Multidisciplinary Consensus Document on the Management of Uncontrolled Hypertension in India
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Multidisciplinary Consensus Document on the Management of Uncontrolled Hypertension in India R. Padmanabhan1 · Rana Gopal Singh2 · Govindan Unni3 · Bhupen Desai4 · Sanjeev Kumar Hiremath5 · Vidyut Jain6 · Saikat Bhawal7 · Sanjeev Gulati8 · Mukesh Shete9 · Ramesh Nair10 · Sunil Prakash11 · Vijay Kher12 · Bijan Bhattacharya13 Received: 17 February 2020 / Accepted: 25 April 2020 © Italian Society of Hypertension 2020
Abstract Cardiovascular disease is predicted to be the largest cause of death and disability in India by 2020. Hypertension (HT), one of the main contributing factors, presents a significant public health burden. Inability to achieve adequate blood pressure (BP) control results in uncontrolled hypertension (UHT). The prevalence of UHT is high in India, with only about 9–20% of patients achieving target BP goals. Presently, there are no guidelines specific to UHT, which if left uncontrolled can lead to resistant HT, chronic kidney disease and other complications of HT. A multidisciplinary panel, comprising of specialists in cardiology, nephrology and internal medicine, was convened to address the diagnosis and management of UHT in the Indian population. The panel identified key points concerning UHT and discussed management recommendations in the Indian clinical setting. Keywords Blood pressure · Cardiovascular diseases · Hypertension · India · Renal insufficiency · Cardiology * R. Padmanabhan [email protected]
1
Department of Nephrology, SRM Medical College and Hospital, Chennai, Tamil Nadu, India
Rana Gopal Singh [email protected]
2
Department of Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
Govindan Unni [email protected]
3
Department of Cardiology, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India
Bhupen Desai [email protected]
4
Department of Cardiology, Karuna Hospital, Borivali West, Mumbai, Maharashtra, India
Sanjeev Kumar Hiremath [email protected]
5
Department of Nephrology, Sagar Hospitals, Bangalore, Karnataka, India
Vidyut Jain [email protected]
6
Department of Cardiology, Choithram Hospital and Research Center, Indore, India
Saikat Bhawal [email protected]
7
Consultant Physician and Diabetologist, Ashok Nursing Home Private Limited, Kolkata, West Bengal, India
Sanjeev Gulati [email protected]
8
Department of Nephrology, Fortis Hospitals, New Delhi, India
Mukesh Shete [email protected]
9
Department of Nephrology, Apex Kidney Care, Mumbai, Maharashtra, India
Ramesh Nair [email protected]
10
Department of Medicine, Lakshmi Hospital, Diwans Road, Ernakulam, Kerala, India
Sunil Prakash [email protected]
11
Department of Nephrology, BLK Super Specialty Hospital, New Delhi, India
Vijay Kher [email protected]
12
Chairman, Department of Nephrology, Medanta Kidney and Urology Institute, Haryana, India
Bijan Bhattacharya [email protected]
13
Department of Nephrology
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