PUNE: About 19.1% of the 2,026 individuals enrolled for a study in
, excluding Mumbai, were found to be white-coat hypertensive. Another 21.7 of the studied individuals were found to have masked
White-coat hypertension is defined as a condition in which people exhibit a blood pressure level above the normal range in a clinical setting. White-coat hypertensives who are misdiagnosed and put on anti-hypertension drugs have to take unnecessary medication.
On the other hand, a masked hypertensive may go un-diagnosed running the risk of complications of the heart, kidneys, and brain, leading to premature mortality.
The ‘Indian Heart Study’ examined 1288 men and 738 women in Maharashtra during a study. Eris Lifesciences, a pharma company, commissioned the India Heart Study that was conducted under the aegis of Batra Hospital and Medical Research Centre. It was conducted on ‘drug-naive’ set (people not on any anti-hypertension drug) of participants using a comprehensive process of taking blood pressure readings.
Study revealed that a high prevalence of masked hypertension and white-coat hypertension. It was also found that Indians have an average resting heart rate of 80 beats per minute, higher than the desired rate of 72 beats per minute.
Another striking finding of the study is that unlike other countries, Indians have higher blood pressure in the evenings than in the mornings which should guide doctors to rethink the timing of advising anti-hypertension drug dosage, experts added.
“India Heart Study will help for the betterment of the management of hypertension in India. This is India-specific data and should help shape the best practices for the diagnosis of high blood pressure among Indians. The study presents exhaustive data on the various aspects of hypertension,” Kaul said.
President (Medical) of Eris Lifesciences Viraj Suvarna said, “Masked Hypertension, if undetected, is a dangerous phenomenon. It is important to monitor one’s blood pressure, beyond the clinic, even at home, according to prescribed guidelines. Accurate diagnosis of hypertension is an important element of our fight against this disease and improving health outcomes.”
Cardiologist of Ruby Hall Clinic in Pune and a co-ordinator for the study, J S Hiremath said, “A high resting heart rate combined with uncontrolled blood pressure, damage the target organs like the heart and kidneys. This can have serious consequences in the long term. As a precaution, individuals should monitor their blood pressure at home regularly and speak to their doctors on the regular basis.”
According to nephrologist of
in Pune, Tushar Dighe, “Besides cardio-vascular complications, high blood pressure affects the kidneys in a major way. Healthy kidneys are critical for a normal functioning of our bodies.”