Hypertension Treatment and Control in a Rural Cohort in Thiruvallur, Tamil Nadu, India.
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Date
2016-10
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Abstract
Hypertension is a public health problem with low detection and treatment rates in India. We resurveyed 1284
patients with hypertension already identified in baseline survey of the cohort in Thiruvallur district, Tamil Nadu,
India. The objective was to estimate the proportion of patients with drug treatment, hypertension control and lifestyle
modification at follow-up (median follow-up 27 months). Overall, only 19.9% of the patients took drugs and 45.3%
had blood pressure under control. Among 256 patients on drugs, 179 (69.9%) were on a single drug, 71 (27.7%)
on two drugs, and six (2.3%) on three drugs. Commonly prescribed drugs based on the prescription review were
beta blockers (50.4%), calcium channel blockers (36.7%), angiotensin-converting-enzyme inhibitor (18.4%), and
diuretics (11.7%). Salt reduction was reported by 49.7% of the patients. There is a need for strengthening the
health systems for effective management of hypertension and patient education to ensure active involvement in
the long-term care.
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Keywords
Cohort, control, hypertension, India, treatment
Citation
Kaur Prabhdeep, Rao Sudha Ramachandra, Venkatachalam Ramachandran, Kaliaperumal Kanagasabai. Hypertension Treatment and Control in a Rural Cohort in Thiruvallur, Tamil Nadu, India. Indian Journal of Public Health. 2016 Oct-Dec; 60(4): 298-301.