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Year : 2020  |  Volume : 10  |  Issue : 2  |  Page : 56-74

Twenty-four-hour blood pressure management in India: A position statement by Indian College of cardiology


1 Director and Senior Interventional Cardiologist, Lakshmi Hospital, Palakkad, India
2 Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research Hospital, Bangalore, India
3 Professor of Cardiology, Apollo Hospitals, Delhi, India
4 Senior Consultant cardiologist, Sir Ganga Ram Hospital, New Delhi, India
5 Department of Cardiology, Medical College, Kolkata, India
6 Senior Interventional Cardiologist at Woodlands Hospital and Sri Aurobindo Seva Kendra in Kolkata, Kolkata, India
7 Consultant Interventional Cardiologist and Electrophysiologist, Frontier Lifeline Hospital, Chennai, India
8 Director and Head, Non-invasive Cardiology, Fortis Escorts Heart Institute, New Delhi, Senior Consultant Cardiologist, India
9 Senior Consultant Cardiologist, Peerless Hospital and B K Roy Research Centre, Kolkata, India
10 Department of Medicine and Cardiology, Dr. D.Y Patil University, Navi Mumbai, India
11 Department of Cardiology, Apollo Hospitals, Chennai, India
12 Senior Consultant, Interventional Cardiologist, Apollo Hospitals, Bangalore, India
13 Senior Cardiologist, Interventional and Electrophysiology, Sir Ganga Ram Hospital, New Delhi, India
14 Non Interventional Cardiology, Fortis Escorts Heart Institute, New Delhi, India
15 Rtd. Professor and Head, Medical College, Kolkata, India

Correspondence Address:
Dr. P B Jayagopal
Lakshmi Hospital, Chittur Road, Palakkad, Kerala 678 013
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JICC.JICC_18_20

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Blood pressure (BP), even in healthy normotensive individuals, is dynamic, varies with a circadian periodicity, and is influenced by physiological and environmental factors. Abnormal 24-h BP patterns have been observed in many patients with hypertension (HTN), which may be overlooked if evaluations are based only on office BP measurements. Out of office BP measurements, such as Ambulatory Blood Pressure Monitoring and Home Blood Pressure Monitoring (ABPM and HBPM) is important for optimal BP management and are better predictors of adverse outcomes. However, HTN diagnosis and management are often based on relatively few clinic BP measurements, and there are no recommendations to guide clinicians managing patients with abnormal 24-h BP patterns in India. Thus, the present consensus statement aims to provide uniform evidence-based recommendations for the diagnosis and management of abnormal 24-h BP patterns. Strategies for screening for HTN based on the current prevalence trends in India have been suggested. Further, recommendations on the appropriate use of ABPM and HBPM in diagnosis and management of HTN are provided.


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