Study of association of headache with hypertension in the patients attending at specialized clinic of a tertiary care hospital
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Date
2025-04
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Abstract
Background: High blood pressure, or hypertension, is above-normal blood pressure. Blood pressure fluctuates during the day due to activity levels. Consistently elevated blood pressure can lead to a hypertension diagnosis. Research indicates a frequent link between hypertension and chronic daily headaches, including chronic migraines, although the cause remains unclear. The study examined the connection between headaches and hypertension. It involved headache patients from the Headache Clinic at Dhaka Medical College Hospital from July to December 2013. Methods: A total of 100 patients aged 18 years or above from both sexes, with the main complaint being headaches, were enrolled in this study. All questionnaires were checked very carefully to identify the error in collecting data. Data processing work consisted of registration of schedules, editing, coding, and computerization. Data were presented in graph, pie chart and tabulated form and finally analyzed on computer-based software SPSS Windows (16.0 version). Result: Almost all of the patients were aged 20–50 years, with a male-to-female ratio of 1:3, while 57% of the women were housewives. Most (84%) were married. Headache duration was 4.6 ± 3.3 years on average, and 64% lasted from 1 to 6 h (avg. 5.48 ± 3.31 h). The most common were constant headaches (63%). 3% was seen in radiation on the left side, while 9% on the neck, and 2% on the entire head. Nausea, vertigo, and photophobia were common symptoms. Precipitants were anxiety (39%), fatigue (24%), and sleep disturbance (21%). Relief measures were sleep (51%) and medication (50%). Hypertension was present in 21%, of which 14% were controlled and 7% were uncontrolled. No correlation was found between headache and hypertension duration. Fundus was normal in 97%, and 3% had cataracts. Conclusion: Headaches were more common in the 3rd decade and females were predominant. Stage I and Stage II hypertension were 14.0% and 7.0%, respectively. Non-migrainous was more frequent. This study data have revealed that headache and hypertension are not associated.
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Keywords
Chronic headaches, hypertension, migraines, nausea, photophobia, vertigo
Citation
Shyfullah Md., Jalil Sharmina, Haque Md. Ekramul, Khan Md. Faisal Bin Selim, Irfan Md. Ashraful Islam, Sadi Md. Rokib, Irteeja Md. Sakib, Afroj Ami, Malik Md. Ashadur Rahaman. Study of association of headache with hypertension in the patients attending at specialized clinic of a tertiary care hospital. Annals of International Medical and Dental Research. 2025 Apr; 11(2): 43-50