Why the study?
Does better hypertension control reduce cardiovascular mortality in India?
Does better hypertension control reduce cardiovascular mortality in India?
Hypertension is the most important risk factor for cardiovascular disease in India, and intensive public health efforts for its control are essential to reduce mortality.
Urges expanded hypertension control programs in India; leaves open confirmation of mortality benefits from prospective trials.
Non-communicable diseases are important causes of mortality and morbidity in India. Data from the Registrar General of India, World Health Organization and Global Burden of Disease (GBD) Study have reported that cardiovascular diseases (CVD) are the most important causes of death and disability. Age-adjusted mortality from these conditions has increased by 31% in last 25 years. Case-control studies have reported that hypertension is most important risk factor for CVD in India. GBD Study has estimated that hypertension led to 1.6 million deaths and 33.9 million disability-adjusted life years in 2015 and is most important cause of disease burden in India. Intensive public health effort is required to increase its awareness, treatment and control. UN Sustainable Development Goals highlight the importance of high rates of hypertension control for achieving target of 1/3 reduction in non-communicable disease mortality by 2030. It is estimated that better hypertension control can prevent 400-500,000 premature deaths in India.
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Gupta et al. (2018) studied this question.
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