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Volume : 23 Issue : 3 Year : 2017

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Response of Treatment in Primary Headaches Patients With Hypertension: A Prospective Observational Pilot Study [Turk J Neurol]
Turk J Neurol. Ahead of Print: TJN-91668

Response of Treatment in Primary Headaches Patients With Hypertension: A Prospective Observational Pilot Study

Abdullah Cüneyt Hocagil, Hilal Hocagil, Volkan Ülker
Department Of Emergency Medicine, Bülent Ecevit University, Zonguldak,Turkey

Objective: The purpose of this study was to determine the priority in the treatment of the patients with primary headaches accompanied by high blood pressure. In our study, we investigated whether there is a relationship between decline in the headache after treatment and change in the average arterial pressure.
Materials and Methods: This prospective observational study was performed with 101 patients with primary headache accompanied by high blood pressure admitted to the hospital emergency service. After treatment decrease in the severity of headaches, mean arterial pressure and the percentage value for the drop of mean arterial pressure were calculated for all patients.
Results: In the study 25(24.8%) patients' headache decreased 3 levels, 43(42.6%) patients' headache decreased 2 levels, 23(22.8%) patients' headache decreased one level. When the mean arterial pressure value of the patients at the admittance was 118.58 ± 12.65mm Hg, after the treatment the patients' mean arterial pressure value at the 30th minute was decreased to 98.41 ± 13.43mm Hg. While there is a statistical
significant (p< 0.001) decrease in the mean arterial pressure value of patients with 2-3 level decrease in the headache severity. there is no statistical significant (P>0.05) drop in the mean arterial pressure value of the patients with one level decrease in the headache severity after the treatment.

Conclusion: This study showed that when a primary headache, which is often associated with high blood pressure, was treated instead of treating high blood pressure as a secondary cause of headache, blood pressure decreased spontaneously.

Keywords: Emergency Department, Hypertension, Primary Headaches




Corresponding Author: Hilal Hocagil, Türkiye


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