Prevalence of Orthostatic Hypotension Among Hypertensive Patients and Healthy Adults.

Abstract

Male involvement in family planning is one of the strategies that were Orthostatic hypotension is defined as a fall in systolic blood pressure of at least 20mmHg or diastolic blood pressure of at least 10mmHg when a person assumes a standing position from sitting or lying. In the last few years it has been identified as an independent risk factor for cardiovascular morbidity and in all leads to mortality. Aim : This study was carried out to assess the prevalence of orthostatic hypotension among hypertensive patients and healthy adults. Setting and Design : Medicine OPDs were used to select 100 hypertensive patients (cases) and 100 healthy adults (adults) were used to collect relevant data. Quantitative research approach and case control design was used for the study. Material and Methods : The study was conducted on a sample of 100 hypertensive patients and 100 healthy adults selected from medicine opds. Self report (pen and paper), bio-physiological method and observation method was used for this study. The collected data was organized, tabulated, analyzed and interpreted using descriptive and inferential statistics. Results : The findings of the study revealed that orthostatic hypotension increases with age in age group 35-45 yrs to >=65yrs. There was significant association of BMI, educational status, WHR, WHR, systolic blood pressure from sitting to standing position among hypertensive patients and healthy adults at p<0.05 level of significance.Copy Right, IJAR, 2018,. All rights reserved. …………………………………………………………………………………………………….... Introduction:-Orthostatic hypotension is defined as a fall in systolic blood pressure of at least 20mmHg or diastolic blood pressure of at least 10mmHg when a person assumes a standing position from sitting or lying. The prevalence of orthostatic hypotension is considered to be age dependent, ranging from 5% in patients under 50 years of age to 30% in those over 70% years of age. A survey was done on elderly in which medications were implicated in orthostatic hypotension in 40 out of 50 patients. Drugs prescribed was a diuretic 56%, benzodiazepines 26%, antidepressants 24% and anti-parkinsonian drugs 22%. According to the revised American Academy of Neurology Diagnostic Criteria, 25% out of 297 participants had OH (orthostatic hypotension) found to be an independent predictor of fall and according to standard criteria, it affected 80% of the population and was associated with falls. In one of the meta-analysis, it was confirmed that presence of orthostatic hypotension is related to a significant increase in the risk for development of congestive heart failure.