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S. Samadhiya ¹, T. Nag ¹, M. Palsania ¹, R. Meena ¹, V. Hawa ¹, V. Sharma ¹, S. Chaudhary ¹, M. Maheshwari ¹, S. Maheshwari ²

Affiliations
1 Deptt of Medicine, Jawaharlal Nehru Medical College and Hospital, Kala Bagh, Ajmer, Rajasthan 305001, IN
2 Jawaharlal Nehru Medical College and Hospital, Kala Bagh, Ajmer, Rajasthan 305001, IN

Abstract

Ebstein's anomaly is a congenital heart defect. The septal and posterior leaflets of the tricuspid valve are displaced toward the apex of the right ventricle called as atrialization of right ventricle. Most of them have interatrial communication. Ebstein's anomaly accounts for >1% of all cases of congenital heart disease. It has a high mortality rate in first few months of life and rarely patients with Ebstein's anomaly live up to adulthood. We here are presenting a case report of a 40-year-old male who presented with palpitation and lightheadedness and was found to be a case of Ebstein's anomaly with the late presentation in fourth decade of life.

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S. Barsode ¹, A. Diwan ², S. Chaudhary ², A. Vora ²

Affiliations
1 Department of Medicine, Bharati Vidyapeeth Deemed University, Medical College and Bharati Hospital, Pune, 411002, IN
2 Department of Medicine, Bharati Vidyapeeth Deemed University, Medical College and Bharati Hospital, Pune, IN

Abstract

This prospective study was undertaken in 40 patients of hypertension in the age group of 18 - 40 years, randomly selected from the in and outdoor patient department over a period of two years. The aim was to study the clinical profile, associated risk factors, assess the target organ damage and identify the causes of hypertension in young adults.

In conclusion a definite male preponderance with a male to female ratio of 1.35:1, especially stage II hypertension. 77.5% patients showed target organ damage in the present study (Hypertensive retinopathy), incidence of LVH was seen in 40%. The commonest cause of secondary hypertension observed was renal parenchymal disease (44.44%). The relative possibility of the hypertension being secondary was increased, which had a distinct possibility of cure.

Keywords

Secondary Hypertension, Young Adults, Risk Factors, Target Organ Damage.

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