Suresh VatsyayannÂÂ
hypertension
Dr. Yordanos Berihun, Ayele Taye , Wudneh Ketema
Background: Hypertension is a sever illness causing from high blood pressure through the arteries during circulation. Clinically, if the individual’s systolic blood pressure is
greater than or equal to 140 mmHg and/or diastolic blood pressure is greater than or equal to 90 mmHg then a person is said to be hypertensive.
Methods: A retrospective study was conducted to obtain secondary data among hypertensive patients receiving antihypertensive treatment in between1st September 2014
to30th August 2016 in Debre Berhan referral hospital. Demographic covariates and clinical factors like age, gender, marital Status, residence, educational status, family
history, alcohol status, salt use, time, body mass index and regime were considered. The data was extracted from the patient record cards. Patients, who have fulfilled
the inclusion criteria, were included in the study. The data consists of 300 individuals. The average follow-up time was six month gap in order to see the difference clearly.
Results: Unstructured variance covariance structure was computed for the separate longitudinal analyses. The variability of the two biomarkers between individuals
seems higher at baseline and appears to decrease over time after patients were initiated on treatment. In final saturated linear mixed model for systolic blood pressure the
main effects BMI, Age (40-60), Residence (Urban), Salt (Yes) and Alcohol (Yes) were significant. And also for diastolic blood pressure the main effects BMI, Age (40-60),
Residence (Urban), Salt (Yes), Regime (Hydrocholorothizide + Enalapril) and Alcohol (Yes) were significant at the 0.05 significance level.
Conclusions: In this study, two models were considered for fitting two response variables measured longitudinally. Based on the separate analysis the progression of SBP
and DBP measures were significantly differ with respect to the main effect independent variables time, sex(female), Age(40-60), residence, salt, alcohol and their interaction
time.
Dr. Trinus K* and MD Trinus O
Background: It is widespread opinion that cardiovascular disorders can cause dizziness or vertigo. The evidence basis for this statement is poor. That is why the problem
of this presentation is establishing of the relationships between vestibular and vascular dysfunction.
Material and methods: 123 patients (office employees) have been studied, with average age of 52,34 ± 14,82 y.o., out of them 42 males and 81 – females. In 51 persons
blood pressure (BP) has been increased. Patients with normal BP have been considered to be control group (n=72). BP measurement at the moment of examination has
been performed, as well as posturography with the help of posturographic platform “Micro medical Technologies, Inc.” (USA), sensory organization test (SOT) has been
done.
Results: The significant decrease of vestibular function has been found in the hypertensive patients: 88,92 ± 24,91% and 68,29 ± 33,01%, Cd=23,20% (Cd absolute figure
is almost the same value as for blood pressure). Difference significance according to F-test Ñ?=0,17, and Т-test Ñ?=0,01. Sway square increase in the hypertensive patient
group has been the greatest – from 0,08 ± 0,05 to 0,34 ± 1,00 m2, Cd=325,00%, with difference significance according to F-test Ñ?=1,89Ð?-24, and Т-test Ñ?=0,18, thus
manifesting the presence of qualitative, related to hypertension difference between the groups and underlining importance of sway square studies with eyes closed in the
patients with arterial hypertension.
Conclusion: Vestibular dysfunction might be among the triggers of hypertension.
Rachel L. Damico
Pulmonary hypertension (PH), is a complex and often misunderstood disease. The term PH means high blood pressure in the lungs. In “regular” hypertension (also known as high blood pressure or “systemic hypertension) the pressure in the arteries throughout the body is higher than it should be. This can be measured with a blood pressure cuff. In PH, the blood vessels specifically in the lungs are affected. They can become stiff, damaged or narrow, and the right side of the heart must work harder to pump blood through.
Dr. Shaji George*, Dr. Nimmy Robin, Dr. Joicy Jose, Dr. Leya P. Babu and Dr. Johnson V. Babu
Adrenal cortical adenoma related primary aldosteronism being a rare case ata young age is amedical challenge for clinical diagnosis. A 31-year-old male patient is reported with uncontrolled hypertension even after adhering to medication therapy for past 10 years. His laboratory findings and CT scan revealed the underlying cause as hypertension with adrenal carcinoma confirmed by adrenal vein sampling showing elevated aldosterone/renin ratio and hypokalaemia. A laparoscopic surgical intervention subsided his uncontrolled hypertension for the past 10 years. This rare case report highlights the necessity of differential diagnosis and points out the importance of diagnostic techniques to rule out specific underlying causes of especially common diseases like hypertension.
