HYPERTENSION : Case presentation hypertension landscape in India team members: 1. Varad rajmahesh Pethakar(team leader) 2. Manashree Mahesh Sukenkar 3. Lavanya Vijay Chavhan
Increasing Hypertension disease An estimated 1.28 billion adults aged 30–79 years worldwide have hypertension, most (two-thirds) living in low- and middle-income countries An estimated 46% of adults with hypertension are unaware that they have the condition. Less than half of adults (42%) with hypertension are diagnosed and treated. Approximately 1 in 5 adults (21%) with hypertension have it under control. Hypertension is a major cause of premature death worldwide
Increasing hypertension in India Prevalence: Adults (18-69 years): 23.5% Men: 24.1% Women: 23.0% Elderly Population (>60 years): Overall: 49% Men: 42% Women: 56% Awareness and Treatment: 50% of hypertensive adults are unaware. Only 35% receive treatment. Blood pressure controlled in 14%. Based on this study, we estimate that 1 out of 5 Indian adults have hypertension. The risk of hypertension increases with older age and higher This disease is not given attention due to the unawareness of the symptoms
Impact of hypertension Hypertensive patients are prone to develop Atrial Fibrillation (AF), Premature Ventricular Contractions (PVC), and Ventricular Tachycardia (VT) The incidence of Sudden Cardiac Death (SCD) also increases in LVH caused by HTN. HTN is strongly, independently, and linearly associated with the risk of Stroke. Risk of Heart Failure (HF) increases 2-3 fold in HTN. In-hospital mortality in Hypertensive Heart Failure (HHF) is 13-15% among Asians. HTN doubles CAD risk. Shear stress of HTN promotes atherosclerosis
Emerging risk factors Sleep Duration and Quality: Conditions such as sleep apnea and insufficient sleep duration have been associated with an increased risk of hypertension. Air Pollution: Exposure to air pollutants, such as particulate matter (PM2.5), nitrogen dioxide (NO2), and ozone (O3), has been identified as a potential risk factor for hypertension. Chemicals found in common household products, plastics, and pesticides, known as endocrine disruptors, may interfere with hormone regulation and contribute to hypertension. Chronic exposure to heavy metals such as lead, cadmium, and mercury, often through environmental pollution or occupational hazards, may contribute to hypertension development by promoting oxidative stress and endothelial dysfunction. Imbalances in gut bacteria, known as dysbiosis, have been associated with hypertension and related metabolic disorders.
Managing hypertension Use of AI software's to detect the person using the mobile and show them the similar content from their age group Healthy diet Salt reduction Weight reduction Regular physical activity Stop smoking Reduce stress and increase mindfulness Reduce screen time from mobile
Hypertension protocol
Possible hypertensive emergencies
Thank you In tiny steps we find our way, to keep hypertension at bay, With healthy choices come what may, we manage blood pressure day by day