2017年ACC/AHA指南对印度成年人高血压患病率的影响:一项横断面调查的结果

Q4 Medicine International Journal of Cardiology: Hypertension Pub Date : 2020-12-01 DOI:10.1016/j.ijchy.2020.100055

Kartik Gupta , Sivasubramanian Ramakrishnan , Geevar Zachariah , J. Shivkumar Rao , P.P. Mohanan , K. Venugopal , Santosh Sateesh , Rishi Sethi , Dharmendra Jain , Neil Bardolei , Kalaivani Mani , Tanya Singh Kakar , Vardhmaan Jain , Prakash Gupta , Rajeev Gupta , Sandeep Bansal , Ranjit K. Nath , Sanjay Tyagi , G.S. Wander , Satish Gupta , P.K. Deb

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引用次数: 9

摘要

2017年美国心脏病学会(ACC)/美国心脏协会(AHA)高血压诊断和管理指南对印度高血压患病率的影响尚不清楚。方法分析2015年心脏预防调查的数据，估计高血压患病率的变化。JNC8指南将高血压定义为收缩压≥140 mmHg或舒张压≥90 mmHg。2017年ACC/AHA指南将高血压定义为收缩压≥130 mmHg或舒张压≥80 mmHg。我们根据2011年印度人口普查对患病率进行了标准化。我们还根据世界卫生组织(WHO)世界标准人口(2000-2025)计算了患病率。结果180335例患者(女性33.2%)平均年龄40.6±14.9岁(男性41.1±15.0岁，女性39.7±14.7岁)。其中18-19岁、20-44岁、45-54岁、55-64岁、65-74岁和≥75岁年龄段分别为8898(4.9%)、99791(55.3%)、35694(11.9%)、23084(12.8%)、9989(5.5%)和2878(1.6%)例。根据JNC8和2017年ACC/AHA指南，高血压患病率分别为29.7%和63.8%，增加了115%。根据2011年印度人口普查，这表明根据2017年ACC/AHA指南，目前有4.86亿印度成年人患有高血压，与JNC8指南相比增加了2.6亿。根据2017年ACC/AHA指南，每5个印度成年人中就有3个患有高血压。

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Impact of the 2017 ACC/AHA guidelines on the prevalence of hypertension among Indian adults: Results from a cross-sectional survey

Background

The impact of the 2017 American College of Cardiology (ACC)/American Heart Association (AHA) guidelines for diagnosis and management of hypertension on the prevalence of hypertension in India is unknown.

Methods

We analyzed data from the Cardiac Prevent 2015 survey to estimate the change in the prevalence of hypertension. The JNC8 guidelines defined hypertension as a systolic blood pressure of ≥140 mmHg or diastolic blood pressure of ≥90 mmHg. The 2017 ACC/AHA guidelines define hypertension as a systolic blood pressure of ≥130 mmHg or diastolic blood pressure of ≥80 mmHg. We standardized the prevalence as per the 2011 census population of India. We also calculated the prevalence as per the World Health Organization (WHO) World Standard Population (2000–2025).

Results

Among 180,335 participants (33.2% women), the mean age was 40.6 ± 14.9 years (41.1 ± 15.0 and 39.7 ± 14.7 years in men and women, respectively). Among them, 8,898 (4.9%), 99,791 (55.3%), 35,694 (11.9%), 23,084 (12.8%), 9,989 (5.5%) and 2,878 (1.6%) participants belonged to age group 18–19, 20–44, 45–54, 55–64, 65–74 and ≥ 75 years respectively. The prevalence of hypertension according to the JNC8 and 2017 ACC/AHA guidelines was 29.7% and 63.8%, respectively- an increase of 115%. With the 2011 census population of India, this suggests that currently, 486 million Indian adults have hypertension according to the 2017 ACC/AHA guidelines, an addition of 260 million as compared to the JNC8 guidelines.