A study of prevalence of comorbidity among old age patients with hypertension

Abstract

Background: The marked differences of prevalence in several studies are due to the different reference population, the various study designs, inclusion of diseases categories cardiovascular diseases in the older people is not seen in isolation, these groups may have other associated co-morbid conditions. The prevalence of comorbidity among people with hypertension is more common than those individuals with a normal BP. The management of multiple comorbidities requires more complex strategies to achieve effective care. Objectives: To study of prevalence of comorbidity among old age patients with hypertension. Material and Methods: All patients in our study above the age of 65 years, irrespective of their hypertensive status. All patients were classified according to blood pressure readings. All samples were venous blood gatherings in the morning after an 8 hr. fast. In all patients, ECG and fundus examination was done. 2D Echo was done whenever necessary. Results: Of the 205 patients, all (100%) had a co-morbid illness present, of which ischemic heart disease contributed the maximum number of patients 58 (28.5%). This was followed by diabetes mellitus seen in 51 patients (25%). Other comorbidities included stroke in 15%, infections 14%, chronic obstructive pulmonary disease 13% and malignancy 4.5% patients. Conclusion: Critical clinical examination and assessment of target organ damage, presence of co-morbid conditions in hypertensive individuals helps us in making the strategy for management.