open access

Vol 9, No 2 (2014)
Original Papers
Published online: 2014-06-26
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What distinguishes women among hospitalized hypertensive patients — a single-centre study

Barbara Sosnowska-Pasiarska, Paweł Salwa, Iwona Gorczyca-Michta, Alicja Stępień-Wałek, Beata Wożakowska-Kapłon
Folia Cardiologica 2014;9(2):114-117.

open access

Vol 9, No 2 (2014)
Original Papers
Published online: 2014-06-26

Abstract

Introduction. Hypertension, considered a civilization disease, is a major risk factor for the development of coronaryartery disease and heart failure.

Material and methods. We retrospectively analyzed patients with hypertension hospitalized in a referral cardiac unit in 2009–2010. We analyzed clinical data in relation to gender, taking into account concomitant diseases and selected biochemical and echocardiographic parameters.

Results. We analyzed data of 1372 men (54.6%) and 1140 women (45.4%). The mean age was 70.8 years (range 33 to 95 years) among women and 66.2 years (range 25 to 94 years) among men. Compared to men, women were more frequently found to have diabetes mellitus (28.6 vs. 22.6%; p = 0.008), paroxysmal atrial fibrillation (14.8% vs. 10.6%; p = 0.0055), hypothyroidism (5% vs. 1.2%; p < 0.0001), stage 3 chronic kidney disease (68.9 vs. 48.8%; p < 0.0001), and preserved left ventricular systolic function (67.5% vs. 53.5%; p = 0.003). Complications of hypertension such as left ventricular hypertrophy (34.3 vs. 28.8%; p = 0.03), previous myocardial infarction (11.2% vs. 7%; p = 0.0007), severe left ventricular systolic dysfunction (18.2% vs. 10.3%; p < 0.0001), and hyperuricaemia (54.3 vs. 44.3%; p = 0.0022) were more frequently seen in men. Hospitalized hypertensive men remained for a longer time in stages 1 and 2 of chronic kidney disease (stage 1: 4.8% vs. 0.4%, p = 0.047; stage 2: 42.6% vs. 22.6%, p = 0.072).

Conclusions. Sex hormones have a protective effect of the cardiovascular system in women. With age and a decline in sex gland function, the rate of hypertension increases in women. Our study showed gender-related differences in the clinical profile of hospitalized hypertensive patients.

Abstract

Introduction. Hypertension, considered a civilization disease, is a major risk factor for the development of coronaryartery disease and heart failure.

Material and methods. We retrospectively analyzed patients with hypertension hospitalized in a referral cardiac unit in 2009–2010. We analyzed clinical data in relation to gender, taking into account concomitant diseases and selected biochemical and echocardiographic parameters.

Results. We analyzed data of 1372 men (54.6%) and 1140 women (45.4%). The mean age was 70.8 years (range 33 to 95 years) among women and 66.2 years (range 25 to 94 years) among men. Compared to men, women were more frequently found to have diabetes mellitus (28.6 vs. 22.6%; p = 0.008), paroxysmal atrial fibrillation (14.8% vs. 10.6%; p = 0.0055), hypothyroidism (5% vs. 1.2%; p < 0.0001), stage 3 chronic kidney disease (68.9 vs. 48.8%; p < 0.0001), and preserved left ventricular systolic function (67.5% vs. 53.5%; p = 0.003). Complications of hypertension such as left ventricular hypertrophy (34.3 vs. 28.8%; p = 0.03), previous myocardial infarction (11.2% vs. 7%; p = 0.0007), severe left ventricular systolic dysfunction (18.2% vs. 10.3%; p < 0.0001), and hyperuricaemia (54.3 vs. 44.3%; p = 0.0022) were more frequently seen in men. Hospitalized hypertensive men remained for a longer time in stages 1 and 2 of chronic kidney disease (stage 1: 4.8% vs. 0.4%, p = 0.047; stage 2: 42.6% vs. 22.6%, p = 0.072).

Conclusions. Sex hormones have a protective effect of the cardiovascular system in women. With age and a decline in sex gland function, the rate of hypertension increases in women. Our study showed gender-related differences in the clinical profile of hospitalized hypertensive patients.

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Keywords

hypertension, gender differences, complications of hypertension

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About this article
Title

What distinguishes women among hospitalized hypertensive patients — a single-centre study

Journal

Folia Cardiologica

Issue

Vol 9, No 2 (2014)

Pages

114-117

Published online

2014-06-26

Bibliographic record

Folia Cardiologica 2014;9(2):114-117.

Keywords

hypertension
gender differences
complications of hypertension

Authors

Barbara Sosnowska-Pasiarska
Paweł Salwa
Iwona Gorczyca-Michta
Alicja Stępień-Wałek
Beata Wożakowska-Kapłon

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