Indian Guidelines on Hypertension in the Young for Physicians and Cardiologists | IACM Clinical Practice Guideline | Diagnosis, Evaluation and Management of Young-Onset Hypertension: 1

Indian Guidelines on Hypertension in the Young is a first-of-its-kind clinical practice guideline developed under the aegis of the Indian Association of Clinical Medicine (IACM). It sets out a concise, practical roadmap for detecting, evaluating and managing young-onset hypertension, defined as the onset of hypertension before 40 years of age, in Indian clinical settings. The guidance is organised across 15 chapters, moving from epidemiology and risk factors, accurate blood pressure measurement, and clinical assessment and classification, through evaluation of high blood pressure in young adults, secondary hypertension in young adulthood, target-organ risk stratification across cardiovascular, renal and neurological systems, and investigations, to pharmacological and nonpharmacological management, and finally preventive strategies and public health initiatives. The text uses a succinct, recommendation-led style with bulleted points, classification thresholds and a dedicated treatment of the diagnostic challenges specific to young hypertensives. An extended chapter on nonpharmacological management addresses lifestyle modification, diet, exercise and autonomic and mind-body factors, and a bibliography supports further reading. Who This Book Is For: Physicians and internists: using it in everyday outpatient practice to identify, work up and treat hypertension in adults under 40 years of age. Cardiologists and general practitioners: for cardiovascular risk stratification, screening for secondary causes and long-term follow-up of young hypertensives. Why This Book Helps: Focused on a rising problem: treats young-onset hypertension as a distinct entity rather than a footnote to adult hypertension guidance. Simplifies assessment: lays out blood pressure measurement technique, classification and a stepwise evaluation pathway for young adults. Flags secondary causes: structures the workup for secondary hypertension, which is proportionally more common in this age group. Links risk to action: connects target-organ risk stratification to cardiovascular, renal and neurological outcomes and to treatment intensity. Resource-conscious: emphasises a multipronged, cost-effective approach suited to Indian practice. Key Features: 15 chapters spanning epidemiology, blood pressure measurement, classification, evaluation, secondary hypertension, investigations, management and prevention. Dedicated chapter on target-organ risk stratification across cardiovascular, renal and neurological systems. Separate chapters on investigations for all young hypertensives and for suspected secondary hypertension. Extended chapter on nonpharmacological management covering diet, exercise, autonomic factors and stress. Concise, recommendation-style text with thematic subheadings and a bibliography for further reading.

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