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Position statement on hypertension by Indian Society of Hypertension, 2023

Journal of Human Hypertension volume 38, pages 736–744 (2024)Cite this article

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Abstract

The Indian Society of Hypertension (InSH) highlights the urgency for India-specific guidelines on hypertension management. Hypertension affects over one billion people worldwide, with India bearing a significant burden due to its population, diversity, and demographics. In India, hypertension affects 21% of women and 24% of men, while pre-hypertension affects 39% of women and 49% of men. The prevalence of hypertension increases in the population with obesity. Even 7% of school-going children in India have hypertension, especially in urban and overweight children. However, awareness and control of hypertension in India are inadequate. Only 57% of women and 38% of men have been diagnosed with hypertension; among them, only a fraction receive appropriate medication. The overall control of hypertension stands at 15%, with regional variations. Hypertension significantly contributes to cardiovascular and renal diseases, and better detection and treatment could reduce their impact in India. At the total population level, reducing systolic blood pressure (SBP) by 2 mm Hg may significantly affect cardiovascular disease. Considering the unique challenges faced in India, the InSH stresses the importance of a tailored approach to hypertension management. They plan to disseminate guidelines through practitioner training and patient awareness campaigns. These guidelines will cover screening, diagnosis, management, handling hypertension with other conditions, long-term follow-up, and patient education. In conclusion, this position paper calls for immediate action to improve hypertension management in India and alleviate the associated disease burden and mortality.

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Authors and Affiliations

  1. Hind Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

    Anuj Maheshwari, Manoj K. Srivastava & Ajoy Tewari

  2. Eternal Heart Care Centre and Research Institute, Jaipur, Rajasthan, India

    Rajeev Gupta

  3. King George Medical University, Lucknow, Uttar Pradesh, India

    Narsingh Verma

  4. SNN Specialities Clinic, Chennai, Tamil Nadu, India

    S. N. Narasingan

  5. Halberg Hospital and Research Institute, Moradabad, Uttar Pradesh, India

    Ram B. Singh

  6. Dia Care, Diabetes Care, and Hormone Clinic, Ahmedabad, Gujarat, India

    Banshi Saboo

  7. Apollo Hospitals, Hyderabad, Telangana, India

    C. H. Vasanth Kumar

  8. Diabetes RHL Hospital, Jaipur, Rajasthan, India

    Arvind Gupta

  9. Centre For Diabetes Care, Noida, Uttar Pradesh, India

    Amit Gupta

  10. Government Institute of Medical Sciences, Greater Noida, Uttar Pradesh, India

    Saurabh Srivastava

  11. University College of Medical Sciences and GTB Hospital, Delhi, India

    Amitesh Aggarwal

  12. Hind Institute of Medical Sciences & S.S Heart Care Centre, Lucknow, Uttar Pradesh, India

    Sajid Ansari

  13. Diabetes Wellness Care, Kolkata, West Bengal, India

    Bijay Patni

  14. Marwari Hospitals, Guwahati, Assam, India

    Dinesh Agarwal

  15. Sattur Medical Care, Hubli, Karnataka, India

    G. B. Sattur

  16. Stride Hospitals & Maheshwara Medical College, Hyderabad, Telangana, India

    Lily Rodrigues

  17. S. N. Pareek Hospital, Kota, Rajasthan, India

    K. K. Pareek

  18. K J Somaiya Medical College & Hospital, Mumbai, Maharashtra, India

    Murar Yeolekar

  19. Vivekananda Institute of Medical Sciences, Kolkata, West Bengal, India

    Samar Banerjee

  20. Life Care Hospital and Research Centre, Bangalore, Karnataka, India

    L. Sreenivasamurthy

  21. C.K. Birla Hospitals (BMB/CMRI), Kolkata, West Bengal, India

    M. K. Das

  22. Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India

    Shashank Joshi

  23. Government Medical College and New Civil Hospital, Surat, Gujarat, India

    Shailendra Vajpeyee

  24. Sugapriya Hospital, Madurai, Tamil Nadu, India

    V. V. Muthusamy

  25. AG Hospital, Tirupur, Tamil Nadu, India

    A. Muruganathan

Authors
  1. Anuj Maheshwari
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  2. Rajeev Gupta
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  3. Narsingh Verma
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  4. S. N. Narasingan
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  5. Ram B. Singh
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  6. Banshi Saboo
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  7. C. H. Vasanth Kumar
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  8. Arvind Gupta
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  9. Manoj K. Srivastava
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  10. Amit Gupta
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  11. Saurabh Srivastava
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  12. Amitesh Aggarwal
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  13. Ajoy Tewari
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  14. Sajid Ansari
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  15. Bijay Patni
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  16. Dinesh Agarwal
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  17. G. B. Sattur
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  18. Lily Rodrigues
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  19. K. K. Pareek
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  20. Murar Yeolekar
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  21. Samar Banerjee
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  22. L. Sreenivasamurthy
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  23. M. K. Das
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  24. Shashank Joshi
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  25. Shailendra Vajpeyee
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  26. V. V. Muthusamy
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  27. A. Muruganathan
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Contributions

Anuj Maheshwari: Conceptualization of the work. Project administration. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. I agree to be accountable for all aspects of the work, relating to the accuracy or integrity of any part of the work. Rajeev Gupta: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. Narsingh Verma: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. S N Narasingan: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. Ram B Singh: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. Banshi Saboo: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. C H Vasanth Kumar: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. Arvind Gupta: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. Manoj K Srivastava: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. Amit Gupta: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. Saurabh Srivastava: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. Amitesh Aggarwal: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. Ajoy Tewari: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. Sajid Ansari: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. Bijay Patni: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. Dinesh Agarwal: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. G B Sattur: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. Lily Rodrigues: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. K K Pareek: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. Murar Yeolekar: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. Samar Banerjee: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. L Sreenivasamurthy: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. M K Das: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. Shashank Joshi: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. Shailendra Vajpeyee: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. V V Muthusamy: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version. A Muruganathan: Conceptualization of the work. Provision of resources (research studies and other material). Drafted and revised the manuscript. Validated and approved the final version.

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Correspondence to Anuj Maheshwari.

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Maheshwari, A., Gupta, R., Verma, N. et al. Position statement on hypertension by Indian Society of Hypertension, 2023. J Hum Hypertens 38, 736–744 (2024). https://doi.org/10.1038/s41371-024-00960-z

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