Jaipur: With a rise in heart related disorders and heart attacks, the health department, for the first time, has issued hypertension protocol that will be useful in treatment of patients in rural areas. In primary health centres (PHCs) and community health centres (CHCs), the protocol will be followed for the treatment of patients as many cannot reach other centres in bigger cities.
Under the new protocol, the doctors will measure blood pressure of all adults over 18 years. If they find that the blood pressure systolic is higher than 140 mm Hg or diastolic is higher than 90 mm Hg, the doctors have been asked to start treatment of the patients with medicine.
In the protocol for hypertension treatment, the health department has divided it into six steps. In the first step the doctor will start treatment with Amlodipine 5mg and it will continue to 30 days.
If it is still high, they will add Telmisartan. If still uncontrolled, in the third step, the dose of Telmisartan will be increased. If it is still high, in the fourth step, the doctor will increase the dose of Amlodipine. If not controlled, in the fifth step, they will add Chlorthalidone. In sixth step, they will increase the dose of Chlorthalidone. In every step, there will be a gap of 30 days.
After taking all the steps, if it is still not controlled, the doctor at the PHC and CHC will refer the patient to a specialist.
The hypertension protocol has separately defined the treatment of hypertension among pregnant women, diabetic patients, patients who had suffered heart attack in last three years, patients who had suffered heart attack or stroke ever, patients with high cardiovascular disease risk and chronic kidney disease patients.
“Since hypertension is one of the main causes of diseases related to kidneys, heart and brain, the rising cases have become a major cause of concern. By launching Rajasthan hypertension protocol, we will ensure timely treatment of patients so that it would not affect other organs of the patients,” said Dr RN Meena, nodal officer (non-communicable diseases), health department.
Since hypertension is now affecting a sizeable population in rural areas, protocol will ensure that other diseases linked with hypertension including heart attacks, impaired kidney function should be prevented. When it comes to hypertension, Rajasthan men are ahead of women.
The National Family Health Survey (NFHS-5) released recently shows that 17.9% of men aged 15 and above have elevated blood pressure or are taking medicine to control blood pressure compared to 15.4% women who have the same problem.
The percentage of hypertension is more in urban areas, but the difference is quite less. While it is 16.9% for women in urban areas compared to 14.9% in rural areas, for men it is 19.2% in urban and 17.4% in rural areas.
Under the new protocol, the doctors will measure blood pressure of all adults over 18 years. If they find that the blood pressure systolic is higher than 140 mm Hg or diastolic is higher than 90 mm Hg, the doctors have been asked to start treatment of the patients with medicine.
In the protocol for hypertension treatment, the health department has divided it into six steps. In the first step the doctor will start treatment with Amlodipine 5mg and it will continue to 30 days.
If it is still high, they will add Telmisartan. If still uncontrolled, in the third step, the dose of Telmisartan will be increased. If it is still high, in the fourth step, the doctor will increase the dose of Amlodipine. If not controlled, in the fifth step, they will add Chlorthalidone. In sixth step, they will increase the dose of Chlorthalidone. In every step, there will be a gap of 30 days.
After taking all the steps, if it is still not controlled, the doctor at the PHC and CHC will refer the patient to a specialist.
The hypertension protocol has separately defined the treatment of hypertension among pregnant women, diabetic patients, patients who had suffered heart attack in last three years, patients who had suffered heart attack or stroke ever, patients with high cardiovascular disease risk and chronic kidney disease patients.
“Since hypertension is one of the main causes of diseases related to kidneys, heart and brain, the rising cases have become a major cause of concern. By launching Rajasthan hypertension protocol, we will ensure timely treatment of patients so that it would not affect other organs of the patients,” said Dr RN Meena, nodal officer (non-communicable diseases), health department.
Since hypertension is now affecting a sizeable population in rural areas, protocol will ensure that other diseases linked with hypertension including heart attacks, impaired kidney function should be prevented. When it comes to hypertension, Rajasthan men are ahead of women.
The National Family Health Survey (NFHS-5) released recently shows that 17.9% of men aged 15 and above have elevated blood pressure or are taking medicine to control blood pressure compared to 15.4% women who have the same problem.
The percentage of hypertension is more in urban areas, but the difference is quite less. While it is 16.9% for women in urban areas compared to 14.9% in rural areas, for men it is 19.2% in urban and 17.4% in rural areas.
