Department of Medicine, Lubin Cardiovascular Institute of Alberta, University of Calgary, Alberta, Calgary, Canada.
Can J Cardiol. 2010 Aug-Sep;26 Suppl C(Suppl C):14C-7C. doi: 10.1016/s0828-282x(10)71076-x.
Suboptimum blood pressure is estimated to be the leading risk factor for death worldwide and is associated with 13.5% of deaths globally. The clinical diagnosis of hypertension affects one in four adults globally and is expected to increase by 60% between 2000 and 2025. Clearly, global efforts to prevent and control hypertension are important health issues. While Canada had a prevalence of hypertension similar to that of the United States in the early 1990 s, the treatment and control rate was only 13% compared with 25% in the United States. A national strategic plan was developed, and a coalition of organizations and health care professional and scientist volunteers actively implemented parts of the strategy. Specific initiatives that have evolved include the development of hypertension knowledge translation programs for health professionals, the public and people with hypertension, an outcomes research program to assess the impact of hypertension and guide national-, regional- and community-based knowledge translation interventions, and a program to reduce the prevalence of hypertension by decreasing sodium additives in food. These initiatives have relied on the active involvement of health care professional volunteers, health care professional and scientific organizations and various government departments. There have been large increases in the diagnosis and treatment of hypertension, with corresponding reductions in cardiovascular disease and total mortality associated with the start of the hypertension initiatives. As a result, Canada is becoming recognized as a world leader in the prevention, treatment and control of hypertension.
据估计，血压控制不理想是全球范围内导致死亡的主要危险因素，占全球死亡人数的 13.5%。全球每四个成年人中就有一人被临床诊断患有高血压，预计 2000 年至 2025 年间这一比例将增加 60%。显然，全球在预防和控制高血压方面的努力是重要的健康问题。尽管加拿大在 20 世纪 90 年代初期的高血压患病率与美国相似，但治疗和控制率仅为 13%，而美国为 25%。为此，加拿大制定了一项国家战略计划，一个由组织和医疗保健专业人员及科学家志愿者组成的联盟积极实施了该战略的部分内容。具体举措包括为医疗保健专业人员、公众和高血压患者制定高血压知识转化计划，开展评估高血压影响和指导国家、地区和社区知识转化干预措施的结果研究项目，以及减少食物中钠添加剂以降低高血压患病率的计划。这些举措依赖于医疗保健专业志愿者、医疗保健专业和科学组织以及各个政府部门的积极参与。加拿大在高血压的诊断和治疗方面取得了显著进展，高血压防治工作的启动带来了心血管疾病和总死亡率的相应降低。因此，加拿大在预防、治疗和控制高血压方面正逐渐成为世界领先者。
