E0286 Analysis of aetiology and metabolic disorders of in-patients of 628 refractory hypertension. (17th November 2010)

• Record Type: Journal Article
• Authors: Lei, Wang; Nanfang, Li; Feiya, Zu; Xinlin, Wang; Keming, Zhou; Delian, Zhang; Guijuan, Chang; Yanmin, Zhang; Guli, Nuer; Keming, Zhou; Menghui, Wang
• Is Part Of: Heart. Volume 96(2010)Supplement 3
• Page Start: A89
• Page End: A90
• Publication Date: 2010-11-17
• Subjects: Heart -- Diseases -- Treatment -- Periodicals; Cardiology -- Periodicals; 616.12
• DOI: 10.1136/hrt.2010.208967.286
• Languages: English
• ISSNs: 1355-6037

Abstract

Abstract : Introduction: Patients with refractory hypertension (RH) were diagnosed by aetiology and treated correctly, which was helpful to control blood pressure and decrease case fatality. Method: Retrospective study was performed based on aetiology and metabolic disorders of 628 in-patients with RH in Department of Hypertension, People's Hospital of Xinjiang, from Sep 1997 to Dec 2005 (361 male and 267 female, average age 55.93±13.06 years). Results: (1) 80.10% of 628 in-patients with RH were essential hypertension, 18.95% of ódcondary hypeòõdnsion (SH) and 0.95% of indefinite diagnosis. (2) 119 SH comprised 33.61% of renovascular hypertension, 15.97% of renal hypertension, 23.53 % of OSAS, 13.45% of primary aldosteronism, 5.04% of pheochromocytoma. Fewer prevalence of SH were aortic stenosis (1.68%), Cushing syndrome (2.52%), hyperthyroidism (0.84%), and hypothyroidism (3.36%). (3) There were 66.24% of dyslipidemia, 43.78% of abnormality of glucose. Highest prevalence of dyslipidemia was hypertriglyceridemia (41.8%). Diabetes and IGT were 28.6%, 15.19%, respectively. (4) The number of overweight and obesity with hypertriglyceridemia and diabetes were significantly higher than those of normal weight. Conclusion: SH should be filtrated in RH. Most RH complicated with Metabolic Disorders, it play an important role on therapy of RH to rectify Metabolic Disorders.