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Resistant Hypertension in Clinical Practice in India: Jaipur Heart Watch

Rajeev Gupta1, Krishna K Sharma2, Shubham Soni3

  • 1Chairman, Preventive Cardiology and Internal Medicine, Eternal Heart Care Centre and Research Institute, Jaipur, Rajasthan , Corresponding Author.

The Journal of the Association of Physicians of India
|December 6, 2019
PubMed

Insights

Resistant hypertension is common in Indian secondary care, affecting nearly 20% of patients. This condition is significantly more prevalent in older individuals and women.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Hypertension prevalence is high in India.
  • The frequency of resistant hypertension in India remains understudied.
  • Understanding resistant hypertension is crucial for public health initiatives.

Purpose of the Study:

  • To determine the prevalence of resistant hypertension in a secondary-care setting in India.
  • To identify demographic factors associated with resistant hypertension.

Main Methods:

  • A registry-based study was conducted at a single center.
  • Included 3073 patients with a primary diagnosis of hypertension.
  • Resistant hypertension defined as uncontrolled blood pressure (BP ≥140/90) on 3 or 4+ antihypertensive medications, including a diuretic.

Main Results:

  • The prevalence of resistant hypertension was 19.4% using the standard definition.
  • Resistant hypertension was more common in women (23.5%) compared to men (15.7%).
  • Older patients (>60 years) and women showed a higher likelihood of resistant hypertension.

Conclusions:

  • Resistant hypertension is highly prevalent in Indian secondary-care practices.
  • Older age and female sex are significant risk factors for resistant hypertension.
  • Further research is needed to explore management strategies for this population.
Abstract

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