The aim of this study was to investigate gender and age differences in the elderly hypertensive (HTN) patients admitted for acutely decompensated heart failure secondary to loss of HTN control.Design and method:
Starting from all hypertensive patients admitted to the Internal Medicine Clinic between December 2012 and December 2015 (5762 pts) we studied those admitted for acutely decompensated heart failure secondary to a hypertensive urgency (385 pts, 6.68%). Patients with HTN emergencies – stroke, acute coronary syndromes (ACS), pulmonary edema, acute renal failure/acutely decompensated chronic renal disease (CRD), were excluded. This population was further evaluated for CV risk factors and comorbidities focusing on gender differences and age. Elderly pts were divided in three groups: young-old 65–74 years; mid-old 75–84 years; very-old >= 85years.Results:
Hypertension urgencies more frequently decompensated CHF in elderly women, most of whom were in NYHA functional class III at admission. When comparing age groups it was evident that HTN urgencies represent the cause for CHF decompensation significantly more in the mid-old group.