AI Article Synopsis
- This study focuses on cardiopulmonary and neurological symptoms potentially linked to hypertension in emergency department (ED) patients with high blood pressure (BP).
- Out of 1,908 patients, 29% had elevated BP, and 26% reported symptoms thought to be related to hypertension, but symptom prevalence did not significantly relate to BP levels, except for shortness of breath (dyspnea).
- The research indicates that while hypertension-associated symptoms are common among patients with elevated BP in the ED, their occurrence is not directly tied to actual BP values.
Article Abstract
A number of cardiopulmonary and neurological symptoms are presumed to be associated with hypertension. We examined the prevalence of these symptoms in ED patients with elevated blood pressure (BP) and studied the relationship between symptom prevalence and BP value. We enrolled consecutive adult ED patients with sustained BP elevation (systolic BP>or=140 mm Hg, diastolic BP>or=90 mm Hg). BP values were categorized according to Joint National Committee on Prevention, Evaluation, and Treatment of High Blood Pressure, 6th Report criteria. Elevated BP was noted in 551 (29%) of 1908 patients. Unprompted complaints of hypertension-associated symptoms were noted in 26%, and there was no association between BP category and complaints other than dyspnea. Symptom interviews were conducted in 294 (56%) patients; 68% of this subset noted >or=1 current hypertension-associated symptom with no relationship between symptom prevalence and BP category. We conclude that symptoms putatively associated with hypertension are common among ED patients with elevated BP, and their prevalence appears unrelated to BP value.
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| http://dx.doi.org/10.1016/j.ajem.2004.02.043 | DOI Listing |
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