Uncontrolled hypertension in a rural population of Jammu and Kashmir
Aim: Evaluation of the status of uncontrolled hypertension in diagnosed hypertensives who had been advised drug treatment in the rural areas of 6 districts in Jammu & Kashmir (J&K) and also the risk factors associated with it. Methods: The study was a cross-sectional observational study...
| প্রধান লেখক: | , , , , , |
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| বিন্যাস: | প্রবন্ধ |
| ভাষা: | English |
| প্রকাশিত: |
Elsevier
2022-11-01
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| মালা: | Indian Heart Journal |
| বিষয়গুলি: | |
| অনলাইন ব্যবহার করুন: | http://www.sciencedirect.com/science/article/pii/S0019483222003789 |
| _version_ | 1828090151625031680 |
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| author | Priyadarshini Arambam Rishabh Khashoo Dhruv Tewari Zubair Saleem Sudhir Shekhawat Upendra Kaul |
| author_facet | Priyadarshini Arambam Rishabh Khashoo Dhruv Tewari Zubair Saleem Sudhir Shekhawat Upendra Kaul |
| author_sort | Priyadarshini Arambam |
| collection | DOAJ |
| description | Aim: Evaluation of the status of uncontrolled hypertension in diagnosed hypertensives who had been advised drug treatment in the rural areas of 6 districts in Jammu & Kashmir (J&K) and also the risk factors associated with it. Methods: The study was a cross-sectional observational study conducted between August 2020 to July 2021 in the form of health camps in six government health centres in 6 different rural districts. The camps were focussed on patients with hypertension, diabetes with or without heart disease. The areas included Machil in Kupwara, Khan Sahib in Budgam, Rajpora and Hawal in Pulwama, Rainawari in the Srinagar, Banihal in Ramban, and Jagti in Jammu.Enrolled patients were examined for body weight, blood pressure (BP), random blood sugar and serum lipid profile. The definition of hypertension was as per the eighth Joint National Committee (JNC-8) guidelines. Results: A total of 600 patients (50.1% males) were evaluated. Of these 335 (55%) had history of being diagnosed hypertension and had been recommended drugs for BP control Male: Female ratio 1:0.8.211(63.5%) of these had un controlled blood pressures on measurement.Two or more drugs had been prescribed in 65 (30.8%) patients, 34 (16%) were taking only single drug and 112(53%) were not on any drug. Uncontrolled hypertension was seen more often in age group of 40–60 years (49%), subjects more than 60 years had it in 40%.The comparison of risk factors between patients with diagnosed hypertension with those without it revealed use of tobacco, consumption of salted tea, presence of diabetes, dyslipidaemia as significant factors for the presence of uncontrolled hypertension. Conclusion: Uncontrolled hypertension in known patients prescribed drugs is highly prevalent in the rural population of J&K. Steps to mitigate this problem are needed on top priority. |
| first_indexed | 2024-04-11T05:52:36Z |
| format | Article |
| id | doaj.art-df4ff4b8a8b34612b51d3d58c8cd4820 |
| institution | Directory Open Access Journal |
| issn | 0019-4832 |
| language | English |
| last_indexed | 2024-04-11T05:52:36Z |
| publishDate | 2022-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Heart Journal |
| spelling | doaj.art-df4ff4b8a8b34612b51d3d58c8cd48202022-12-22T04:42:01ZengElsevierIndian Heart Journal0019-48322022-11-01746484487Uncontrolled hypertension in a rural population of Jammu and KashmirPriyadarshini Arambam0Rishabh Khashoo1Dhruv Tewari2Zubair Saleem3Sudhir Shekhawat4Upendra Kaul5General Manager Academics & Research, Batra Hospital and Medical Research Centre, New Delhi, IndiaMBBS Intern, UCMS and GTB Hospital, Dilshad Garden, New Delhi, IndiaMBBS Intern, UCMS and GTB Hospital, Dilshad Garden, New Delhi, IndiaGeriatric Medicine, JLNM Hospital, Srinagar, J&K, IndiaIndependent Consultant, Biostatistics, IndiaGauri Kaul Foundation, New Delhi, India; Corresponding author. Cardiology and Dean Academics and Research, Batra Hospital and Medical Research Center, 1. M B Road, Tughlakabad Institutional Area, New Delhi, 110062, India.Aim: Evaluation of the status of uncontrolled hypertension in diagnosed hypertensives who had been advised drug treatment in the rural areas of 6 districts in Jammu & Kashmir (J&K) and also the risk factors associated with it. Methods: The study was a cross-sectional observational study conducted between August 2020 to July 2021 in the form of health camps in six government health centres in 6 different rural districts. The camps were focussed on patients with hypertension, diabetes with or without heart disease. The areas included Machil in Kupwara, Khan Sahib in Budgam, Rajpora and Hawal in Pulwama, Rainawari in the Srinagar, Banihal in Ramban, and Jagti in Jammu.Enrolled patients were examined for body weight, blood pressure (BP), random blood sugar and serum lipid profile. The definition of hypertension was as per the eighth Joint National Committee (JNC-8) guidelines. Results: A total of 600 patients (50.1% males) were evaluated. Of these 335 (55%) had history of being diagnosed hypertension and had been recommended drugs for BP control Male: Female ratio 1:0.8.211(63.5%) of these had un controlled blood pressures on measurement.Two or more drugs had been prescribed in 65 (30.8%) patients, 34 (16%) were taking only single drug and 112(53%) were not on any drug. Uncontrolled hypertension was seen more often in age group of 40–60 years (49%), subjects more than 60 years had it in 40%.The comparison of risk factors between patients with diagnosed hypertension with those without it revealed use of tobacco, consumption of salted tea, presence of diabetes, dyslipidaemia as significant factors for the presence of uncontrolled hypertension. Conclusion: Uncontrolled hypertension in known patients prescribed drugs is highly prevalent in the rural population of J&K. Steps to mitigate this problem are needed on top priority.http://www.sciencedirect.com/science/article/pii/S0019483222003789Antihypertensive therapyUncontrolled hypertensionRisk factorsRural population |
| spellingShingle | Priyadarshini Arambam Rishabh Khashoo Dhruv Tewari Zubair Saleem Sudhir Shekhawat Upendra Kaul Uncontrolled hypertension in a rural population of Jammu and Kashmir Indian Heart Journal Antihypertensive therapy Uncontrolled hypertension Risk factors Rural population |
| title | Uncontrolled hypertension in a rural population of Jammu and Kashmir |
| title_full | Uncontrolled hypertension in a rural population of Jammu and Kashmir |
| title_fullStr | Uncontrolled hypertension in a rural population of Jammu and Kashmir |
| title_full_unstemmed | Uncontrolled hypertension in a rural population of Jammu and Kashmir |
| title_short | Uncontrolled hypertension in a rural population of Jammu and Kashmir |
| title_sort | uncontrolled hypertension in a rural population of jammu and kashmir |
| topic | Antihypertensive therapy Uncontrolled hypertension Risk factors Rural population |
| url | http://www.sciencedirect.com/science/article/pii/S0019483222003789 |
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