학술논문
Impact of the 2017 ACC/AHA guidelines on the prevalence of hypertension among Indian adults: Results from a cross-sectional survey
Document Type
article
Author
Kartik Gupta; Sivasubramanian Ramakrishnan; Geevar Zachariah; J. Shivkumar Rao; P.P. Mohanan; K. Venugopal; Santosh Sateesh; Rishi Sethi; Dharmendra Jain; Neil Bardolei; Kalaivani Mani; Tanya Singh Kakar; Vardhmaan Jain; Prakash Gupta; Rajeev Gupta; Sandeep Bansal; Ranjit K. Nath; Sanjay Tyagi; G.S. Wander; Satish Gupta; Subroto Mandal; Nagendra Boopathy Senguttuvan; Geetha Subramanyam; Debabatra Roy; Sibananda Datta; Kajal Ganguly; S.N. Routray; S.S. Mishra; B.P. Singh; B.B. Bharti; Mrinal Kanti Das; P.K. Deb; Prakash Deedwania; Ashok Seth; A.K. Sinha; Sudha Bhushan; Sunil K. Verma; Balram Bhargava; Ambuj Roy; Sanjay Sood; H.S. Isser; Neeraj Pandit; Vijay Trehan; Mohit D. Gupta; M.P. Girish; Ramandeep Ahuja; S.C. Manchanda; Arun Mohanty; Peeyush Jain; Sameer Shrivastava; I.P.S. Kalra; B.S. Sarang; H.S. Ratti; G. Bala Sahib; Rakesh Gupta; S K Agarwal Amit; K.C. Goswami; V.K. Bahl; H.K. Chopra; George Koshy; Tiny Nair; N. Shyam; Anil Roby; Raju George; Sudhaya Kumar; Abdul Kader; Mathew Abraham; Sunitha Viswanathan; A. Jabir; Jaideep Menon; Govindan Unni; Cibu Mathew; P.B. Jayagopal; Sajeev; P.K. Ashokan; Asharaf; A.K. Pancholia; A.K. Gupta; Rupam Das; Dinesh Aggarwal; Amit Malviya; Syed Manzor Ali; Parag Barward; Navreet Singh; Yashbir S. Tomar; Davinder Chaddha; Sameer Dani; Chirayu Vyas; Kinjal Bhatt; Shrenik Doshi; Chandra Bhan Meena; Subramanyam; Ajit Mullasari Muruganandam; Varun Narain; R.K. Saran; Praveen Jain; Sudeep Kumar; P.K. Goel; M.K. Das; Soumitra Kumar; Sarat Chandra; Amal Banerjee; Santanu Guha
Source
International Journal of Cardiology. Hypertension, Vol 7, Iss , Pp 100055- (2020)
Subject
Language
English
ISSN
2590-0862
Abstract
Background: The impact of the 2017 American College of Cardiology (ACC)/American Heart Association (AHA) guidelines for diagnosis and management of hypertension on the prevalence of hypertension in India is unknown. Methods: We analyzed data from the Cardiac Prevent 2015 survey to estimate the change in the prevalence of hypertension. The JNC8 guidelines defined hypertension as a systolic blood pressure of ≥140 mmHg or diastolic blood pressure of ≥90 mmHg. The 2017 ACC/AHA guidelines define hypertension as a systolic blood pressure of ≥130 mmHg or diastolic blood pressure of ≥80 mmHg. We standardized the prevalence as per the 2011 census population of India. We also calculated the prevalence as per the World Health Organization (WHO) World Standard Population (2000–2025). Results: Among 180,335 participants (33.2% women), the mean age was 40.6 ± 14.9 years (41.1 ± 15.0 and 39.7 ± 14.7 years in men and women, respectively). Among them, 8,898 (4.9%), 99,791 (55.3%), 35,694 (11.9%), 23,084 (12.8%), 9,989 (5.5%) and 2,878 (1.6%) participants belonged to age group 18–19, 20–44, 45–54, 55–64, 65–74 and ≥ 75 years respectively. The prevalence of hypertension according to the JNC8 and 2017 ACC/AHA guidelines was 29.7% and 63.8%, respectively- an increase of 115%. With the 2011 census population of India, this suggests that currently, 486 million Indian adults have hypertension according to the 2017 ACC/AHA guidelines, an addition of 260 million as compared to the JNC8 guidelines. Conclusion: According to the 2017 ACC/AHA guidelines, 3 in every 5 Indian adults have hypertension.