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Category: Volume 05 Issue 10 October 2017
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Title: A Study of Hypertension in Chronic Alcoholics

Authors: Dr Ghodke B., Dr Kulkarni V., Dr Rai A.

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i10.38

Abstract

A chronic alcoholic is a person who is severely addicted to and dependent on alcohol. They will often have no job, no contact with family or friends, are not in control of their drinking, and may suffer from cognitive impairment because of their alcoholism. The health problem for which alcohol is responsible is only part of total social damage which includes family disorganization, crime and loss of productivity.4Hypertension is an established risk factor in chronic alcoholics, but little is known about the relationship between blood pressure (BP), severity of their alcohol abuse, and severity of alcohol withdrawal syndrome (AWS). Considering all such pictures this study is mainly meant to study the clinical picture, treatment and outcomes of hypertension in chronic alcoholics.8

Aim: To study Hypertension in Chronic Alcoholics in the IPD & OPD patients in our hospital. To see if there is any specific alcohol induced hypertensive cases with no influence from other risk factors except smoking and dyslipidemia. To ascertain specific line of treatment for hypertension in chronic alcoholics.

Method: Patients admitted in our hospital with diagnosed Hypertension will be enrolled.

Patients will be clinically evaluated based on: Demographic variations, Symptoms at the time of presentation, Clinical findings at the time of presentation and entire hospital stay, Lab investigations, Complications associated if any, Treatment given and, Response to the treatment. Patients will also be divided into various subgroups based on different classes of oral Antihypertensive drugs that they are going to receive.

Result: 100 alcoholic populations were examined on OPD and IPD basis and it was found that about 47% of total alcoholic have developed systemic hypertension. The age wise prevalence of systemic hypertension in alcoholic population is more in age group 51 to 60 years. All hypertensive patients were divided in 5 groups and started with 5 different groups of oral antihypertensive drugs namely CCB, ARB, ACE inhibitors, beta adrenergic blocker and Diuretics. Centrally acting antihypertensive drugs were not prescribed. Patients were followed up over 6 weeks duration, out of 5 groups of antihypertensive drugs, Beta adrenergic blockers, ACE inhibitors and ARB showed good results in controlling blood pressure since first week itself and required less modification in regimen.

Keywords: Chronic alcoholic, prevalence of hypertension, oral antihypertensive drugs, smoking and dyslipidemia.

 

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Corresponding Author

Dr Ghodke B.

Associate Professor,Department of General Medicine, M

GM Medical College, MGM Institute of Health Sciences

[Deemed University, U/S.3 of UGC Act 1956] Navi Mumbai