Jain Vd (6 results)
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INDIAN GUIDELINES HYPERTENSION IN THE YOUNG (UNDER THE AEGIS OF THE INDIAN ASSOCIATION OF CLINICAL M
Language: English
Published by Jaypee Brothers Medical Publishers (P) Ltd., 2025
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Soft cover. Condition: New. Hypertension per se is not a disease but is definitely a risk factor of immense importance. Of late, the prevalence of hypertension in the young adult population in India is risingmore in men than women. Over 11% of the population aged 1549 years in India is hypertensive. Young-onset hypertension (YOH…) is defined as the onset of hypertension in individuals aged <40 years. This number is escalating with lifestyle behaviours and the lowering of international hypertension diagnostic thresholds to SBP/DBP of 130/80 mm Hg. The prevalence of YOH is relatively higher in urban than in rural areas at the national levelbut the ruralurban difference is smallimplying that the hypertension epidemic is spreading fast in the rural population. An increasing number of young persons in India are at risk of developing hypertension due to a multiplicity of factorsrising affluence, urbanization, sedentary lifestyle, changing dietary habits, obesity prevalence, social stress, and possibly genetic factorsthus increasing the risk of cardiovascular events in middle age, resulting in impaired health and productivity. Among young adults, diastolic hypertension is reported to be more common (62%) than isolated systolic hypertension (28%). The end result is that this young population has a higher prevalence of hypertension associated with cardiac, renal, neurological, ophthalmic, and other complications. As a result, it contributes to an earlier onset of coronary heart disease, heart failure, chronic kidney disease, ocular hemorrhages, stroke, transient ischemic attacks, cognitive decline, and dementia. These first-of-its-kind "Indian Guidelines on Hypertension in the Young" aim to increase awareness among physicians of the ever-increasing community of young hypertensives in India. The guidelines have laid out a succinct roadmap to assist the internist in tackling the many challenges posed by this risk factor and managing it effectively with a multipronged, cost-effective approach. Hypertension per se is not a disease but is definitely a risk factor of immense importance. Of late, the prevalence of hypertension in the young adult population in India is risingmore in men than women. Over 11% of the population aged 1549 years in India is hypertensive. Young-onset hypertension (YOH) is defined as the onset of hypertension in individuals aged <40 years. This number is escalating with lifestyle behaviours and the lowering of international hypertension diagnostic thresholds to SBP/DBP of 130/80 mm Hg. The prevalence of YOH is relatively higher in urban than in rural areas at the national levelbut the ruralurban difference is smallimplying that the hypertension epidemic is spreading fast in the rural population. An increasing number of young persons in India are at risk of developing hypertension due to a multiplicity of factorsrising affluence, urbanization, sedentary lifestyle, changing dietary habits, obesity prevalence, social stress, and possibly genetic factorsthus increasing the risk of cardiovascular events in middle age, resulting in impaired health and productivity. Among young adults, diastolic hypertension is reported to be more common (62%) than isolated systolic hypertension (28%). The end result is that this young population has a higher prevalence of hypertension associated with cardiac, renal, neurological, ophthalmic, and other complications. As a result, it contributes to an earlier onset of coronary heart disease, heart failure, chronic kidney disease, ocular hemorrhages, stroke, transient ischemic attacks, cognitive decline, and dementia. These first-of-its-kind "Indian Guidelines on Hypertension in the Young" aim to increase awareness among physicians of the ever-increasing community of young hypertensives in India. The guidelines have laid out a succinct roadmap to assist the internist in tackling the many challenges posed by this risk factor and managing it effectively with a multipronged, cost-effective approach.
