Percutaneous closure is a potential technique in a selected group of patients. The presence of cardiogenic shock, IWMI and serpigeneous form of VSR constitutes important risk factors for mortality. Device implantation is in general successful with few procedure-related complications and should be applied on a case-by-case basis.
HTN is found to have a high prevalence across various states in our country. Latest data have shown that 25-30% of population from urban areas and 10-20% of those in rural India are hypertensive. According to the 2011 census, there are around 95-100 million adults with HTN in India (of the total of 1.21 billion). Pre-HTN and Stage I HTN constitute a major chunk of the hypertensive population in India. There is a dearth of awareness, as well as very low rates of control and appropriate therapy in India, a fact with a rural preponderance. Lower socioeconomic status, living in rural areas and female gender are determinants of poor control and treatment�
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