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Hypertension treatment and control in a rural cohort in Thiruvallur, Tamil Nadu, India
Prabhdeep Kaur1, Sudha Ramachandra Rao2, Ramachandran Venkatachalam3, Kanagasabai Kaliaperumal4
1 Scientist D, Division of Health Systems Research, National Institute of Epidemiology (Indian Council of Medical Research), Chennai, Tamil Nadu, India
2 Technical Officer (A), National Institute of Epidemiology (Indian Council of Medical Research), Chennai, Tamil Nadu, India
3 Technical Assistant (Research), Division of Biostatistics, National Institute of Epidemiology (Indian Council of Medical Research), Chennai, Tamil Nadu, India
4 Technical Officer (A), Division of Computing and Information Science, National Institute of Epidemiology (Indian Council of Medical Research), Chennai, Tamil Nadu, India
Correspondence Address:
Prabhdeep Kaur
National Institute of Epidemiology (Indian Council of Medical Research), # R-127, 3rd Avenue, Tamil Nadu Housing Board, Ayapakkam, Chennai, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0019-557X.195861
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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. |
