Hypertension Journal

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It is matter of great pride that Hypertension Journal is bringing out an specialissue. We live in a rapidly changing environment. Throughout the world, humanhealth is being shaped by the same powerful forces: demographic ageing, rapidurbanization, globalization, and unhealthy lifestyles, etc. Worldwide, hypertensionis estimated to cause 7.5 million deaths which is about 12.8%of the total deaths.This accounts to 57 million disability adjusted life years (DALYS) or 3.7% of totalDALYS. In addition to coronary heart diseases and stroke, complications of raisedblood pressure include heart failure, cerebral stroke, peripheral vascular disease,renal impairment, retinal hemorrhage and visual impairment. High blood pressure(BP) is ranked as the third most important risk factor for burden of disease inSouth Asia. Hypertension (HTN) exerts a substantial public health burden on cardiovascular health status and healthcare systems in India. HTN is directly responsible for 57% of all strokedeaths and 24% of all coronary heart disease (CHD) deaths in India. In an analysis of worldwide data for theglobal burden of HTN, 20.6% of Indian men and 20.9% of women were found to be suffering from HTN in 2005. The rates of HTN in percentage are projected to go up to 22.9           Editorial
and 23.6 for Indian men and women, respectivelyby 2025. Recent studies from India have shown the prevalence of HTN is higher in urban population comparedto rural people in India. Age, alcohol, smoking and chewing tobacco, body mass index (BMI), central obesity,consumption of low vegetables/fruits, high consumption of dietary fat and salt, and sedentary lifestyle activitywere the significant risk factors of HTN. Global efforts to tackle the challenge of non-communicable diseaseshave gained momentum since the 2011 after the United Nations Political Declaration on the prevention andcontrol of non-communicable diseases. Hypertension is a silent, invisible killer that rarely causes symptoms.Increasing public awareness is key to prevent the morbidity and mortality associated with HTN as is access toearly. To raise this kind of awareness, countries need system and service is place to promote universal healthcoverage and support healthy lifestyles; eating a balanced diet, reducing salt intake, avoiding harmful use ofalcohol, getting regular exercise and shunning tobacco. Access to good quality medicines, which are effectiveand inexpensive, is also vital, particularly at the primary care level.

I thank the whole editorial board and management team for bringing out this special issue of HypertensionJournal.

With best wishes
Prof Madan Lal Brahma Bhatt
Vice Chancellor
King George's Medical University
Uttar Pradesh, Lucknow - 226003, India