Impact of the 2017 ACC/AHA guidelines on the prevalence of hypertension among Indian adults: Results from a cross-sectional survey

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 chang...

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Main Authors: 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
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:International Journal of Cardiology. Hypertension
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S259008622030032X
_version_ 1818863923055558656
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
J. Shivkumar Rao
B.P. Singh
B.B. Bharti
A.K. Sinha
Kartik Gupta
Sivasubramanian Ramakrishnan
Sudha Bhushan
Sunil K. Verma
Balram Bhargava
Ambuj Roy
Sandeep Bansal
Sanjay Sood
H.S. Isser
Neeraj Pandit
Ranjit K. Nath
Sanjay Tyagi
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
Ashok Seth
Geevar Zachariah
P.P. Mohanan
K. Venugopal
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
Subroto Mandal
A.K. Pancholia
Neil Bardolei
A.K. Gupta
Neil Bardolei
Rupam Das
Dinesh Aggarwal
Amit Malviya
S.N. Routray
S.S. Mishra
Syed Manzor Ali
Parag Barward
Navreet Singh
Yashbir S. Tomar
Davinder Chaddha
Sameer Dani
Chirayu Vyas
Kinjal Bhatt
Shrenik Doshi
G.S. Wander
Satish Gupta
Chandra Bhan Meena
Santosh Sateesh
Nagendra Boopathy Senguttuvan
Geetha Subramanyam
Subramanyam
Ajit Mullasari Muruganandam
Rishi Sethi
Varun Narain
R.K. Saran
Dharmendra Jain
Praveen Jain
Sudeep Kumar
P.K. Goel
Debabatra Roy
Sibananda Datta
Kajal Ganguly
M.K. Das
Soumitra Kumar
Sarat Chandra
Amal Banerjee
Santanu Guha
P.K. Deb
author_facet 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
J. Shivkumar Rao
B.P. Singh
B.B. Bharti
A.K. Sinha
Kartik Gupta
Sivasubramanian Ramakrishnan
Sudha Bhushan
Sunil K. Verma
Balram Bhargava
Ambuj Roy
Sandeep Bansal
Sanjay Sood
H.S. Isser
Neeraj Pandit
Ranjit K. Nath
Sanjay Tyagi
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
Ashok Seth
Geevar Zachariah
P.P. Mohanan
K. Venugopal
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
Subroto Mandal
A.K. Pancholia
Neil Bardolei
A.K. Gupta
Neil Bardolei
Rupam Das
Dinesh Aggarwal
Amit Malviya
S.N. Routray
S.S. Mishra
Syed Manzor Ali
Parag Barward
Navreet Singh
Yashbir S. Tomar
Davinder Chaddha
Sameer Dani
Chirayu Vyas
Kinjal Bhatt
Shrenik Doshi
G.S. Wander
Satish Gupta
Chandra Bhan Meena
Santosh Sateesh
Nagendra Boopathy Senguttuvan
Geetha Subramanyam
Subramanyam
Ajit Mullasari Muruganandam
Rishi Sethi
Varun Narain
R.K. Saran
Dharmendra Jain
Praveen Jain
Sudeep Kumar
P.K. Goel
Debabatra Roy
Sibananda Datta
Kajal Ganguly
M.K. Das
Soumitra Kumar
Sarat Chandra
Amal Banerjee
Santanu Guha
P.K. Deb
author_sort Kartik Gupta
collection DOAJ
description 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.
first_indexed 2024-12-19T10:23:28Z
format Article
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institution Directory Open Access Journal
issn 2590-0862
language English
last_indexed 2024-12-19T10:23:28Z
publishDate 2020-12-01
publisher Elsevier
record_format Article
series International Journal of Cardiology. Hypertension
spelling doaj.art-44b048c26a8d421391f99144702d45e62022-12-21T20:25:58ZengElsevierInternational Journal of Cardiology. Hypertension2590-08622020-12-017100055Impact of the 2017 ACC/AHA guidelines on the prevalence of hypertension among Indian adults: Results from a cross-sectional surveyKartik Gupta0Sivasubramanian Ramakrishnan1Geevar Zachariah2J. Shivkumar Rao3P.P. Mohanan4K. Venugopal5Santosh Sateesh6Rishi Sethi7Dharmendra Jain8Neil Bardolei9Kalaivani Mani10Tanya Singh Kakar11Vardhmaan Jain12Prakash Gupta13Rajeev Gupta14Sandeep Bansal15Ranjit K. Nath16Sanjay Tyagi17G.S. Wander18Satish Gupta19Subroto Mandal20Nagendra Boopathy Senguttuvan21Geetha Subramanyam22Debabatra Roy23Sibananda Datta24Kajal Ganguly25S.N. Routray26S.S. Mishra27B.P. Singh28B.B. Bharti29Mrinal Kanti Das30P.K. Deb31Prakash Deedwania32Ashok Seth33J. Shivkumar Rao34B.P. Singh35B.B. Bharti36A.K. Sinha37Kartik Gupta38Sivasubramanian Ramakrishnan39Sudha Bhushan40Sunil K. Verma41Balram Bhargava42Ambuj Roy43Sandeep Bansal44Sanjay Sood45H.S. Isser46Neeraj Pandit47Ranjit K. Nath48Sanjay Tyagi49Vijay Trehan50Mohit D. Gupta51M.P. Girish52Ramandeep Ahuja53S.C. Manchanda54Arun Mohanty55Peeyush Jain56Sameer Shrivastava57I.P.S. Kalra58B.S. Sarang59H.S. Ratti60G. Bala Sahib61Rakesh Gupta62S K Agarwal Amit63K.C. Goswami64V.K. Bahl65H.K. Chopra66Ashok Seth67Geevar Zachariah68P.P. Mohanan69K. Venugopal70George Koshy71Tiny Nair72N. Shyam73Anil Roby74Raju George75Sudhaya Kumar76Abdul Kader77Mathew Abraham78Sunitha Viswanathan79A. Jabir80Jaideep Menon81Govindan Unni82Cibu Mathew83P.B. Jayagopal84 Sajeev85P.K. Ashokan86 Asharaf87Subroto Mandal88A.K. Pancholia89Neil Bardolei90A.K. Gupta91Neil Bardolei92Rupam Das93Dinesh Aggarwal94Amit Malviya95S.N. Routray96S.S. Mishra97Syed Manzor Ali98Parag Barward99Navreet Singh100Yashbir S. Tomar101Davinder Chaddha102Sameer Dani103Chirayu Vyas104Kinjal Bhatt105Shrenik Doshi106G.S. Wander107Satish Gupta108Chandra Bhan Meena109Santosh Sateesh110Nagendra Boopathy Senguttuvan111Geetha Subramanyam112 Subramanyam113Ajit Mullasari Muruganandam114Rishi Sethi115Varun Narain116R.K. Saran117Dharmendra Jain118Praveen Jain119Sudeep Kumar120P.K. Goel121Debabatra Roy122Sibananda Datta123Kajal Ganguly124M.K. Das125Soumitra Kumar126Sarat Chandra127Amal Banerjee128Santanu Guha129P.K. Deb130Department of Medicine, All India Institute of Medical Sciences, New Delhi, India; Department of Medicine, Henry Ford Hospital, Detroit, MI, USADepartment of Cardiology, All India Institute of Medical Sciences, New Delhi, India; Cardiology Society of India, India; Corresponding author. Department of Cardiology, Cardio-Neuro Tower, All India Institute of Medical Sciences, New Delhi, India.Cardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaDepartment of Biostatistics, All India Institute of Medical Sciences, New Delhi, IndiaWilliam Beaumont Hospital, Royal Oak, MI, USADepartment of Internal Medicine, Cleveland Clinic, Cleveland, OH, USADepartment of Medicine, All India Institute of Medical Sciences, New Delhi, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaCardiology Society of India, IndiaSchool of Medicine, University of California, San Francisco Fresno, CA, USACardiology Society of India, IndiaCardiology Society of India, Andhra Pradesh, IndiaCardiology Society of India, Bihar, IndiaCardiology Society of India, Bihar, IndiaCardiology Society of India, Bihar, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Delhi, IndiaCardiology Society of India, Kerala, IndiaCardiology Society of India, Kerala, IndiaCardiology Society of India, Kerala, IndiaCardiology Society of India, Kerala, IndiaCardiology Society of India, Kerala, IndiaCardiology Society of India, Kerala, IndiaCardiology Society of India, Kerala, IndiaCardiology Society of India, Kerala, IndiaCardiology Society of India, Kerala, IndiaCardiology Society of India, Kerala, IndiaCardiology Society of India, Kerala, IndiaCardiology Society of India, Kerala, IndiaCardiology Society of India, Kerala, IndiaCardiology Society of India, Kerala, IndiaCardiology Society of India, Kerala, IndiaCardiology Society of India, Kerala, IndiaCardiology Society of India, Kerala, IndiaCardiology Society of India, Kerala, IndiaCardiology Society of India, Kerala, IndiaCardiology Society of India, Kerala, IndiaCardiology Society of India, Madhya Pradesh, IndiaCardiology Society of India, Madhya Pradesh, IndiaCardiology Society of India, North-east India, IndiaCardiology Society of India, North-east India, IndiaCardiology Society of India, North-east India, IndiaCardiology Society of India, North-east India, IndiaCardiology Society of India, North-east India, IndiaCardiology Society of India, North-east India, IndiaCardiology Society of India, Orissa, IndiaCardiology Society of India, Orissa, IndiaCardiology Society of India, Andhra Pradesh, India; Cardiology Society of India, Bihar, India; Cardiology Society of India, Delhi, India; Cardiology Society of India, Kerala, India; Cardiology Society of India, Madhya Pradesh, India; Cardiology Society of India, North-east India, India; Cardiology Society of India, Orissa, India; Cardiology Society of India, Punjab, India; Cardiology Society of India, Rajasthan, India; Cardiology Society of India, Tamil Nadu, India; Cardiology Society of India, Uttar Pradesh, India; Cardiology Society of India, West Bengal, IndiaCardiology Society of India, Andhra Pradesh, India; Cardiology Society of India, Bihar, India; Cardiology Society of India, Delhi, India; Cardiology Society of India, Kerala, India; Cardiology Society of India, Madhya Pradesh, India; Cardiology Society of India, North-east India, India; Cardiology Society of India, Orissa, India; Cardiology Society of India, Punjab, India; Cardiology Society of India, Rajasthan, India; Cardiology Society of India, Tamil Nadu, India; Cardiology Society of India, Uttar Pradesh, India; Cardiology Society of India, West Bengal, IndiaCardiology Society of India, Andhra Pradesh, India; Cardiology Society of India, Bihar, India; Cardiology Society of India, Delhi, India; Cardiology Society of India, Kerala, India; Cardiology Society of India, Madhya Pradesh, India; Cardiology Society of India, North-east India, India; Cardiology Society of India, Orissa, India; Cardiology Society of India, Punjab, India; Cardiology Society of India, Rajasthan, India; Cardiology Society of India, Tamil Nadu, India; Cardiology Society of India, Uttar Pradesh, India; Cardiology Society of India, West Bengal, IndiaCardiology Society of India, Andhra Pradesh, India; Cardiology Society of India, Bihar, India; Cardiology Society of India, Delhi, India; Cardiology Society of India, Kerala, India; Cardiology Society of India, Madhya Pradesh, India; Cardiology Society of India, North-east India, India; Cardiology Society of India, Orissa, India; Cardiology Society of India, Punjab, India; Cardiology Society of India, Rajasthan, India; Cardiology Society of India, Tamil Nadu, India; Cardiology Society of India, Uttar Pradesh, India; Cardiology Society of India, West Bengal, IndiaCardiology Society of India, Andhra Pradesh, India; Cardiology Society of India, Bihar, India; Cardiology Society of India, Delhi, India; Cardiology Society of India, Kerala, India; Cardiology Society of India, Madhya Pradesh, India; Cardiology Society of India, North-east India, India; Cardiology Society of India, Orissa, India; Cardiology Society of India, Punjab, India; Cardiology Society of India, Rajasthan, India; Cardiology Society of India, Tamil Nadu, India; Cardiology Society of India, Uttar Pradesh, India; Cardiology Society of India, West Bengal, IndiaCardiology Society of India, Andhra Pradesh, India; Cardiology Society of India, Bihar, India; Cardiology Society of India, Delhi, India; Cardiology Society of India, Kerala, India; Cardiology Society of India, Madhya Pradesh, India; Cardiology Society of India, North-east India, India; Cardiology Society of India, Orissa, India; Cardiology Society of India, Punjab, India; Cardiology Society of India, Rajasthan, India; Cardiology Society of India, Tamil Nadu, India; Cardiology Society of India, Uttar Pradesh, India; Cardiology Society of India, West Bengal, IndiaCardiology Society of India, Andhra Pradesh, India; Cardiology Society of India, Bihar, India; Cardiology Society of India, Delhi, India; Cardiology Society of India, Kerala, India; Cardiology Society of India, Madhya Pradesh, India; Cardiology Society of India, North-east India, India; Cardiology Society of India, Orissa, India; Cardiology Society of India, Punjab, India; Cardiology Society of India, Rajasthan, India; Cardiology Society of India, Tamil Nadu, India; Cardiology Society of India, Uttar Pradesh, India; Cardiology Society of India, West Bengal, IndiaCardiology Society of India, Andhra Pradesh, India; Cardiology Society of India, Bihar, India; Cardiology Society of India, Delhi, India; Cardiology Society of India, Kerala, India; Cardiology Society of India, Madhya Pradesh, India; Cardiology Society of India, North-east India, India; Cardiology Society of India, Orissa, India; Cardiology Society of India, Punjab, India; Cardiology Society of India, Rajasthan, India; Cardiology Society of India, Tamil Nadu, India; Cardiology Society of India, Uttar Pradesh, India; Cardiology Society of India, West Bengal, IndiaCardiology Society of India, Andhra Pradesh, India; Cardiology Society of India, Bihar, India; Cardiology Society of India, Delhi, India; Cardiology Society of India, Kerala, India; Cardiology Society of India, Madhya Pradesh, India; Cardiology Society of India, North-east India, India; Cardiology Society of India, Orissa, India; Cardiology Society of India, Punjab, India; Cardiology Society of India, Rajasthan, India; Cardiology Society of India, Tamil Nadu, India; Cardiology Society of India, Uttar Pradesh, India; Cardiology Society of India, West Bengal, IndiaCardiology Society of India, Punjab, IndiaCardiology Society of India, Rajasthan, IndiaCardiology Society of India, Rajasthan, IndiaCardiology Society of India, Tamil Nadu, IndiaCardiology Society of India, Tamil Nadu, IndiaCardiology Society of India, Tamil Nadu, IndiaCardiology Society of India, Tamil Nadu, IndiaCardiology Society of India, Tamil Nadu, IndiaCardiology Society of India, Uttar Pradesh, IndiaCardiology Society of India, Uttar Pradesh, IndiaCardiology Society of India, Uttar Pradesh, IndiaCardiology Society of India, Uttar Pradesh, IndiaCardiology Society of India, Uttar Pradesh, IndiaCardiology Society of India, Uttar Pradesh, IndiaCardiology Society of India, Uttar Pradesh, IndiaCardiology Society of India, West Bengal, IndiaCardiology Society of India, West Bengal, IndiaCardiology Society of India, West Bengal, IndiaCardiology Society of India, West Bengal, IndiaCardiology Society of India, West Bengal, IndiaCardiology Society of India, West Bengal, IndiaCardiology Society of India, West Bengal, IndiaCardiology Society of India, West Bengal, IndiaCardiology Society of India, West Bengal, IndiaBackground: 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.http://www.sciencedirect.com/science/article/pii/S259008622030032X2017 ACC/AHA blood Pressure guidelinePrevalenceHypertensionIndiaHealth policy
spellingShingle 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
J. Shivkumar Rao
B.P. Singh
B.B. Bharti
A.K. Sinha
Kartik Gupta
Sivasubramanian Ramakrishnan
Sudha Bhushan
Sunil K. Verma
Balram Bhargava
Ambuj Roy
Sandeep Bansal
Sanjay Sood
H.S. Isser
Neeraj Pandit
Ranjit K. Nath
Sanjay Tyagi
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
Ashok Seth
Geevar Zachariah
P.P. Mohanan
K. Venugopal
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
Subroto Mandal
A.K. Pancholia
Neil Bardolei
A.K. Gupta
Neil Bardolei
Rupam Das
Dinesh Aggarwal
Amit Malviya
S.N. Routray
S.S. Mishra
Syed Manzor Ali
Parag Barward
Navreet Singh
Yashbir S. Tomar
Davinder Chaddha
Sameer Dani
Chirayu Vyas
Kinjal Bhatt
Shrenik Doshi
G.S. Wander
Satish Gupta
Chandra Bhan Meena
Santosh Sateesh
Nagendra Boopathy Senguttuvan
Geetha Subramanyam
Subramanyam
Ajit Mullasari Muruganandam
Rishi Sethi
Varun Narain
R.K. Saran
Dharmendra Jain
Praveen Jain
Sudeep Kumar
P.K. Goel
Debabatra Roy
Sibananda Datta
Kajal Ganguly
M.K. Das
Soumitra Kumar
Sarat Chandra
Amal Banerjee
Santanu Guha
P.K. Deb
Impact of the 2017 ACC/AHA guidelines on the prevalence of hypertension among Indian adults: Results from a cross-sectional survey
International Journal of Cardiology. Hypertension
2017 ACC/AHA blood Pressure guideline
Prevalence
Hypertension
India
Health policy
title Impact of the 2017 ACC/AHA guidelines on the prevalence of hypertension among Indian adults: Results from a cross-sectional survey
title_full Impact of the 2017 ACC/AHA guidelines on the prevalence of hypertension among Indian adults: Results from a cross-sectional survey
title_fullStr Impact of the 2017 ACC/AHA guidelines on the prevalence of hypertension among Indian adults: Results from a cross-sectional survey
title_full_unstemmed Impact of the 2017 ACC/AHA guidelines on the prevalence of hypertension among Indian adults: Results from a cross-sectional survey
title_short Impact of the 2017 ACC/AHA guidelines on the prevalence of hypertension among Indian adults: Results from a cross-sectional survey
title_sort impact of the 2017 acc aha guidelines on the prevalence of hypertension among indian adults results from a cross sectional survey
topic 2017 ACC/AHA blood Pressure guideline
Prevalence
Hypertension
India
Health policy
url http://www.sciencedirect.com/science/article/pii/S259008622030032X
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