Recent Guidelines for Hypertension

Chopra, HK; Ram, C. Venkata S.

doi:10.1161/circresaha.119.314789

Cited by 46 publications

(27 citation statements)

References 13 publications

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“…This criterion is consistent with the Joint National Committee (JNC) 7 [ 27 ]. The blood pressure classification criteria in our study are different from the new blood pressure classification criteria reported by the American College of Cardiology (ACC)/American Heart Association (AHA) [ 28 ]. Recently, Ihm et al reported that applying the new blood pressure standard to Asians may not be appropriate [ 27 ].…”

Section: Methodsmentioning

confidence: 80%

Correlation of Pre-Hypertension with Carotid Artery Damage in Middle-Aged and Older Adults

jinkee¹,

Jang

et al. 2020

IJERPH

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The intima–media thickness (IMT), luminal diameters (LDs), flow velocities (FVs), compliance, and β-stiffness of the carotid artery (CA) are considered as independent risk factors for cardiovascular diseases (CVDs). Pre-hypertension (PHT) is also an independent CVD risk factor. This study investigated the association between CA damage (CAD) and PHT. A total of 544 adults participated; their blood pressures (BPs) and CA characteristics were measured using a mercury-free sphygmomanometer and ultrasound. Analysis of covariance (ANCOVA) was performed to assess the differences in the CA characteristics according to the BPs, multinomial logistic regression to evaluate the risk of CAD associated with PHT. In ANCOVA, the CA characteristics of PHT were significantly different from normotensive. The odds ratios (ORs) of IMTmax, LDmax, LDmin, peak-systolic FV (PFV), end-diastolic FV (EFV), PFV/LDmin, EFV/LDmax, compliance, and β-stiffness of PHT were 4.20, 2.70, 3.52, 2.41, 3.06, 3.55, 3.29, 2.02, and 1.84 times higher than those of the normotensive, respectively, in Model 2. In Model 3 adjusted for age, the ORs of LDmax, LDmin, EFV, PFV/LDmin, and EFV/LDmax of PHT were 2.10, 2.55, 1.96, 2.20, and 2.04 times higher than those of the normotensive, respectively. Therefore, the present study revealed that CAD is closely correlated with pre-hypertensive status in adults.

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Section: Methodsmentioning

confidence: 80%

Correlation of Pre-Hypertension with Carotid Artery Damage in Middle-Aged and Older Adults

jinkee¹,

Jang

et al. 2020

IJERPH

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“…Demonstrating this threshold and effect of SBP, in a parametric manner, on a continuous score of executive function was made possible by two unique factors of this study: the large sample size of the UK Biobank and the use of a latent variable based on neuropsychological testing, which is likely more sensitive than traditionally used total cognitive test scores. Intriguingly, this BP threshold actually reflects current American and European guidelines, which are based primarily on endpoints of cardiovascular events and associated morbidity 39,40 . The findings of the current study have the potential to provide meaningful evidence on BP targets for cognitive health in normal ageing.…”

Section: Discussionmentioning

confidence: 96%

Cerebrovascular risk factors impact frontoparietal network integrity and executive function in healthy ageing

et al. 2020

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Healthy cognitive ageing is a societal and public health priority. Cerebrovascular risk factors increase the likelihood of dementia in older people but their impact on cognitive ageing in younger, healthy brains is less clear. The UK Biobank provides cognition and brain imaging measures in the largest population cohort studied to date. Here we show that cognitive abilities of healthy individuals (N = 22,059) in this sample are detrimentally affected by cerebrovascular risk factors. Structural equation modelling revealed that cerebrovascular risk is associated with reduced cerebral grey matter and white matter integrity within a fronto-parietal brain network underlying executive function. Notably, higher systolic blood pressure was associated with worse executive cognitive function in mid-life (44–69 years), but not in late-life (>70 years). During mid-life this association did not occur in the systolic range of 110–140 mmHg. These findings suggest cerebrovascular risk factors impact on brain structure and cognitive function in healthy people.

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“…The number of individuals with hypertension and associated deaths from cardiovascular disease (CVD) is substantially increasing 1‐3 . In India, elevated blood pressure (BP) is considered the most important risk factor for chronic disease burden 4‐6 contributing to premature morbidity and mortality. In 2017 CVD accounted for 26.57 % of total deaths with ischemic heart disease accounting for 15.54% and stroke for 7.33% of total deaths in India 7 .…”

Section: Introductionmentioning

confidence: 99%

A perspective of private health care providers in the state of Madhya Pradesh on adopting key strategies of the India hypertension control initiative

Krishna¹,

Pathni²,

Sharma³

et al. 2020

J of Clinical Hypertension

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The India Hypertension Control Initiative (IHCI) has been implemented in public health facilities. This study assessed the perspective of private physicians (PPs) on adopting the core strategies of the IHCI in Bhopal district of Madhya Pradesh. A semi‐structured interview was purposely applied to 30 PPs to obtain their opinions on standardized hypertension treatment protocols, patient‐centered services, and easy‐to‐use information system in their private practices. Verbatim data were recorded and analyzed thematically. Only 11 PPs followed the state hypertension treatment protocol. Among the remaining 19 PPs, the major reasons for not adopting protocol were (1) limited availability of single component hypertension drugs, (2) preferences for fixed dose combinations (FDCs), and (3) fear of either losing patients due to a lack of immediate blood pressure control or causing drug‐related adverse effects. None of the interviewed doctors had resources to provide patient‐centered care and use a digital health information system. Overall, the interviewed doctors identified that free supply of hypertension treatment protocol drugs, inclusion of FDCs in treatment protocol, increasing number of staff for follow‐up visits, and patient education, IT‐based solutions for patient records, employee incentives, and need for national data sharing policies are the key actions to accelerate the adoption of IHCI strategies in the private sector. This exploratory qualitative study suggests that engagement of private sector in the IHCI is feasible. Plans to expand the IHCI to the private sector should consider ensuring the wider availability of hypertension treatment protocol drugs and developing a simple user‐friendly digital platform for patient monitoring.

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Recent Guidelines for Hypertension

Cited by 46 publications

References 13 publications

Correlation of Pre-Hypertension with Carotid Artery Damage in Middle-Aged and Older Adults

Correlation of Pre-Hypertension with Carotid Artery Damage in Middle-Aged and Older Adults

Cerebrovascular risk factors impact frontoparietal network integrity and executive function in healthy ageing

A perspective of private health care providers in the state of Madhya Pradesh on adopting key strategies of the India hypertension control initiative

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