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Preventing Atrial Fibrillation is a bonus side benefit of controlling Hypertension

Chronic untreated or undiagnosed Hypertension is driving the epidemic of cardiovascular disease in India

Dr. C Venkat S Ram

Director of Apollo Institute for Blood Pressure Management

Apollo Blood Pressure Clinics,Hyderabad


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Dr.Kunal Jhaveri

</b>Today we are one of the renowned pioneer for the hypertension management and hypertension guidelines for India, Dr. Venkat Ram who currently is a director for the blood pressure management in Apollo Hospital at Hyderabad and also is a director of World Hypertension League which is associated with the WHO for the South Asia. Apart from the clinical practice he is also one of the leading scientific author for the various articles of hypertension who wrote almost more than 400 articles and also book on disease of hypertension. So sir, it is a warm welcome for you on this particular talk. So sir, regarding if you talk about hypertension definitely there is no doubt it is almost one of the major concern for the cardiovascular segment for the management of the hypertension. Definitely it is one of tip of iceberg but the major complications are that (01


Dr. VenkatRam

</b> Thank you very much, greetings and best wishes to all the viewers. As all of you know, India is now burdened with chronic cardiovascular disease. The major reason for illness, disability, and death in India has been due to cardiovascular disease. Cardiovascular disease is going to govern the future of India and the health of its citizens. The number of risk factors for cardiovascular disease such as hypertension, diabetes, dyslipidemia, obesity, lack of physical activity, (02


Dr.Kunal Jhaveri

</b>So definitely sir it is very well mentioned that the control of blood pressure in hypertensive disease is very, very important and otherwise it can lead to as you rightly said that when you are crossing a red signal, then you can be met with an accident. If you talk about the major complications of hypertensive disorders not at active but at a chronic level, (04


Dr. VenkatRam

</b> Patients who have uncontrolled hypertension for a long period of time develop atherosclerosis and one of the manifestations of atherosclerosis is coronary artery disease and one of the manifestations of coronary artery disease is heart failure from ischemic heart disease. High blood pressure by itself can also cause congestive heart failure because hypertension causes left ventricular hypertrophy and left ventricular hypertrophy is harbinger for the development of congestive heart failure. So, two types of complications attributable chronically to hypertension are coronary artery disease that can cause congestive heart failure or hypertension by itself causing congestive heart failure. When you treat hypertension, you can prevent coronary artery disease and you can prevent congestive heart failure. (05


Dr.Kunal Jhaveri

</b> So sir, you have said very rightly that both the diseases are a part of chronic hypertension as well as due to the chronic hypotension, there is a chronic AI, so it is very difficult to (08


Dr. VenkatRam

</b> No, obviously in patients who have atrial fibrillation and hypertension, blood pressure has to be controlled and that antihypertensive drug therapy, lifestyle changes, weight reduction, physical activity, abstinence from tobacco, and so-called hygienic changes they have to continue plus antihypertensive drugs to reduce the blood pressure and that you have to do it, but at this stage this is not suffice to treat atrial fibrillation so that has to be treated now as so called comorbidity. It is a comorbidity of hypertension and comorbidity has to be treated and that would be according to the guidelines for treating atrial fibrillation. Proper diagnosis, by usual noninvasive methods, and treatment for atrial fibrillation with anti-arrhythmic drugs and most importantly (09


Dr.Kunal Jhaveri

</b>So, definitely sir has mentioned very rightly that hypertension definitely is a some major concern for society, to control the blood pressure obviously it is a prime target so that if you control the blood pressure then you can reduce the chronic complications as well and along with that to control the ACS and control the congestive heart failure as per the life study also mentioned by controlling hypertension you can also reduce the incidence of atrial fibrillation and its complications as well and these both diseases are correlated, so management part with using antihypertensive we have to use anti-arrhythmic (10


Dr. VenkatRam

</b>Thank you.



  • Heart Attack
  • MI
  • ECG
  • Hypertension
  • Bypass Surgery
  • Stent

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