The prevalence and associated cardiovascular risk factors in resistant hypertensive subjects in Eastern India

Authors

  • Pijush Kanti Mandal Senior Resident-Medicine, ESI PGIMSR, Maniktala, Kolkata
  • Arpan Kumar Day Senior Resident, Medicine, Burdwan Medical College and Hospital, Burdwan
  • Subhraprakash Pramanik Senior Resident, Medicine, Burdwan Medical College and Hospital, Burdwan
  • Shovan Kumar Das Medical Officer, Ghatal SDH, Purba Midnapore
  • Sumit Khotick Post-Graduate Trainee, Burdwan Medical College and Hospital, Burdwan
  • Avik Das Post-Graduate Trainee, Burdwan Medical College and Hospital, Burdwan
  • Sattyendra Nath Dutta Post-Graduate Trainee, Medicine, Medical College, Kolkata
  • Amit Sarkar RMO-CT, Burdwan Medical College and Hospital, Burdwan
  • Somnath Dasgupta Professor and HOD, Medicine, Burdwan Medical College and Hospital, Burdwan

DOI:

https://doi.org/10.3126/ajms.v5i4.9737

Keywords:

Resistant hypertension, Prevalence, Risk factors

Abstract

Background: To study the prevalence and associated cardiovascular risk factors of ‘Resistant’ hypertension (RHT) in hypertensive patients of India.

Methods: A descriptive cross-sectional observational study was carried out among 300 hypertensive patients attending ‘Hypertension Clinic’ and providing informed written consent from October 2013 to December 2013 at Burdwan Medical College and hospital, Burdwan, West Bengal in India. A pre-tested interviewer-administered questionnaire was used for data collection.

Results: The prevalence of Resistant hypertension was 23.33% among all hypertensives. The patients with Resistant hypertension were significantly associated with older age groups (>55 years) (77.1% vs. 38.3%, p value <0.001, OR 5.446, 95% CI 2.935 and 10.104), Obesity (BMI > 27.5 kg/m2) (67.1% vs. 45.7%, p value 0.002, OR 2.433, 95% CI 1.387 and 4.268), Diabetes mellitus (72.9% vs. 45.2%, p value <0.001, OR 3.252, 95% CI 1.808 and 5.851), Prolonged hypertension (>10 years; 74.3% vs. 43.9%, p value <0.001, OR 3.690, 95% CI 2.033 and 6.696) and co-morbidity like Ischemic Heart Disease (60% vs. 44.8%, p value 0.026, OR 1.850, 95% CI 1.073 and 3.187) as risk factors as compared to patients with non-resistant hypertension.

Conclusions: Nearly one fourth of the hypertensive persons were suffering from Resistant hypertension, which was significantly associated with the presence of older age, obesity, diabetes mellitus, longer duration of hypertension and co-morbidity like Ischemic Heart Disease as risk factors.

DOI: http://dx.doi.org/10.3126/ajms.v5i4.9737

Asian Journal of Medical Sciences 2014 Vol.5(4); 1-5

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Published

2014-05-15

How to Cite

Mandal, P. K., Day, A. K., Pramanik, S., Das, S. K., Khotick, S., Das, A., Dutta, S. N., Sarkar, A., & Dasgupta, S. (2014). The prevalence and associated cardiovascular risk factors in resistant hypertensive subjects in Eastern India. Asian Journal of Medical Sciences, 5(4), 1–5. https://doi.org/10.3126/ajms.v5i4.9737

Issue

Vol. 5 No. 4 (2014)

Section

Original Articles

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