OXIVIT Medical Group, Budapest, Hungary.
Am J Hypertens. 2012 Feb;25(2):204-8. doi: 10.1038/ajh.2011.199. Epub 2011 Nov 3.
Hungary has one of the highest mortality rates due to strokes among the European Union countries. As elevated blood pressure (BP) is the principal risk factor for strokes, we assessed BP levels, as well as awareness and treatment status of hypertension and prehypertension in a working population sample in Hungary.
Worksite employees in Budapest and Szeged were screened for their BP using an automated BP measuring instrument (BpTRU). BpTRU readings of heart rate (HR) were also recorded. Respondents were classified as normotensives (NT), prehypertensives (PHTN) and hypertensives (HTN) according to their BP levels, as defined by the JNC 7 guidelines. Body height and body weight were measured and body mass index (BMI) was calculated. Self-reported information regarding smoking was collected.
In total, 2,012 respondents were recruited (1,000 white collar; 1,012 blue-collar workers), with a mean (±s.d.) age of 34.8 (±9.9) years. Of all respondents, 22.6% were identified as HTN and 39.8% as PHTN. Among HTN, 40% were unaware of their condition and only 18.5% were adequately treated. PHTN were similar in age as NT, but showed significantly higher HR.
A high proportion of relatively young and apparently healthy Hungarian employees were diagnosed with prehypertension and hypertension. Only a small proportion of HTN had their BP controlled. BMI and HR were significantly higher among individuals with prehypertension compared to NT. Whether the high rates of hypertension, prehypertension, and low levels of control explain the high stroke mortality and unfavorable cardiovascular disease (CVD) profile of Hungary needs further study.
匈牙利是欧盟国家中中风死亡率最高的国家之一。由于高血压是中风的主要危险因素，我们评估了匈牙利工作人群样本中的血压水平，以及高血压和高血压前期的知晓率和治疗状况。
布达佩斯和塞格德的工作场所员工使用自动血压测量仪（BpTRU）筛查血压。BpTRU 还记录了心率（HR）读数。根据 JNC 7 指南，根据血压水平将受访者分为正常血压（NT）、高血压前期（PHTN）和高血压（HTN）。测量身高和体重，并计算体重指数（BMI）。收集有关吸烟的自我报告信息。
共招募了 2012 名受访者（1000 名白领；1012 名蓝领工人），平均年龄（±标准差）为 34.8（±9.9）岁。所有受访者中，22.6%被诊断为 HTN，39.8%为 PHTN。在 HTN 中，40%的人不知道自己的病情，只有 18.5%的人得到了适当的治疗。PHTN 的年龄与 NT 相似，但 HR 明显更高。
相当多的年轻且看似健康的匈牙利员工被诊断出患有高血压前期和高血压。只有一小部分 HTN 患者的血压得到了控制。与 NT 相比，高血压前期患者的 BMI 和 HR 明显更高。高血压、高血压前期的高发病率以及控制率低是否解释了匈牙利高中风死亡率和不利的心血管疾病（CVD）状况，还需要进一步研究。
