Abstracts e271

to higher potassium intake or another environmental factor, may contribute to drome (18%), haemorragic stroke (11%), acute aortic syndrome (2%) and hy-
greater LV mass in Africans in Europe. pertensive encephalopathy (2%). No clinically meaningful difference was found
for BP levels at presentations. HU patients were younger than HE patients by
TWO DECADE’S TRENDS IN HYPERTENSION AMONG 5.4 years and more often complained of non-specific symptoms and/or headache,
URBAN ADULT POPULATION OF EAST INDIAN COMMUNITY: while specific symptoms were more frequent among HE patients.
OBSERVATION FROM A LONGITUDINAL COHORT Conclusions: HEs and HUs are a frequent cause of access to EDs, with HUs
being significantly more common. BP levels alone do not reliably predict the pres-
Kaushik Chakraborty1, Nilanjana Chakraborty2, Ramendra Nath Mitra2, Angana
ence of aHMOD, which should be suspected according to the presenting signs
Saha2, Papri Chatterjee2, Subhankar Manna2, Dipra Mitra2. 1School of Public
Health, The Johns Hopkins University, Baltimore, MD, USA, 2Barrackpore Popu- and symptoms.
lation Health Research Foundation, Kolkata, INDIA
EPIDEMIOLOGICAL PROFILE OF HYPERTENSE PATIENTS IN
Objective: Hypertension is one of the predominant major contributors of chronic
PRIMARY CARE SETTING IN RIO DE JANEIRO CITY
disease burden among global non communicable diseases. The study evaluated
trends in self-reported doctor diagnosed hypertension (DDH) and measured blood Monica Amorim De Oliveira1, Helena Cramer Veiga Rey1, Antonio Luiz Pinho
pressure (mBP) prevalence along with associated risk factors in an Indian urban Ribeiro2. 1National Institute of Cardiology, Rio de Janeiro, BRAZIL, 2Federal
population over 20 years. University of Minas Gerais, Belo Horizonte, BRAZIL
Design and method: Longitudinal cohort was established in 2001 with 3030 Objective: Observational study, to describe in the context of family medicine
households based on the stratified multistage cluster sampling. Adult participants care, epidemiological data of a cohort of hypertensive patients.
(N=7275; Male=3765, Female=3510) were enrolled. Three household question-
naire surveys were performed in year 2001-02, 2011-12, 2018-19 with the same
population size to determine DDH trend. Two representatives’ cross-sectional sur-
veys were conducted (In 2014-15, n:5741, male=2319, female=3422; In 2018-19,
n=5741, male=2204, female=3537) to evaluate trends in hypertension based on
the mBP value. Blood pressure and anthropometric data were also recorded ac-
cording to the established protocol. mBP classification was derived from Joint
National Committee (JNC-8) guideline.
Results: Prevalence of DDH (%) in successive surveys increased from 9.70,
17.86, 22.67 and measured BP (%) among pre-hypertensive 32.12, 39.17, hy-
pertension-stage1 14.41, 19.91, hypertension-stage2 7.05, 8.26 over the time.
Gender specific prevalence of hypertension showed progressive rise of DDH
[OR= 0.69, CI: 0.61,0.78, p<.0001]and mBP [In 2014, PreHTN: OR=1.69,
CI=1.49, 1.91, p<.0001; HTNstg1: OR:1.43, CI=1.22, 1.68, p<.0001, HTNstg2:
OR=1.44,CI=1.17, 1.78, p=0.0007; In 2018, PreHTN: OR=2.04, CI=1.79,2.32,
p<.0001; HTNstg1: OR= 2.23, CI=1.91,2.60, p<.0001; HTNstg2: OR=1.948, CI=
1.58,2.40, p<.0001] in men when compared to women. Association of DDH with
smoking [In 2001-02, OR=0.62, CI=0.52,0.74, p<.0001; In 2018-19, OR=0.75,
CI=0.63, 0.90, p=.0020] and duration of sleep (>8 hrs.) [In 2001-02, OR=0.71,
CI=0.61, 0.82, p<.0001; In 2018-19, OR=1.18, CI= 1.01, 1.38, p=0.0401] estab-
lished. Trend revealed higher education was a lower risk of hypertension. Increas-
ing trends were observed across all hypertension categories among obese com-
pared to normal.
Conclusions: In mBP group, HTNstg2 prevalence has increased marginally over
7 years, among remaining groups increasing prevalence trend was unequivocal.
Most of the long-established reversible risk factors association prevalence also
increasing. Higher education having lower risk may well suggest importance of
increased awareness. A strategy to reverse the rising trend of the chronic disease
burden is required.

HYPERTENSIVE EMERGENCIES AND URGENCIES IN EMERGENCY

DEPARTMENTS: A SYSTEMATIC REVIEW AND META-ANALYSIS

Anna Astarita1, Michele Covella2, Fabrizio Vallelonga1, Marco Cesareo1, Sil-

via Totaro3, Luca Ventre4, Franco Apra’5, Franco Veglio1, Alberto Milan1. 1De-
partement of Medical Sciences, Internal Medicine Division, Hypertension Unit,
AO Citta della Salute e della Scienza, Turin, ITALY, 2Emergency Department,
U.Parini Hospital, Aosta, ITALY, 3Emergency Division, Città della Salute e della
Scienza Hub, Department of Medical Sciences, Turin, ITALY, 4Ophthalmology Di-
vision, Città della Salute e della Scienza, University Hospital, Turin, ITALY, 5High
Dependency Unit, San Giovanni Bosco Hospital, Turin, ITALY
Objective: The prevalence of hypertensive emergencies (HEs) and urgencies
(HUs) and of acute hypertension-mediated organ damage (aHMOD) in emergen-
cy departments (EDs) is unknown. Moreover, the predictive value of symptoms,
blood pressure (BP) levels and cardiovascular risk factors to suspect the presence
of aHMOD is still unclear. The aim of this study was to investigate the prevalence
of HEs and HUs in EDs and of the relative frequency of subtypes of aHMOD, as
well as to assess the clinical variables associated with aHMOD.
Design and method: We conducted a systematic literature search on Pubmed,
OVID and Web of Science from their inception to August 22, 2019. Two indepen-
dent investigators extracted study-level data for a random-effects meta-analysis.
Results: Eight studies were analysed, including 1970 HEs and 4983 HUs. The
prevalence of HEs and HUs was 0.3% and 0.9%, respectively (O.R.for HUs vs
HEs:2.5 (1.4-4.3)). Pulmonary oedema/heart failure was the most frequent sub-
type of aHMOD (32%), followed by ischemic stroke (29%), acute coronary syn-
Design and method: Prospective cohort observational study of hypertensive
patients selected from a randomized sample, conducted in primary care units in
the city of Rio de Janeiro, where 1,000 patients aged over 18 years were allocated
in 2016 and 2017 who were referred for electrocardiogram. Clinical evaluations
were documented in a care form and recorded in a database. Follow-up by tele-
phone following one year.
Continuous variables will be described as mean and standard deviation or median
and interquartile difference. Categorical variables will be described as frequency
and proportion, with their respective 95% confidence intervals. Statistical ana-
lyzes, to assess the significance of the differences found between the strategies,
will be performed as recommended. The statistical program R was used.
Results: In the selected sample of patients in basic health units, the prevalence of
hypertension was 72.38%.
Of the total sample 35.6% were male, the average age was 57.75 years and the
median age 59. Among the hypertensive 35.52% were male, the average The mean
age was 60.97 years and the median age 61.5.
Most patients had primary education, 58.22%, and received less than 2 minimum
wages, 78.69%.
In hypertensive patients the prevalence of risk factors was 64.35% of sedentary
lifestyle, 25.63% of dyslipidemia, 24.51% of diabetes mellitus and 14.76% of
smoking. And the prevalence of associated clinical conditions was 4.32% stroke,

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