Characteristic of Hypertensive Crisis Population in Rural Area: An insight from Atambua
Author : S.D. Putra*, E.A. Pradipta*
Upload Date : 19-04-2018
Background: Hypertensive crisis is a severe subset of hypertension, which warrants aggressive management and intervention. Managing hypertension in rural area poses unique challenges due to distinctive population and resources from urban area. Therefore, the aim of this study is to understand the characteristic of hypertensive crisis population in rural area.
Method: Patients with hypertensive crisis presenting to ER were included consecutively. Baseline characteristic data was collected during admission. Subject with incomplete data were excluded and included patients was followed up during hospitalization.
Result: There were 57 hypertensive crisis patients that met inclusion criterias, which represent 2% of ER admission during data collection period. Mostly presented without end target organ damage 44(77.2%). Fifty-six percent were women and 25 of them had menopause, mean age 60.55±9.77, diabetic 10(17.54%), dyslipidemia 48(84%) which mostly due to low HDL 47(82.5%), active smoker 18(31.58%) and alcohol drinker 9(15.79%). Mean blood pressure was 185.09±19.2 mmHg & 104.39±9.64 for systolic and diastolic respectively. Most patients have poor compliance to medication 47(82%) and were treated with more than one antihypertensive drug 41(71%).
Conclusion: Patients with hypertensive crisis in rural area were mostly women, have low HDL and poor medication compliance. Further study is necessary whether different management strategy is required in treating hypertensive crisis in such population.
KEYWORDS : Hypertensive crisis, rural, characteristic