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

Rohit Sane

doi: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 <i>Panchakarma</i>. 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 <i>Madhavbaug clinics in Maharashtra, India</i> 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.

Highlights

Hypertension (HTN) has assumed epidemic level prevalence rates in past few decades
Given the BP reducing action of herbal drugs and beneficial effects of Panchakarma in HTN, we planned this observational study to analyze the effect of Blood Pressure Management Program (BPMP) on systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), body mass index (BMI), dependency of elderly male hypertensive patients on conventional antihypertensive medicines at the end of the study period
In our study there was significant reduction in MAP, which suggest that BPMP might serve as an effective tool to combat HTN

Summary

Introduction

Hypertension (HTN) has assumed epidemic level prevalence rates in past few decades. Around 20% of the population are in prehypertension stage, and nearly 40% of the adult population from HTN [1]. Variety of drugs are available for treatment of HTN, which include beta blockers, angiotensin converting enzyme inhibitors (ACEIs), diuretics, calcium channel blockers, etc [7]. These drugs frequently give rise to number of adverse effects like hypotension, worsening of asthma, heart block, dizziness, headache, hallucinations, etc [8]. Given the BP reducing action of herbal drugs and beneficial effects of Panchakarma in HTN, we planned this observational study to analyze the effect of BPMP on SBP, DBP, mean arterial pressure (MAP), body mass index (BMI), dependency of elderly male hypertensive patients on conventional antihypertensive medicines at the end of the study period

Duration of Study January 2017 to February 2018

Results

Discussion

Conclusion