu tại Bệnh viện Hữu Nghị Việt Tiệp. Tạp chí Y học Việt Nam. 2021. 503, 285-292.
10. Phin Channa, Phạm Minh Tuấn. Nghiên cứu một số yếu tố liên quan đến khởi phát tăng huyết áp cấp cứu. Tạp chí Tim mạch học Việt Nam. 2019. 90(2019), 81-87.
11. Dương Hồng Chương, Lê Văn Quí, Bùi Thế Dũng. Khảo sát đặc điểm và tổn thương cơ quan đích ở bệnh nhân tăng huyết áp cấp cứu hoặc tăng huyết áp khẩn trương nhập Khoa Cấp cứu - Bệnh viện Tim mạch An Giang. Tạp chí Tim mạch học Việt Nam. 2024. 109, 34-40, doi: 10.58354/jvc.109.2024.839.