Relationship of headache to hypertension

headaches, Stage-I in 101 patients (10.39%) To assess the prevalence of hypertension in adult while Stage-II hypertension was found in 79 (8.13) patients presenting with headache. patients. Two hundred and forty six (25.31%) Patients and Methods migraineur and 531 (54.63%) non-migraneurs A total of 972 patients with headache were had normal blood pressure. Five hundred and examined and blood pressure was measured by thirty one patients had no hypertension and were standard mercury sphygmomanometer in all labeled as normal. Prehypertension was not taken patients at the private clinic of the author from into account, and none of the patient fell into this January 2002 to December 2003. They were group. The total Odds ratio for hypertension in labeled as hypertensive and normotensive headache was 0.1799 (95% CI 0.104-0.3112). For according to JNC-7 guidelines. Based on the hypertension the sensitivity of (non-migrainous) history, headache was diagnosed according to tension headache is 92% and a specificity of 32%. International Headache Society (IHS) guidelines This is only 68% and 7% for migrainous and was clinically divided as migrainous and headache. ( n o n m i g r a i n o u s ) t e n s i o n h e a d a c h e . Conclusion Hypertension was also graded accordingly as The risk of hypertension is more significant in Stage-I and Stage-II. (non-migranous) tension headache as compared Results to migranous headache. The non-migranous Of the 972 patients, 261 patients were clinically tension headache is associated more with severe diagnosed as having migraine and 711 patients as hypertension. Large number of patients with having (non-migrainous) tension headache. The headache were normotensive in both the groups total number of hypertensive patients were 195 and headache should not be thus considered as a (20.06%) and normotensive patients were 777 very important symptom of hypertension as the (79.94%). There were 112 (11.52%) patients with myth prevails in our society. (Rawal Med J stage-I and 83 (8.53%) patients with stage-II 2012;37:264-267). hypertension. Of patients with migraine only, 11