Publicação: Cardiac and renal damage in hospitalized hypertensive patients: prevalence, associated factors, and clinical implications
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Background: Hypertension is highly prevalent and constitutes a significant risk factor for Target Organ
Damage (TOD), such as cardiac and renal lesions, thereby increasing morbidity and mortality. However,
the magnitude of these complications among hospitalized patients remains underexplored in Brazil.
Objective: To estimate the prevalence of TOD among hospitalized hypertensive patients and identify
associated clinical factors.
Methods: This cross-sectional study included 107 hypertensive inpatients at a university hospital in
Minas Gerais, Brazil. Renal damage was assessed through Estimated Glomerular Filtration Rate (eGFR),
and cardiac damage through Left Ventricular Hypertrophy (LVH). Sociodemographic, clinical, and
laboratory data were collected. Analyses included descriptive and bivariate statistics (p<0.05).
Results: The mean age was 63.6±10.8 years; 53.3% were male and 44.9% self-identified as White.
Reduced eGFR was observed in 73.8% of participants, and LVH in 38.3%. Overall, 35% presented both
types of TOD, 53% only one, and 12% none. A reduced eGFR was associated with low educational
attainment (p=0.004) and a history of prior nephropathy (p=0.022). LVH was more frequent among
those with a history of myocardial infarction (p=0.002).
Conclusion: Hospitalized hypertensive patients exhibited a high prevalence of TOD, especially renal
involvement, underscoring the need for systematic screening and monitoring protocols to mitigate
cardiovascular and renal complications.
Abstract
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Hypertension, Target organ damage, Chronic kidney disease, Left ventricular hypertrophy, Hypertensive heart disease
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MENDONÇA, Bruno Henrique Nunes et al. Cardiac and Renal Damage in Hospitalized Hypertensive Patients: Prevalence, Associated Factors, and Clinical Implications. 2026. 5 f. Trabalho de Conclusão de Curso (Graduação em Enfermagem) – Universidade Federal de Uberlândia, Uberlândia, 2026.
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