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Blood pressure screening results from May Measurement Month 2021 in Vietnam. 越南 2021 年五月测量月的血压筛查结果。
IF 1.7 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-07-24 eCollection Date: 2024-06-01 DOI: 10.1093/eurheartjsupp/suae067
Huynh Van Minh, Nguyen Lan Viet, To Muoi, To Anh Tuan, Ngo Van Hung, Tra Kim Son, Nguyen Ta Dong, Doan Chi Thang, Thomas Beaney, Sima Toopchiani, Neil R Poulter, Hoang Anh Tien

Elevated blood pressure (BP) is a growing burden worldwide, leading to over 10 million deaths each year. May Measurement Month (MMM) is a global initiative to raise awareness of high BP and acts as a temporary solution to the worldwide shortage of screening programmes. We aimed to screen for hypertension and cardiovascular risk factors in people aged ≥18 years in the community, thereby defining the proportion of participants with elevated BP and assessing the awareness and the effectiveness of its treatment. An opportunistic cross-sectional survey of volunteers aged ≥18 years was carried out in May 2021. Blood pressure measurement, the definition of hypertension, and statistical analysis followed the standard MMM protocol. From May 2021 to June 2021, through three cities/provinces in Vietnam (due to the COVID-19 pandemic), 2572 individuals with mean age 51.5 (SD ±15.7) years were screened. After multiple imputation, 929 (36.1%) had hypertension. Of individuals not receiving antihypertensive medication, 206 (11.2%) were hypertensive. Of individuals receiving antihypertensive medication, 415 (57.4%) had uncontrolled BP (≥140/90 mmHg). The MMM21 BP screening campaign was undertaken in Vietnam during the COVID-19 pandemic. Undiagnosed and uncontrolled hypertension in Vietnam remains a substantial health problem. Local campaigns applying standardized methods such as MMM21 will be beneficial to screen for a significant number of individuals with raised BP and increase awareness of hypertension.

血压(BP)升高是全世界日益沉重的负担,每年导致 1,000 多万人死亡。五月测量月(MMM)是一项旨在提高人们对高血压认识的全球性活动,同时也是解决全球筛查项目不足的一个临时方案。我们的目的是在社区中对年龄≥18 岁的人群进行高血压和心血管风险因素筛查,从而确定血压升高的参与者比例,并评估其认知度和治疗效果。2021 年 5 月,对年龄≥18 岁的志愿者进行了一次机会性横断面调查。血压测量、高血压定义和统计分析均按照标准的 MMM 方案进行。从 2021 年 5 月到 2021 年 6 月,通过越南的三个城市/省(由于 COVID-19 大流行),共筛查了 2572 人,平均年龄为 51.5 岁(SD ±15.7)。经过多重估算,929 人(36.1%)患有高血压。在未服用降压药的人群中,有 206 人(11.2%)患有高血压。在接受降压药物治疗的患者中,有 415 人(57.4%)血压未得到控制(≥ 140/90 mmHg)。在 COVID-19 大流行期间,越南开展了 MMM21 血压筛查活动。在越南,未诊断和未控制的高血压仍然是一个严重的健康问题。采用 MMM21 等标准化方法在当地开展活动将有利于筛查大量血压升高的患者,并提高人们对高血压的认识。
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引用次数: 0
May Measurement Month 2021: an analysis of blood pressure screening results from Argentina. 2021 年五月测量月:阿根廷血压筛查结果分析。
IF 1.7 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-07-24 eCollection Date: 2024-06-01 DOI: 10.1093/eurheartjsupp/suae044
Jessica Barochiner, Fortunato García Vázquez, Pedro Becerra, Cristina Rojas, Ricardo Pesenti, Noemi A Mazzei, Arnoldo Kalbermatter, Analía Fuentes, Mariana Fita, Diego Márquez, Mauro Ruise, Thomas Beaney, Carolina Janssen-Telders, Neil R Poulter, Marcos J Marín

Hypertension continues to be the leading cause of death and disability in the industrialized world, with a high level of unawareness and unacceptably poor control rates. Therefore, the Argentinian Society of Hypertension, in association with the May Measurement Month (MMM) charity, implemented an awareness campaign during May 2021. A voluntary cross-sectional survey was carried out during the month of May 2021 in public spaces and health centres across 29 cities in Argentina. Hypertension was defined as systolic blood pressure (BP) ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg based on the mean of the second and third of three BP measurements or in those volunteers on treatment for high BP. Statistical analysis including multiple imputation followed the MMM protocol. A total of 26 070 individuals (average age 53.4 years, 14 816 women and 11 254 men) were evaluated. The age- and sex-standardized mean BP was 125.1/77.6 mmHg. Of all participants, 54.4% had hypertension. Although 79.8% of the hypertensive participants were aware of their condition and 76.9% were on antihypertensive treatment, only 42.5% of all individuals with hypertension had their BP controlled (<140/90 mmHg). Of those on antihypertensive medication, 55.3% were controlled. The low level of hypertension control highlights the critical need for community-based prevention strategies to increase the awareness and control of hypertension, thereby reducing the enormous health burden attributed to this condition.

在工业化国家,高血压仍然是导致死亡和残疾的主要原因,但人们对高血压的不了解程度很高,控制率低得令人无法接受。因此,阿根廷高血压学会与 "五月测量月"(MMM)慈善机构合作,在 2021 年 5 月期间开展了一项宣传活动。2021 年 5 月期间,在阿根廷 29 个城市的公共场所和医疗中心开展了一项自愿横断面调查。根据三次血压测量中第二次和第三次测量的平均值或正在接受高血压治疗的志愿者的测量结果,高血压的定义为收缩压(BP)≥ 140 mmHg 和/或舒张压≥ 90 mmHg。统计分析包括按照 MMM 方案进行的多重估算。共有 26 070 人(平均年龄 53.4 岁,女性 14 816 人,男性 11 254 人)接受了评估。年龄和性别标准化平均血压为 125.1/77.6 mmHg。在所有参与者中,54.4%患有高血压。尽管79.8%的高血压患者知道自己的病情,76.9%的患者正在接受降压治疗,但只有42.5%的高血压患者的血压得到了控制 (
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引用次数: 0
May Measurement Month 2021: an analysis of blood pressure screening results from Australia. 2021 年五月测量月:澳大利亚血压筛查结果分析。
IF 1.7 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-07-24 eCollection Date: 2024-06-01 DOI: 10.1093/eurheartjsupp/suae042
Revathy Carnagarin, James Leigh, Isabella Tan, Sonali Gnanenthiran, Jun Yang, Thomas Beaney, Jonathan Clarke, Neil R Poulter, Derrin Brockman, Markus P Schlaich

May Measurement Month (MMM) is a global and national blood pressure (BP) screening campaign initiated by the International Society of Hypertension to improve awareness of BP worldwide. This study reports on the findings of the MMM21 campaign in Australia. Adult participants (≥18 years) were screened through opportunistic sampling across Australia between 1 May and 30 November 2021. Trained volunteers recorded standardized BP measurements from community volunteer participants along with demographic data, lifestyle factors, comorbidities, and history of COVID-19 infection and vaccination. Hypertension was defined as systolic BP ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg and/or taking antihypertensive medication. Data were collated and analysed centrally using the current MMM protocol and presented after the imputation of missing BP readings. A total of 1307 participants were screened in 2021, comprising 652 (49.9%) females and 654 (50.0%) males with a mean age of 48 years (SD 20.1). Of all 1307 participants, 524 (40.1%) had hypertension. Of participants with hypertension, 65.4% were aware and 59.3% were on antihypertensive medication. Of 311 participants on antihypertensive medication, 54.7% had controlled BP. Of all 524 participants with hypertension, 32.5% had controlled BP. The current 2021 data may indicate some progress in creating BP awareness; however, consecutive Australian data obtained since 2017 demonstrated stagnating treatment, and control rates compared with global rates and those in other high-income countries. Concerted efforts from all stakeholders will be required to further improve BP awareness, treatment, and control rates in Australia.

五月测量月(MMM)是由国际高血压学会发起的一项全球性和全国性血压(BP)筛查活动,旨在提高全世界对血压的认识。本研究报告了澳大利亚 MMM21 运动的结果。2021 年 5 月 1 日至 11 月 30 日期间,澳大利亚各地通过机会性抽样对成人参与者(≥18 岁)进行了筛查。经过培训的志愿者记录了社区志愿参与者的标准化血压测量值以及人口统计学数据、生活方式因素、合并症、COVID-19感染史和疫苗接种史。高血压的定义是收缩压≥140毫米汞柱和/或舒张压≥90毫米汞柱和/或服用降压药。采用现行的 MMM 方案对数据进行集中整理和分析,并在对缺失的血压读数进行估算后提交。2021 年共筛查了 1307 名参与者,其中女性 652 人(49.9%),男性 654 人(50.0%),平均年龄 48 岁(标清 20.1)。在所有 1307 名参与者中,524 人(40.1%)患有高血压。在患有高血压的参与者中,65.4%的人知道自己患有高血压,59.3%的人正在服用降压药。在 311 名服用降压药的参与者中,54.7% 的人血压得到了控制。在所有 524 名患有高血压的参与者中,32.5% 的人血压得到了控制。目前的 2021 年数据可能表明,在提高血压意识方面取得了一些进展;然而,自 2017 年以来获得的澳大利亚连续数据表明,与全球和其他高收入国家相比,治疗率和控制率停滞不前。要进一步提高澳大利亚的血压意识、治疗率和控制率,需要所有利益相关者的共同努力。
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引用次数: 0
May Measurement Month 2021: an analysis of blood pressure screening results from Venezuela. 2021 年五月测量月:委内瑞拉血压筛查结果分析。
IF 1.7 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-07-24 eCollection Date: 2024-06-01 DOI: 10.1093/eurheartjsupp/suae065
Rafael Hernández-Hernández, Mónica L Guzmán-Franulic, Yuly Rawik-Dagher, Thomas Beaney, Neil R Poulter, Amanda Duin-Balza, María J Armas-Hernández, Egle Silva, Igor Morr, José Andrés Octavio-Seijas, Sima Toopchiani, María C Armas-Padilla

Cardiovascular diseases continue to be the main cause of death in Venezuela, and hypertension is the principal risk factor. The May Measurement Month (MMM) campaign is a global initiative aimed to raising awareness of hypertension, which has been conducted in Venezuela since 2017. May Measurement Month 2021 included 46 732 participants with a mean age of 56.4 years (SD 14.4), 57.9% of whom were female. The percentage with hypertension was 60.3% (57.9% of females and 63.7% of males), 82.3% (84.8% of females and 79.2% of males) were aware, and 80.2% were taking antihypertensive medication. Of those on antihypertensive medication, 44.2% (41.2% of females and 48.2% of males) were not controlled [blood pressure (BP) ≥ 140/≥90 mmHg], with 61.3% receiving one drug, 30.0% two drugs, and 8.7% three or more drugs. 87.5% of those on treatment reported taking it regularly. Conditions associated with higher BP levels include fewer years of education, having a previous diagnosis of hypertension, and women who were hypertensive during a previous pregnancy. Physical activity and pregnancy were conditions associated with lower BP levels. A previous positive COVID-19 test was reported in 11.1%, and one or more COVID-19 vaccinations reported in 22.7% of participants. Of those on antihypertensive medication, 78.8% reported their treatment was not affected by COVID-19. Results are consistent with previous MMM campaigns and indicate that the screening campaign is feasible and useful to identify hypertension even in exceptional conditions such as the COVID-19 pandemic.

心血管疾病仍然是委内瑞拉人的主要死因,而高血压是主要的风险因素。五月测量月(MMM)活动是一项旨在提高人们对高血压认识的全球性活动,自 2017 年起在委内瑞拉开展。2021 年 "五月测量月 "活动的参与者有 46 732 人,平均年龄为 56.4 岁(标准差 14.4),其中 57.9% 为女性。患有高血压的比例为 60.3%(女性为 57.9%,男性为 63.7%),82.3%(女性为 84.8%,男性为 79.2%)的人知道自己患有高血压,80.2%的人正在服用降压药。在服用降压药的人群中,44.2%(女性为 41.2%,男性为 48.2%)的血压未得到控制[血压(BP)≥140/≥90 mmHg],其中 61.3%的人服用一种药物,30.0%的人服用两种药物,8.7%的人服用三种或三种以上药物。87.5%的接受治疗者表示定期服药。与血压水平较高有关的情况包括受教育年限较少、曾被诊断出患有高血压,以及妇女曾在怀孕期间患有高血压。体育锻炼和怀孕则与较低的血压水平有关。11.1%的参与者曾在 COVID-19 检测中呈阳性,22.7%的参与者曾接种过一次或多次 COVID-19 疫苗。在服用抗高血压药物的参与者中,78.8% 的人表示他们的治疗不受 COVID-19 的影响。结果与以往的 MMM 运动一致,表明即使在 COVID-19 大流行等特殊情况下,筛查运动对识别高血压也是可行和有用的。
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引用次数: 0
May Measurement Month 2021: an analysis of blood pressure screening results from Malawi. 2021 年五月测量月:马拉维血压筛查结果分析。
IF 1.7 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-07-24 eCollection Date: 2024-06-01 DOI: 10.1093/eurheartjsupp/suae056
Henry Ndhlovu, Maureen Chirwa, Lucia Mbulaje, Jonathan Chiwanda, Thomas Beaney, Carolina Janssen-Telders, Neil R Poulter

May Measurement Month (MMM) is a global initiative aiming at raising awareness and screening people for blood pressure (BP) for free. Malawi started participating in 2017 due to our membership with the International Society of Hypertension, and this was done mainly to raise awareness of high BP, which could be of benefit to the population. An opportunistic cross-sectional survey of participants aged 18 years and above was carried out from May to September 2021 in Blantyre and Lilongwe. All BP measurements, definition of hypertension, and statistical analysis followed the standard MMM protocol. A total of 7074 participants took part with 4348 (61.5%) being male and 2726 (38.5%) female. A total of 1525 (21.6%) participants were found to have hypertension. Of these, 84 (5.5%) were aware that they had the condition, and 81 (5.3%) of those with hypertension were on antihypertensive treatment. Of those on antihypertensive treatment, 61 (76.5%) had controlled BP. The screenings were done in just two districts and a few locations, which therefore are not representative of the whole country. This shows there is a significant need to expand screening opportunities within Malawi for early detection of hypertension to have a greater impact on the country as far as the fight against hypertension is concerned.

五月测量月(MMM)是一项全球性倡议,旨在提高人们的认识,并免费为人们筛查血压(BP)。马拉维是国际高血压学会的成员,因此于 2017 年开始参与该活动,这样做主要是为了提高人们对高血压的认识,从而使民众受益。2021 年 5 月至 9 月,我们在布兰太尔和利隆圭对 18 岁及以上的参与者进行了一次机会性横断面调查。所有血压测量、高血压定义和统计分析均按照标准的 MMM 方案进行。共有 7074 名参与者参加,其中男性 4348 人(占 61.5%),女性 2726 人(占 38.5%)。共有 1525 人(21.6%)患有高血压。其中 84 人(5.5%)知道自己患有高血压,81 人(5.3%)正在接受降压治疗。在接受降压治疗的人中,61 人(76.5%)的血压得到了控制。筛查仅在两个地区和几个地点进行,因此不能代表全国情况。这表明,马拉维亟需扩大筛查机会,以便及早发现高血压,从而对该国的高血压防治工作产生更大的影响。
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引用次数: 0
May Measurement Month 2021: an analysis of blood pressure screening results from Mexico. 2021 年五月测量月:墨西哥血压筛查结果分析。
IF 1.7 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-07-24 eCollection Date: 2024-06-01 DOI: 10.1093/eurheartjsupp/suae055
Luis Alcocer, Silvia Palomo, Ricardo A Rangel-Zertuche, María Guadalupe Berumen-Lechuga, Julio M Medina-Serrano, Luis Rey García-Cortés, Oliva Mejía-Rodríguez, Thomas Beaney, Gabriele Kerr, Neil R Poulter

May Measurement Month 2021 (MMM21) in Mexico was an opportunistic survey that aimed to improve blood pressure awareness at the individual and population levels and to analyse the impact of the COVID-19 pandemic on the prevalence, knowledge, and rates of hypertension in the country. This survey followed the methodology of MMM, previously published. The total number of participants screened was 77 547, of which 47 793 (61.6%) were female and 29 178 (37.6%) were male. The mean age (SD) was 46.2 (16.6) years. Of all 77 547 participants, 14 939 (19.3%) had hypertension, of which 48% were aware. The frequency and awareness of hypertension in this survey are similar to those reported before the pandemic (MMM19-Mexico and the 2019 National Health Survey), suggesting that the impact of the COVID-19 pandemic in these parameters of arterial hypertension was not as important as expected. These data are concordant with the official reports in Mexico that showed that the pandemic had a severe impact on cardiovascular mortality but did not modify mortality due to hypertension or stroke.

墨西哥 2021 年五月测量月(MMM21)是一项机会性调查,旨在提高个人和人群的血压意识,并分析 COVID-19 大流行对该国高血压患病率、知识和发病率的影响。此次调查采用了之前公布的 MMM 方法。接受筛查的总人数为 77 547 人,其中女性 47 793 人(占 61.6%),男性 29 178 人(占 37.6%)。平均年龄(标准差)为 46.2(16.6)岁。在所有 77 547 名参与者中,14 939 人(19.3%)患有高血压,其中 48% 意识到自己患有高血压。此次调查中的高血压发生率和知晓率与大流行前的报告(MMM19-墨西哥和 2019 年全国健康调查)相似,表明 COVID-19 大流行对动脉高血压这些参数的影响没有预期的那么重要。这些数据与墨西哥的官方报告一致,官方报告显示大流行对心血管死亡率产生了严重影响,但并未改变高血压或中风导致的死亡率。
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引用次数: 0
May Measurement Month 2021: an analysis of blood pressure screening results from Paraguay. 2021 年五月测量月:巴拉圭血压筛查结果分析。
IF 1.7 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-07-24 eCollection Date: 2024-06-01 DOI: 10.1093/eurheartjsupp/suae051
Maria Paniagua, José Ortellado, Thomas Beaney, Jonathan Clarke, Manuel Castillo, Abdón Villamayor, Neil R Poulter, Rocío Aparicio

The aim of this study was to highlight the importance of measuring blood pressure (BP) to identify new, known, and treated individuals with hypertension and to raise awareness in the general population about the importance of good BP control. In Paraguay, 3663 individuals aged ≥18 years of both sexes were recruited from May to November 2021 as part of the May Measurement Month (MMM) campaign, which was initiated by the International Society of Hypertension in 2017. Volunteers of 18 regional health teams applied the questionnaire provided by the MMM 2021 organization throughout the country. Due to COVID-19 constraints, the majority of the questionnaires (52.2%) were administered in health centres of the Ministry of Health and concluded with three BP and pulse readings using OMRON-automated BP measurement devices. Hypertension was defined as a systolic BP ≥ 140 mmHg or as a diastolic BP ≥ 90 mmHg or taking antihypertensive medication. We found that 57.4% of screenees were hypertensive and 72.9% of these (82.3% of women and 59.4% of men) had known hypertension. Of patients with hypertension, 70.1% were on antihypertensive medication, and 40.9% had controlled BP (<140/90 mmHg). Among hypertensives detected, 79.7% of women were on antihypertensive medication and 44.1% had controlled BP, while 56.4% of men were on treatment and 34.3% had controlled BP. In summary, we found high levels of hypertension with high rates of awareness and treatment particularly among women, although control rates were low particularly among men. This may be because most screening was conducted predominately in hospital settings.

这项研究旨在强调测量血压(BP)的重要性,以识别新的、已知的和接受过治疗的高血压患者,并提高普通人群对良好血压控制重要性的认识。作为国际高血压学会于 2017 年发起的 "五月测量月"(MMM)活动的一部分,巴拉圭在 2021 年 5 月至 11 月期间招募了 3663 名年龄≥18 岁的男女患者。18 个地区卫生团队的志愿者在全国范围内采用了 MMM 2021 组织提供的调查问卷。由于 COVID-19 的限制,大部分问卷(52.2%)在卫生部的卫生中心进行,最后使用欧姆龙(OMRON)自动血压测量设备进行了三次血压和脉搏读数。高血压的定义是收缩压≥ 140 mmHg 或舒张压≥ 90 mmHg 或正在服用降压药。我们发现,57.4% 的筛查对象患有高血压,其中 72.9%(82.3% 的女性和 59.4% 的男性)已知患有高血压。在高血压患者中,70.1%的人正在服用降压药,40.9%的人血压得到控制 (
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引用次数: 0
May Measurement Month 2021: an analysis of blood pressure screening results from Nepal. 2021 年五月测量月:尼泊尔血压筛查结果分析。
IF 1.7 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-07-24 eCollection Date: 2024-06-01 DOI: 10.1093/eurheartjsupp/suae054
Yoko Inagaki, Sweta Koirala, Kiran Paudel, Kiran Tiwari, Abhishek Sapkota, Pabitra Babu Soti, Jonathan Clarke, Thomas Beaney, Neil R Poulter, Dinesh Neupane

Despite the well-recognized importance of prevention and early treatment of hypertension, the majority of adults in Nepal are not aware of their high blood pressure (BP) and are left untreated. In this paper, we report the result of the May Measure Month 2021 campaign in Nepal: a nationwide community-based hypertension screening campaign. An opportunistic cross-sectional survey was conducted in 15 districts between September 2021 and December 2021. An individual was included if aged 18 years or more and provided informed consent. Structured questionnaires were administered, and BP was measured three times in a sitting position by trained volunteers. A total of 5172 participants were included. The median age (interquartile range) was 37 (25-51), and 49.9% were female. The mean (SD) of the systolic and diastolic BP was 123.9 (14.9) and 80.2 (9.3) mmHg, respectively. A total of 1066 participants (20.6%) were identified as hypertensive (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg or on antihypertensive medication), of whom 399 (39.5%) and 298 (29.5%) were aware of their BP status and treated with at least one antihypertensive medicine, respectively. Blood pressure control (<140/90 mmHg) was achieved in 15.6% of all hypertensives and in 56.0% of treated individuals. Multivariate logistic regression showed an association between hypertension and the following variables: every 1-year increase of age [odds ratio (OR) = 1.13 (1.11-1.15) if age < 40 and OR = 1.05 (1.04-1.06) if age ≥ 40], male [OR = 1.57 (1.33-1.89)], regular alcohol use [OR = 1.59 (1.30-1.93)], and diabetes [OR = 2.63 (1.93-3.58)]. Hypertension awareness, treatment, and control were suboptimal in Nepal. This study supports a strong need to scale up community-based hypertension programmes in Nepal and raises the possibility of task sharing with community health workers.

尽管预防和早期治疗高血压的重要性已得到广泛认可,但尼泊尔大多数成年人并不知道自己有高血压,也没有得到治疗。在本文中,我们报告了尼泊尔 "2021 年五月测量月 "活动的结果:这是一项基于社区的全国性高血压筛查活动。2021 年 9 月至 2021 年 12 月期间,我们在 15 个县进行了一次机会性横断面调查。年龄在 18 岁或 18 岁以上并提供知情同意书的个人被纳入调查范围。由受过培训的志愿者进行结构化问卷调查,并以坐姿测量血压三次。共纳入了 5172 名参与者。年龄中位数(四分位数间距)为 37 岁(25-51 岁),49.9% 为女性。收缩压和舒张压的平均值(标度)分别为 123.9 (14.9) mmHg 和 80.2 (9.3) mmHg。共有 1066 名参与者(20.6%)被确定为高血压(收缩压≥ 140 mmHg 或舒张压≥ 90 mmHg 或正在服用降压药),其中分别有 399 人(39.5%)和 298 人(29.5%)知道自己的血压状况并至少服用了一种降压药。血压控制
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引用次数: 0
May Measurement Month 2021: results of 31 national blood pressure screening programmes. 2021 年五月测量月:31 个国家血压筛查计划的结果。
IF 1.7 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-07-24 eCollection Date: 2024-06-01 DOI: 10.1093/eurheartjsupp/suae069
Neil R Poulter, Markus P Schlaich, Aletta E Schutte, George S Stergiou, Gaia Kiru, Harsha McArdle, Thomas Beaney
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引用次数: 0
May Measurement Month 2021: an analysis of blood pressure screening results from a suburban community in the Democratic Republic of the Congo. 2021 年五月测量月:刚果民主共和国郊区社区血压筛查结果分析。
IF 1.7 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-07-24 eCollection Date: 2024-06-01 DOI: 10.1093/eurheartjsupp/suae050
Nathan B Buila, Tresor M Tshiswaka, Yves N Lubenga, Fortunat K Katamba, Pascal M Bayauli, Georges N Ngoyi, Jean-Marc B Bantu, Thomas Beaney, Gabriele Kerr, Neil R Poulter, Jean-René M'Buyamba-Kabangu

Hypertension remains the most powerful contributor to the global morbidity and mortality. May Measurement Month (MMM), a worldwide screening campaign initiated by the International Society of Hypertension (ISH), is organized annually to increase awareness of high blood pressure (BP). We screened 20 913 adult (≥18 years) residents of suburb hamlets of Mbujimayi (mean age 35.1 ± 15.1 years; Black ethnicity: 98.8%; women: 29.6%; diabetes: 1.6%; alcohol drinkers: 16.8% and smokers: 6.7%, previous myocardial infarction: 1.4%; stroke: 0.8%; taking aspirin: 3.2%; taking statins: 1.9%). Three sitting BP readings were taken, and hypertension was defined as a systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg or being on antihypertensive medication. Half of the participants had never had their BP checked, whilst 4.2% of respondents had participated in the MMM19 campaign. 0.9% and 1.7% reported COVID-19 vaccination and positive test, respectively. After multiple imputation of missing BP readings, 14.0% of respondents had hypertension of which 35.8% were aware, 28.0% were on antihypertensive medication and 14.1% had controlled BP. Of those on antihypertensive medication, 40.4% were on monotherapy, 37.2% adhered to taking their medication regularly, and 50.4% had controlled BP (<140/90 mmHg). In regression analyses adjusted for age, sex, and antihypertensive treatment, smoking was associated with lower systolic BP, having more years of education was associated with higher systolic and diastolic BP, and physical activity was associated with lower systolic and diastolic BP. This campaign contributes somewhat to reducing the 'black hole' on the prevalence of hypertension in DRC pending systematic countrywide BP screening.

高血压仍然是导致全球发病率和死亡率的最主要因素。五月测量月(MMM)是由国际高血压学会(ISH)发起的一项全球性筛查活动,每年举办一次,旨在提高人们对高血压(BP)的认识。我们对姆布吉马伊郊区小村庄的 20 913 名成年(≥18 岁)居民进行了筛查(平均年龄为 35.1 ± 15.1 岁;黑人:98.8%;女性:29.6%;糖尿病:1.6%;饮酒者:16.8%;吸烟者:16.8%):饮酒者:16.8%,吸烟者6.7%,曾患心肌梗塞:1.4%;中风曾患心肌梗塞:1.4%;中风:0.8%;服用阿司匹林:3.2%;服用他汀类药物:1.9%):1.9%).测量三次坐位血压,收缩压≥140 mmHg或舒张压≥90 mmHg或服用降压药即为高血压。半数参与者从未检查过血压,而 4.2% 的受访者参加过 MMM19 运动。分别有 0.9% 和 1.7% 的受访者表示接种过 COVID-19 疫苗或检测结果呈阳性。在对缺失的血压读数进行多重估算后,14.0% 的受访者患有高血压,其中 35.8% 的人知道自己患有高血压,28.0% 的人正在服用降压药,14.1% 的人血压得到控制。在服用抗高血压药物的受访者中,40.4%为单药治疗,37.2%坚持定期服药,50.4%血压得到控制 (
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European Heart Journal Supplements
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