Clinical Profile of Isolated Systolic Hypertension and It's Cardiovascular and Renal Complications in Rims, Kadapa

Hypertension, its risk factors and complications is very poor. Hence, hypertension goes undiagnosed and untreated for a long time. Hence the present study is undertaken to study the clinical profile of isolated systolic hypertension (systolic > 140 and diastolic ≤ 90 mmHg in elderly (above the age of 60 years), to find out any other associated risk factors, any end organ complications, specially on cardia through electrocardiography and echocardiography and on kidney through creatinine clearance. The present cross-sectional study was undertaken on patients attending the Outpatient Department. The study group comprised of 75 elderly patients who had isolated systolic hypertension. Using Chi square test correlation of age with stage of BP, association of risk factors with ISH and Stage III BP and ECG changes with LVH calculated. It concluded that ISH associated with risk factors has definite effect mainly on cardia in terms of LV hypertrophy and on kidney in terms of reduced creatinine clearance is an even better predictor of morbidity and mortality than is diastolic blood pressure.