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

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 GuptaSubroto 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, 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

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4 Scopus citations

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.

Original languageEnglish
Article number100055
JournalInternational Journal of Cardiology: Hypertension
Volume7
DOIs
StatePublished - Dec 2020
Externally publishedYes

Keywords

  • 2017 ACC/AHA blood Pressure guideline
  • Health policy
  • Hypertension
  • India
  • Prevalence

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