Uncontrolled blood pressure contributes to many heart-related emergencies

Previous studies have highlighted differences in disease distribution between men and women hospitalized with cardiovascular disease and gender disparities in hospital treatments and subsequent clinical outcomes. However, as these studies are limited to inpatients, they do not take into account the differential tendency to hospitalize men and women. Furthermore, they ignore the most vulnerable patients who may not survive their first pre-entry medical contact.

A new study by Senior Cardiovascular Disease Diagnostics (CVD) from US emergency departments indicates that many cardiovascular emergencies are caused by poor control of high blood pressure. A study of more than 20 million emergency department visits indicates that “essential” hypertension, or high blood pressure not caused by other conditions, accounts for 13% of all heart-related emergency room diagnoses. Most cases of high blood pressure are essential hypertension.

Lead author Mamas A. Mamas, MD, professor of cardiology at Keele University in Stoke-on-Trent, said, “These visits resulted in hospital admissions less than 3% of the time and with very few deaths – less than 0.1%. This indicates that these visits were primarily related to the management of hypertension.”

Of the 15 CVD cases detailed in the study, about 30% were Diagnostics associated with high blood pressure.

Scientists analyzed primary cardiovascular encounters from a nationwide emergency department sample between 2016 and 2018. The sample included 48.7% of women. The median age was 67. The men had a greater general underlying comorbid burden; However, women had higher rates of obesityHigh blood pressure and cerebrovascular disease. For women, the most common encounters in the emergency department were essential hypertension (16.0%), cardiac hypertension, or hypertension. Kidney disease (14.1%), and atrial fibrillation/flutter (10.2%). For men, the most common encounters were high blood pressure in the heart or kidneys (14.7%), essential hypertension (10.8%), and acute myocardial infarction (10.7%).

mamas He saidAnd the Previous studies have shown gender differences in CVD patterns among hospitalized patients. However, screening CVD encounters in the emergency department provides a complete picture of the cardiovascular health care needs of men and women, as it captures prehospital encounters.”

Previous studies of emergency cardiovascular visits are limited to suspects Heart attack visits. Therefore, this analysis of 15 CVD cases helps to better understand the full range of acute CVD needs, including gender differences in hospitalization and risk of death.”

The study found that outcomes for emergency CVD visits were slightly different between men and women. Overall, women were less likely to die (3.3% of women versus 4.3% of men) or be hospitalized (49.1% of women versus 52.3% of men) after visiting the emergency department for CVD. The difference may be due to lower risk diagnoses in women in general, but there could be a lower estimate of mortality in women.”

“We did not track deaths outside the hospital setting. Given the previous evidence that women are more likely to be inappropriately discharged from the emergency department, and the strong evidence for systemic treatment of women, further study is warranted to track outcomes after an emergency department visit.”

“Our work with this large, nationally representative sample of emergency cardiovascular visits highlights differences in the health care needs of men and women, which may be useful for planning and providing health care services. We also encourage further research to understand the underlying factors that lead to the differences. In patterns and outcomes of cardiovascular disease among men and women”.

Journal reference:

  1. Zahra Raeesi ‐ Estabragh et al. Patterns and differential outcomes of 20.6 million meetings in the emergency cardiovascular department of men and women in the United States. Journal of the American Heart Association. DOI: 10.1161 / JAHA.122.026432