ArticleInternational journal of chronic diseases2014
Hypertensive Crisis, Burden, Management, and Outcome at a Tertiary Care Center in Karachi.
Article in International journal of chronic diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Developing lifestyle intervention program for pre-hypertensive patients; consensus building using a modified Delphi approach.PloS one · 2024Article
- Assessing the impact of acute severe hypertension in the emergency department: A prospective cohort study in Karachi, Pakistan.PLOS global public health · 2024Article
- An Assessment of the Prevalence and Risk Factors of Hypertensive Crisis in Patients Who Visited the Emergency Outpatient Department (EOPD) at Adama Hospital Medical College, Adama, Oromia, Ethiopia: A 6-Month Prospective Study.International journal of hypertension · 2024Article
- In-hospital mortality and length of stay of patients with hypertensive crisis treated at public hospitals in Harari Regional State, Eastern Ethiopia.Journal of clinical hypertension (Greenwich, Conn.) · 2023Article
- Characteristics and factors associated with hypertensive crisis: a cross-sectional study in patients with hypertension receiving care in a tertiary hospital.Annals of medicine and surgery (2012) · 2023Article
- Challenges of managing hypertension in Pakistan - a review.Clinical hypertension · 2023Review
- Gender Disparities in Hypertensive Emergency Admissions: A National Retrospective Cohort Study.Cureus · 2023Article
- Hypertensive emergencies in Asia: A brief review.Journal of clinical hypertension (Greenwich, Conn.) · 2022Review
- In-hospital outcomes of patients with a hypertensive emergency at a medical center, Ethiopia: A prospective observational study.Health science reports · 2022Article
- Article
- Prevalence, complications and factors associated with severely elevated blood pressure in patients with hypertension: a cross-sectional study in two hospitals in Yaoundé, Cameroon.The Pan African medical journal · 2022Article
- Clinical treatment outcomes of hypertensive emergency patients: Results from the hypertension registry program in Northeastern Thailand.Journal of clinical hypertension (Greenwich, Conn.) · 2021Article
- Characteristics, treatment, and outcome of patients with hypertensive crisis admitted to University of Gondar Specialized Hospital, northwest Ethiopia: A cross-sectional study.Journal of clinical hypertension (Greenwich, Conn.) · 2020Article
- Accuracy of a Symptom-Based Approach to Identify Hypertensive Emergencies in the Emergency Department.Journal of clinical medicine · 2020Article
- Prevalence of Hypertensive Emergency and Associated Factors Among Hospitalized Patients with Hypertensive Crisis: A Retrospective Cross-Sectional Study.Integrated blood pressure control · 2020Article
- Hypertensive crisis: clinical characteristics of patients with hypertensive urgency, emergency and pseudocrisis at a public emergency department.Einstein (Sao Paulo, Brazil) · 2019Article
- Hypertensive Urgency Treatment and Outcomes in a Northeast Thai Population: The Results from the Hypertension Registry Program.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2018Article
- Cardiovascular Hypertensive Crisis: Recent Evidence and Review of the Literature.Frontiers in cardiovascular medicine · 2016Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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 most commonly administered medication in the ER. The mean (SD) drop in SBP in patients with hypertensive crisis on intravenous treatment was 53.1 (29) mm Hg and on per oral treatment was 43 (27) mm Hg. The maximum mean (SD) drop in blood pressure was seen by intravenous sodium nitroprusside; 80 (51) mm Hg in SBP. Acute renal failure was the most common complication with a prevalence of 11.5% (24). Conclusion. The prevalence of hypertensive crisis is high. Per oral calcium channel blocker and intravenous nitrate are the most commonly administered medications in our setup.
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