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Dr. SN Narasingan: Drugs In Management Of Hypertension

More than 180 million Indians Suffer from Pre-Hypertension
Dr. SN Narasingan Leading Cardiologist, Dean at Prof. M. Viswanathan Diabetic Research Center and M.V Hospital for Diabetic Royapuram and Director of SNN diagnostic and specialties clinic, Chennai On TheRightDoctors.Com An Overview on Hypertension Management
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Dr. SN Narasingan

Consulting physician & Dean

M.Viswanathan Diabetes Research Centre and M.V. Hospital for Diabetes, Chennai


“In the JNC 7 guidelines, the pre-hypertension stage is a blood pressure range of 120 to 139 systolic and 80 to 89 diastolic. This is a more convenient terminology than the one followed in India, which has high normal and normal blood pressure, ultimately adding up to pre hypertension,” says Dr. SN Narasingan. “Starting a treatment for pre-hypertension would be an economic burden for the country as more than 180 million people in India are victims of pre-hypertension. I think promoting lifestyle changes like less salt, cessation of smoking, no obesity and exercise are good measures to bring it down.”“Those who are in the pre-hypertension stage are more likely to develop hypertension if they have obesity, high intake of salt or a family history of diabetes.” “I would consider treatment to be necessary beyond the value of 140/90. If the patient is a diabetic probably 140/80 is the cutoff value as per the recommendation of American Diabetes Association.”“On the basis of one large single study, the JNC guidelines have bracketed ARB, ACE, CCB and diuretics as equals. But ARBs are the better drugs for treatment of type II diabetes, and ACI are better drugs for the type I diabetes.”“Even in the general population, studies suggest that the order of preference is #1 ARBs, #2 CCB, #3 ACE, #4 diuretic and lastly, the beta blockers.”


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Dr. Jabir Abdullakutty

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