Expert Opinion on the Role of Sacubitril/Valsartan in the Management of Hypertension in India.

IF 3 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Cardiology and Therapy Pub Date : 2024-11-06 DOI:10.1007/s40119-024-00390-5

Uday M Jadhav, Saumitra Ray, T Govindan Unni, J P S Sawhney, Ashwani Mehta, Shantanu Guha, Rajiv D Karnik, Bhupen N Desai, Aziz Khan, Keyur Patel, Jayesh S Prajapati, Hitesh J Shah, Rama Krishna Reddy, Sanjeev Kumar, Soumya Kanti Dutta, Saujatya Chakraborty, Ashfaque Ahmed, Ravi Vishnu Prasad, Gaurav Chaudhary, Amit Kumar, M Manjappa, Sujal Shetty, Praveen Raja, Vimalraj Bogana Shanmugam

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引用次数: 0

Abstract

Hypertension, a key modifiable risk factor for cardiovascular diseases (CVD), significantly contributes to premature death and morbidity worldwide. Despite stabilization in age-adjusted global prevalence, the absolute number of hypertensive individuals doubled from 2000 to 2010, largely due to increases in low- and middle-income countries. In 2021, only 21% of hypertensive individuals globally had effective blood pressure (BP) control. In India, hypertension is the leading risk factor for death and disability, with prevalence rates of 24% in men and 21% in women, as reported by the 2019-2020 National Family Health Survey (NFHS-5). Alarmingly, just 25% of rural and 38% of urban hypertensive Indians are undergoing treatment, with only 10% and 20% achieving BP control, respectively. This highlights the hypertension paradox, where clinical inertia and hesitancy in intensifying BP-lowering therapy persist despite the availability of antihypertensive drugs. This expert opinion paper aims to provide a comprehensive evaluation of sacubitril/valsartan in hypertension management, leveraging insights from its approved use in heart failure and examining its benefits and challenges across diverse hypertensive populations. The formulation of this expert opinion involved employing evidence-based methodologies and utilizing all available data. The document underwent scrutiny by expert cardiologists, whose clinical experiences and examination of the evidence and guidelines informed the formation of the expert opinion. This expert opinion paper provides a thorough and informed evaluation of sacubitril/valsartan, highlighting its potential to address unmet needs in BP control, particularly in challenging cases such as resistant hypertension and chronic kidney disease.

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关于 Sacubitril/Valsartan 在印度高血压治疗中的作用的专家意见。

高血压是心血管疾病（CVD）的一个主要可改变风险因素，在很大程度上导致了全球范围内的过早死亡和发病。尽管经年龄调整后的全球患病率趋于稳定，但从 2000 年到 2010 年，高血压患者的绝对人数翻了一番，这主要是由于中低收入国家的患病人数增加所致。2021 年，全球只有 21% 的高血压患者血压得到有效控制。在印度，高血压是导致死亡和残疾的首要风险因素，根据 2019-2020 年全国家庭健康调查（NFHS-5）的报告，男性和女性高血压患病率分别为 24% 和 21%。令人震惊的是，仅有 25% 的农村和 38% 的城市高血压印度人正在接受治疗，其中分别只有 10% 和 20% 的人实现了血压控制。这凸显了高血压的悖论，即尽管有降压药物，但临床上仍存在惰性，对加强降压治疗犹豫不决。本专家意见书旨在全面评估沙库比妥/缬沙坦在高血压治疗中的作用，从其获准用于心力衰竭的疗效中汲取灵感，研究其在不同高血压人群中的优势和挑战。本专家意见的撰写采用了循证方法，并利用了所有可用数据。该文件经过了心脏病专家的严格审查，他们的临床经验以及对证据和指南的研究为专家意见的形成提供了依据。本专家意见书对囊必利/缬沙坦进行了全面、知情的评估，强调了其在满足未满足的血压控制需求方面的潜力，尤其是在耐药高血压和慢性肾病等具有挑战性的病例中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cardiology and Therapy CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

5.30

自引率

0.00%

发文量

审稿时长

6 weeks

期刊介绍： Aims and Scope Cardiology and Therapy is an international, open access, peer reviewed (single-blind), rapid-publication journal dedicated to the publication of high-quality clinical (all phases), observational, real-world, and health outcomes research around the discovery, development, and use of cardiovascular therapies and interventions, including devices. Studies relating to diagnosis and diagnostics, pharmacoeconomics, public health, quality of life, as well as patient care, management and education are also encouraged. Areas of focus include, but are not limited to, ischaemic heart disease and acute cardiac care, myocardial, valvular, pericardial and congenital heart disease, vascular and pulmonary disease (including hypertension), arrhythmias, heart failure, non-invasive diagnostic techniques, and invasive and interventional cardiology as well as cardiovascular surgery. 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The rapid timelines are achieved through the combination of a dedicated in-house editorial team, who manage article workflow, and an extensive Editorial and Advisory Board who assist with peer review. This allows the journal to support the rapid dissemination of research, whilst still providing robust peer review. Combined with the journal’s open access model this allows for the rapid, efficient communication of the latest research and reviews, fostering the advancement of cardiovascular therapies. Personal Service The journal’s dedicated in-house editorial team offer a personal “concierge service” meaning authors will always have an editorial contact able to update them on the status of their manuscript. The editorial team check all manuscripts to ensure that articles conform to the most recent COPE, GPP and ICMJE publishing guidelines. This supports the publication of ethically sound and transparent research. 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