Volume 6 Issue 2 (February, 2018)

Original Articles

Comparative Evaluation of Management of Hypertension in Older Patients and Young Patients
Mukesh Gupta

Background: Hypertension is a multifactorial disorder in which the mix of factors operative may vary according to age. Although there are no sharp dividing lines between age groups, age-associated trends can be recognized. Aim of the study: To compare the management of hypertension in older and younger population. Materials and methods: The study was conducted in the department of general medicine of the medical institute. We selected patients belonging to the age group 16-30 years and 51-75 years old. The patients in both the groups were prescribed Enalapril HCTZ 5 mg - 12.5 mg once daily. The patients were recalled for follow up and blood pressure measurement at 7 days, 14 days, 1 month and 3 months. For the evaluation of creatinine levels and sodium levels venous blood was obtained from each patient at each follow up visit. The data was recorded and subjected to statistical analysis. Results: A total of 100 patients participated in the study, 50 patients in each group 1 and group 2. No. of male subjects in group 1 was 22 and in group 2 was 29. Mean age of the patients in Group 1 was 25.21 years and in Group 2 was 62.33 years. The mean systolic and diastolic blood pressure was significantly decreased in both the groups. Similarly, proteinuria which was present in the patients at the baseline was present on 14th day but absent on 13th day in both groups. Conclusion: The principles in the treatment of hypertension in the elderly have much in common with those applying to younger age groups. Keywords: Hypertension, older patients, younger patients, anti-hypertensive.

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