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Multidisciplinary Consensus Document on the Management of Uncontrolled Hypertension in India
R Padmanabhan1, Rana Gopal Singh2, Govindan Unni3
1Department of Nephrology, SRM Medical College and Hospital, Chennai, Tamil Nadu, India. rustaqdr@yahoo.co.in.
Summary
Uncontrolled hypertension (UHT) is a major health issue in India, with few patients reaching blood pressure goals. New guidelines are needed to manage UHT and prevent severe complications like resistant hypertension and kidney disease.
Area of Science:
- Cardiology
- Nephrology
- Internal Medicine
- Public Health
Background:
- Cardiovascular disease is a leading cause of death and disability in India.
- Hypertension (HT) is a significant contributing factor to cardiovascular disease and a major public health concern.
- Uncontrolled hypertension (UHT), defined by inadequate blood pressure (BP) control, affects a large proportion of the Indian population, with only 9-20% achieving target BP goals.
Purpose of the Study:
- To address the lack of specific guidelines for UHT in India.
- To provide a multidisciplinary panel's recommendations for the diagnosis and management of UHT tailored to the Indian population.
- To highlight the risks associated with uncontrolled hypertension, including resistant HT and chronic kidney disease.
Main Methods:
- Convening a multidisciplinary panel of specialists in cardiology, nephrology, and internal medicine.
- Identifying key issues related to UHT in the Indian context.
- Discussing and formulating management recommendations for UHT within the Indian clinical setting.
Main Results:
- The panel identified critical aspects of UHT diagnosis and management relevant to India.
- Key points concerning the prevalence and impact of UHT were discussed.
- Management recommendations were developed for the Indian clinical setting.
Conclusions:
- There is a pressing need for specific guidelines to manage UHT in India.
- Effective management of UHT is crucial to prevent severe complications such as resistant HT and chronic kidney disease.
- The multidisciplinary panel's recommendations aim to improve BP control and patient outcomes in India.
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