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SM ISO690:2012 CIOBANU, Gheorghe, MELNICOV, Victoria, VELAYUDHAN RAHUL, Nochiparambil Unni. Hypertensive crises in prehospital emergency medical services. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 186. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Background. Hypertensive crisis is defined as levels of systolic blood pressure >180 mmHg and/or levels of diastolic blood pressure >120 mmHg and is usually seen in patients with essential hypertension and can lead to acute vascular damage of vital organs. Objective of the study. To evaluate the incidence and clinical presentation of hypertensive crises in the Emergency medical services in relation to age, sex, duration and severity of hypertension, as well as the prevalence of accompanying symptoms and clinical manifestation. Material and Methods. The study was conducted between January and May 2020 and included 630 subjects of both sexes, aged 28-92 with a diagnosis of hypertensive crises. All subjects were divided into two groups: hypertensive urgencies (492 subjects) and hypertensive emergencies ( 138 subjects). Results. Female subjects were significantly over- represented compared to men (365-57.9% vs. 265 – 42.1%, p=0.007). The average age of the male subjects was 56,6 ±16,6 years, while the female subjects’ average age was 68,4±12.6 years. The majority of subjects belonged to the age group of 60-69 (36.4%) years of age: 28.8% urgency and 38.6% emergency. Hypertensive urgencies were significantly more common than emergencies (78,1% vs. 21,9%, p<0.0001). The average blood pressure in subjects with hypertensive crisis was 216.46/122.16 mmHg. Conclusion. Hypertensive urgencies were significantly more common than emergencies (78,1% vs. 21,9%, p<0.0001) with clinical manifestations of hypertensive emergency being cerebral infarction (26.4%), acute pulmonary edema (24.8%), hypertensive encephalopathy (20.6%),acute coronary syndromes (20.4%). |
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Cuvinte-cheie hypertensive crisis, hypertensive emergency, medical care, prehospital emergency, criză hipertensivă, urgență hipertensivă, asistenţă medicală, urgență prespitalicească |
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