Biochemical aberrations in hypertensive patients on antihypertensive drug therapy. 1989

Z A Gomo

This study focused on biochemical aberrations in newly diagnosed and long standing hypertensives on anti-hypertensive therapy. One hundred and seventy two hypertensives were studied. Hydrochlorthiazide was the most used drug (41 percent). Of the hypertensive patients, 44 percent and 13.4 percent were hypokalaemic when 3.5 and 3.0 ml/l serum potassium respectively was used as criterion for defining hypokalaemia. In addition 13.8 percent had serum sodium levels ranging between 110- 120 mmol/l. Renal dysfunction was found in 0.05 percent of the patients studied as judged by both raised serum urea and creatinine. Lipids and lipoproteins abnormalities were also apparent in the patient groups, cholesterol and triglycerides being significantly raised (p less than 0.05 and p less than 0.001 respectively). High density lipoprotein cholesterol was significantly lower (p less than 0.001) in the patients whereas low density cholesterol was higher (p less than 0.001). In conclusion, this study highlights the need for constant biochemical evaluation on hypertensives on antihypertensive therapy as part of management of hypertensive patients.

UI MeSH Term Description Entries
D006949 Hyperlipidemias Conditions with excess LIPIDS in the blood. Hyperlipemia,Hyperlipidemia,Lipemia,Lipidemia,Hyperlipemias,Lipemias,Lipidemias
D006973 Hypertension Persistently high systemic arterial BLOOD PRESSURE. Based on multiple readings (BLOOD PRESSURE DETERMINATION), hypertension is currently defined as when SYSTOLIC PRESSURE is consistently greater than 140 mm Hg or when DIASTOLIC PRESSURE is consistently 90 mm Hg or more. Blood Pressure, High,Blood Pressures, High,High Blood Pressure,High Blood Pressures
D007008 Hypokalemia Abnormally low potassium concentration in the blood. It may result from potassium loss by renal secretion or by the gastrointestinal route, as by vomiting or diarrhea. It may be manifested clinically by neuromuscular disorders ranging from weakness to paralysis, by electrocardiographic abnormalities (depression of the T wave and elevation of the U wave), by renal disease, and by gastrointestinal disorders. (Dorland, 27th ed) Hypopotassemia,Hypokalemias,Hypopotassemias
D007010 Hyponatremia Deficiency of sodium in the blood; salt depletion. (Dorland, 27th ed) Hyponatremias
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D004232 Diuretics Agents that promote the excretion of urine through their effects on kidney function. Diuretic,Diuretic Effect,Diuretic Effects,Effect, Diuretic,Effects, Diuretic
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D015030 Zimbabwe A republic in southern Africa, east of ZAMBIA and BOTSWANA and west of MOZAMBIQUE. Its capital is Harare. It was formerly called Rhodesia and Southern Rhodesia. Rhodesia, Southern,Southern Rhodesia,Republic of Zimbabwe,Zimbabwe Rhodesia

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