Comparison of Indian clinical practice guidelines for the management of hypertension with the World Health Organization, International Society of Hypertension, American, and European guidelines

IF 1.4 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Indian heart journal Pub Date : 2024-01-01 DOI:10.1016/j.ihj.2023.12.009
Gautam Satheesh , Rupasvi Dhurjati , Jayagopal Pathiyil Balagopalan , Padinhare P. Mohanan , Abdul Salam
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Abstract

Hypertension is the leading risk factor for preventable cardiovascular diseases and all-cause mortality globally, with majority of the hypertension-attributed deaths occurring in low- and middle-income countries like India. Several international and national clinical practice guidelines (CPGs) provide evidence-informed recommendations to achieve optimal control. CPGs produced by the World Health Organization, International Society for Hypertension, American (AHA/ACC-2017), and European (ESC/ESH-2018) are “major” as they are widely used and are highly cited. We compared the main recommendations for the pharmacological management of hypertension among the major CPGs and the two existing Indian CPGs for similarities and shortcomings. Several deviations from the major CPGs were observed among Indian CPGs. Important shortcomings pertain to Indian CPGs’ low priority for initial combination therapy and the use of single pill combinations. Having multiple CPGs providing conflicting recommendations might discourage the adoption of evidence-based practices. There is a need for updating Indian CPGs based on up-to-date evidence.

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印度高血压管理临床实践指南与世界卫生组织、国际高血压学会、美国和欧洲指南的比较。
高血压是全球可预防的心血管疾病和全因死亡的首要风险因素,而高血压导致的死亡大多发生在印度等中低收入国家。一些国际和国家临床实践指南(CPGs)提供了以证据为依据的建议,以实现最佳控制。世界卫生组织、国际高血压学会、美国(AHA/ACC-2017)和欧洲(ESC/ESH-2018)制定的临床实践指南是 "主要 "指南,因为它们被广泛使用且引用率很高。我们比较了主要 CPG 和印度现有的两份 CPG 中关于高血压药物治疗的主要建议,以找出相似之处和不足之处。我们发现印度的 CPG 与主要 CPG 有一些偏差。重要的不足之处在于,印度的 CPGs 对初始联合疗法的重视程度较低,并且使用单药联合疗法。多个 CPG 提供的建议相互矛盾,可能会阻碍循证实践的采用。有必要根据最新证据更新印度 CPG。
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来源期刊
Indian heart journal
Indian heart journal CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.60
自引率
6.70%
发文量
82
审稿时长
52 days
期刊介绍: Indian Heart Journal (IHJ) is the official peer-reviewed open access journal of Cardiological Society of India and accepts articles for publication from across the globe. The journal aims to promote high quality research and serve as a platform for dissemination of scientific information in cardiology with particular focus on South Asia. The journal aims to publish cutting edge research in the field of clinical as well as non-clinical cardiology - including cardiovascular medicine and surgery. Some of the topics covered are Heart Failure, Coronary Artery Disease, Hypertension, Interventional Cardiology, Cardiac Surgery, Valvular Heart Disease, Pulmonary Hypertension and Infective Endocarditis. IHJ open access invites original research articles, research briefs, perspective, case reports, case vignette, cardiovascular images, cardiovascular graphics, research letters, correspondence, reader forum, and interesting photographs, for publication. IHJ open access also publishes theme-based special issues and abstracts of papers presented at the annual conference of the Cardiological Society of India.
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