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To Study Efficacy of Blood Pressure Management Program (BPMP) in Male Elderly Patients with Known Case of Hypertension: An Observational Study

Received: 19 July 2018     Accepted: 30 July 2018     Published: 12 October 2018
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Abstract

Around 20% of the population are in prehypertension stage, and nearly 40% of the adult population from Hypertension (HTN). Blood Pressure Management Program (BPMP) is an Ayurvedic treatment strategy using Panchakarma. This study was conducted to evaluate the effect of BPMP on systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), body mass index (BMI) and dependency on conventional therapy in elderly male patients of HTN. This observational study was conducted from January 2017 to February 2018, wherein the data of HTN patients who attended Madhavbaug clinics in Maharashtra, India were identified. Data of patients who were administered BPMP (60-75 minutes) with minimum 6 sittings over 90 days (± 15 days) were considered. Variables were compared between day 1 and day 90 of BPMP. Out of 29 enrolled patients, 24 were finally selected for analysis. BPMP showed significant improvement in SBP by 24.66 (from 150.67 ±12.97 to 126 ± 13.01; p<0.001), DBP by 10.8 (from 87.7917 ±7.72 to 76.917 ±7.59, p< 0.001), MAP by 15.4 (from 108.75 ±7.14 to 93.25 ±8.72, p<0.001). BMI (25.7275 ±2.63 kg/m2 to 24.91 ±2.32 kg/m2), also showed significant reduction. Dependency on concomitant medicines was reduced, with the number of patients on no concomitant medicines increasing from 19% to 29%. BPMP can serve as an effective therapeutic regiment to combat HTN in elderly male patients.

Published in Cardiology and Cardiovascular Research (Volume 2, Issue 3)
DOI 10.11648/j.ccr.20180203.11
Page(s) 49-54
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Blood Pressure Management Program, BPMP, Panchakarma, Hypertension, Systolic, Diastolic, Mean Arterial Pressure, Elderly Male

References
[1] Suma R, Mayamol T, Divakaran B, et al. Hypertension: prevalence, awareness, treatment and control in a rural area of North Kerala, India. Int J Community Med Public Health. 2017;4:3561-7.
[2] Campbell N, Lackland D, Niebylski M. High Blood Pressure: Why Prevention and Control Are Urgent and Important-A 2014 Fact Sheet From the World Hypertension League and the International Society of Hypertension. J Clin Hypertens. 2014; 16(8):551–3.
[3] Kearney P, Whelton M, Reynolds K, et al. Worldwide prevalence of hypertension: a systematic review. J Hypertens. 2004; 22(1):11–9.
[4] Noblet A, Lopes M, Lopes G, et al. Complications of Hypertension in Men and Women Seen in a Referral Outpatient Care Unit. Arquivos Brasileiros de Cardiologia. 2004; 83(4): 314-9.
[5] Day W. World Health Day 2013. A Glob Br Hypertens. 2013. Accessed on 4 July 2017.
[6] National Heart Foundation of Australia. Guidelines for diagnosis and management of hypertension in adults-2016. Melbourne: National Heart Foundation of Australia, 2016.
[7] Drug Treatment for People with Hypertension. Retrieved from https://www.pco.gov.hk/english/resource/files/professionals_HT_Module7.pdf
[8] Doshi V, Dahake A, Suthar A. Adverse Effects Associated with the Use of Antihypertensive Drugs: An Overview. International journal of Pharmtech Research. 2010; 2(1):10-13.
[9] Pangtey R, Meena G. Impact of hypertension on quality of life among people living in an urban area of Delhi, India. Journal of hypertension. 2016; 34(e1): e462.
[10] Tabbasum N, Ahmad F. Role of natural herbs in the treatment of hypertension. Pharmacognosy Reviews. 2011; 5(9): 30-40.
[11] Agrawal M, Nandini D, Sharma V, et al. Herbal remedies for treatment of hypertension. International Journal of Pharmaceutical Sciences and Research. 2010; 1(5):1-21.
[12] Choudhary K, Sharma P, Sharma V. Hypertension and its management through panchakarma. Journal of Ayurveda and Holistic Medicine. 2015; 3(3):28-31.
[13] Vithalani L, Dalvi S, Lele V, et al. Hypertension - an ayurvedic perspective. International Journal of Ayurvedic Medicine. 2015; 3(11):2322-2329.
[14] Olin B. Hypertension: The Silent Killer: Updated JNC-8 Guideline Recommendations Associate Clinical Professor of Pharmacy Practice, Drug Information and Learning Resource Center. 2015.
[15] Haze S, Sakai K, Gozu Y. Effects of fragrance inhalation on sympathetic activity in normal adults. Jpn J Pharmacol. 2002; 90: 247–253.
[16] Sahu R, Dhongade H, Pandey A, et al. Medicinal Properties of Nardostachys jatamansi (A Review). Oriental Journal of Chemistry. 2016;32(2): 859-866.
[17] Kundu R, Biswas S, Das M. Mean Arterial Pressure Classification: A Better Tool for Statistical Interpretation of Blood Pressure Related Risk Covariates. Cardiology and Angiology: An International Journal. 2017; 6(1):1-7.
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  • APA Style

    Rohit Sane, Sagar Patil, Nita Hinge, Nilesh Kulthe, Swati Ambulkar, et al. (2018). To Study Efficacy of Blood Pressure Management Program (BPMP) in Male Elderly Patients with Known Case of Hypertension: An Observational Study. Cardiology and Cardiovascular Research, 2(3), 49-54. https://doi.org/10.11648/j.ccr.20180203.11

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    ACS Style

    Rohit Sane; Sagar Patil; Nita Hinge; Nilesh Kulthe; Swati Ambulkar, et al. To Study Efficacy of Blood Pressure Management Program (BPMP) in Male Elderly Patients with Known Case of Hypertension: An Observational Study. Cardiol. Cardiovasc. Res. 2018, 2(3), 49-54. doi: 10.11648/j.ccr.20180203.11

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    AMA Style

    Rohit Sane, Sagar Patil, Nita Hinge, Nilesh Kulthe, Swati Ambulkar, et al. To Study Efficacy of Blood Pressure Management Program (BPMP) in Male Elderly Patients with Known Case of Hypertension: An Observational Study. Cardiol Cardiovasc Res. 2018;2(3):49-54. doi: 10.11648/j.ccr.20180203.11

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  • @article{10.11648/j.ccr.20180203.11,
      author = {Rohit Sane and Sagar Patil and Nita Hinge and Nilesh Kulthe and Swati Ambulkar and Rahul Mandole},
      title = {To Study Efficacy of Blood Pressure Management Program (BPMP) in Male Elderly Patients with Known Case of Hypertension: An Observational Study},
      journal = {Cardiology and Cardiovascular Research},
      volume = {2},
      number = {3},
      pages = {49-54},
      doi = {10.11648/j.ccr.20180203.11},
      url = {https://doi.org/10.11648/j.ccr.20180203.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20180203.11},
      abstract = {Around 20% of the population are in prehypertension stage, and nearly 40% of the adult population from Hypertension (HTN). Blood Pressure Management Program (BPMP) is an Ayurvedic treatment strategy using Panchakarma. This study was conducted to evaluate the effect of BPMP on systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), body mass index (BMI) and dependency on conventional therapy in elderly male patients of HTN. This observational study was conducted from January 2017 to February 2018, wherein the data of HTN patients who attended Madhavbaug clinics in Maharashtra, India were identified. Data of patients who were administered BPMP (60-75 minutes) with minimum 6 sittings over 90 days (± 15 days) were considered. Variables were compared between day 1 and day 90 of BPMP. Out of 29 enrolled patients, 24 were finally selected for analysis. BPMP showed significant improvement in SBP by 24.66 (from 150.67 ±12.97 to 126 ± 13.01; p<0.001), DBP by 10.8 (from 87.7917 ±7.72 to 76.917 ±7.59, p< 0.001), MAP by 15.4 (from 108.75 ±7.14 to 93.25 ±8.72, p<0.001). BMI (25.7275 ±2.63 kg/m2 to 24.91 ±2.32 kg/m2), also showed significant reduction. Dependency on concomitant medicines was reduced, with the number of patients on no concomitant medicines increasing from 19% to 29%. BPMP can serve as an effective therapeutic regiment to combat HTN in elderly male patients.},
     year = {2018}
    }
    

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    T1  - To Study Efficacy of Blood Pressure Management Program (BPMP) in Male Elderly Patients with Known Case of Hypertension: An Observational Study
    AU  - Rohit Sane
    AU  - Sagar Patil
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    JF  - Cardiology and Cardiovascular Research
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    PB  - Science Publishing Group
    SN  - 2578-8914
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    AB  - Around 20% of the population are in prehypertension stage, and nearly 40% of the adult population from Hypertension (HTN). Blood Pressure Management Program (BPMP) is an Ayurvedic treatment strategy using Panchakarma. This study was conducted to evaluate the effect of BPMP on systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), body mass index (BMI) and dependency on conventional therapy in elderly male patients of HTN. This observational study was conducted from January 2017 to February 2018, wherein the data of HTN patients who attended Madhavbaug clinics in Maharashtra, India were identified. Data of patients who were administered BPMP (60-75 minutes) with minimum 6 sittings over 90 days (± 15 days) were considered. Variables were compared between day 1 and day 90 of BPMP. Out of 29 enrolled patients, 24 were finally selected for analysis. BPMP showed significant improvement in SBP by 24.66 (from 150.67 ±12.97 to 126 ± 13.01; p<0.001), DBP by 10.8 (from 87.7917 ±7.72 to 76.917 ±7.59, p< 0.001), MAP by 15.4 (from 108.75 ±7.14 to 93.25 ±8.72, p<0.001). BMI (25.7275 ±2.63 kg/m2 to 24.91 ±2.32 kg/m2), also showed significant reduction. Dependency on concomitant medicines was reduced, with the number of patients on no concomitant medicines increasing from 19% to 29%. BPMP can serve as an effective therapeutic regiment to combat HTN in elderly male patients.
    VL  - 2
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Author Information
  • Department of Research and Development, Madhavbaug Cardiac Care Clinics and Hospitals, Mumbai, India

  • Madhavbaug Cardiac Care Clinics, Mumbai, India

  • Madhavbaug Cardiac Care Clinics, Pune, India

  • Department of Medical Operations, Madhavbaug Cardiac Care Clinics and Hospitals, Mumbai, India

  • Department of Medical Operations, Madhavbaug Cardiac Care Clinics and Hospitals, Pune, India

  • Department of Research and Development, Madhavbaug Cardiac Care Clinics and Hospitals, Mumbai, India

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