Impact of Undiagnosed Hypertension In Patients Presenting With Stroke: Comparison With Patients Having Diagnosed Hypertension

Muhammad Ahsan Mahmood; Salman Saleem; Soban Ahmed Tariq; Ahmad Sagheer Cheema; Amar Anwar; Iqra Anwar

doi:10.51253/pafmj.v74iSUPPL-2.12144

Authors

Muhammad Ahsan Mahmood Department of Medicine, Pak Emirates Military Hospital /National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Salman Saleem Department of Medicine, Pak Emirates Military Hospital /National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Soban Ahmed Tariq Department of Medicine, Pak Emirates Military Hospital /National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Ahmad Sagheer Cheema Department of Medicine, Combined Military Hospital Kharian / National University of Medical Sciences (NUMS) Pakistan
Amar Anwar Mayo Hospital, King Edward Medical University Lahore Pakistan
Iqra Anwar Department of Biochemistry, Watim Medical College Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74iSUPPL-2.12144

Keywords:

Hemorrhagic stroke, Hypertension, Ischemia, Undiagnosed.

Abstract

Objectives: To compare morbidity and mortality among stroke patients with undiagnosed hypertension vs those with pre-existing, diagnosed hypertension.

Study Design: Cross-sectional study.

Place and Duration of Study: Pak Emirates Military Hospital, Rawalpindi Pakistan from December 2022 to May 2023.

Methodology: A total of 86 patients fulfilling the inclusion criteria were included in the study. Detailed history was obtained to assess for hypertension i.e., undiagnosed hypertension (group A) or pre-existing, diagnosed hypertension (group B). Stroke outcomes including type of stroke, in-hospital mortality and 30-day disability were compared between groups using Chi-square and Mann-Whittney U-test.

Results: Mean age of patients was 55.18±11.31 years. There were 57(66.28%) male and 29(33.72%) female patients. Frequency of “undiagnosed hypertension (HTN)” was 26(30.23%) while of “pre-existing hypertension (HTN)” it was 60(69.77%). Patients with “undiagnosed hypertension” were found to have significantly higher frequency of hemorrhagic stroke (p<0.001), in-hospital mortality (p = 0.001) and 30-days disability score (p<0.001).

Conclusion: Frequency of undiagnosed hypertension in stroke patients was 30.23% and is associated with poor outcomes in term of morbidity and mortality in stroke patients as compared to those having pre-existing, diagnosed hypertension.

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