Background. Several recent studies have shown differences in the risk profile and outcome of cardiovascular diseases between men and women, with a dearth of data from African populations. This study aimed to examine gender differences in a group of patients from Cameroon hospitalized with a hypertensive crisis. Methods. We conducted a cross-sectional study from June 2018 until June 2019. The criteria to define a hypertensive crisis (HC) were systolic and/or diastolic blood pressure should be ≥180/110 mmHg. We compared the clinical presentation and outcome of males versus females. Results. Out of the 1536 patients admitted, 95 (6.2%) had an HC. There were 49 (51.6%) men. There was no significant age difference between men and women (52.7 years vs. 49.3 years, ). Alcohol consumption (), previous stroke (), and smoking () were significantly higher in men compared to women. Men had a higher proportion of psychomotor agitation (). There was an equal proportion of men and women with hypertensive emergencies. Although acute left ventricular failure was most frequent in women (46.4% vs 42.9%), cerebral infarction (14.3% vs 17.9%), and acute coronary syndrome (0% vs 7.1%) were higher in men, the differences were not statistically significant (all ). Case fatality was also higher in men compared to women but the difference was not statistically significant. Conclusions. Men admitted for an HC had a significantly higher cardiovascular risk burden and higher psychomotor agitation. However, there were no significant differences in the types of hypertensive emergencies and outcomes between men and women.

中文翻译：

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喀麦隆 Buea 地区医院因高血压危机入院的患者在心血管危险因素、临床表现和结局方面的性别差异

背景。最近的几项研究表明，男性和女性心血管疾病的风险状况和结果存在差异，缺乏来自非洲人群的数据。本研究旨在检查喀麦隆因高血压危象住院的一组患者的性别差异。方法。我们从 2018 年 6 月到 2019 年 6 月进行了一项横断面研究。定义高血压危象 (HC) 的标准是收缩压和/或舒张压应≥180/110 mmHg。我们比较了男性和女性的临床表现和结果。结果。在入院的 1536 名患者中，95 名（6.2%）患有 HC。有 49 名 (51.6%) 男性。男性和女性之间没有显着的年龄差异（52.7 岁对 49.3 岁，）。酒精消耗 （),上一个笔划 ()和吸烟 ()男性明显高于女性。男性的精神运动性激越比例较高（）。患有高血压急症的男性和女性比例相同。虽然急性左心室衰竭在女性中最常见（46.4% vs 42.9%），脑梗死（14.3% vs 17.9%）和急性冠状动脉综合征（0% vs 7.1%）在男性中较高，但差异无统计学意义（全部）。与女性相比，男性的病死率也较高，但差异无统计学意义。结论。因 HC 而入院的男性心血管风险负担显着更高，精神运动性激越程度更高。然而，男性和女性在高血压急症类型和结局方面没有显着差异。