Ishaq Mohammad, Memon Feroz, Beaney Thomas, Xia Xin, Kobeissi Elsa, Poulter Neil R
Consultant Cardiologist, KIHD, Aga Khan University Hospital, Pakistan Hypertenison League, Alsehat Centre, Karachi, Pakistan.
Vice Chancellor, Indus University, Tando M Khan, Sindh, Pakistan.
Eur Heart J Suppl. 2019 Apr;21(Suppl D):D89-D91. doi: 10.1093/eurheartj/suz065. Epub 2019 Apr 24.
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 aimed at raising awareness of high BP and to act as a temporary solution to the lack of screening programs worldwide. Hypertension is a global health concern for developing countries. In Pakistan, apart from few population-based studies which evaluated the prevalence of hypertension, there is no current nationally representative study (the latest nationwide survey was conducted more than two decades ago). Pakistan Hypertension League, in accordance with the International Society of Hypertension directive under the banner of the May Measurement Month 2017 (MMM17) campaign, carried out a nationwide cross-sectional survey of volunteers aged ≥18 in May 2017 through its 14 regional chapters. Blood pressure measurement recorded through digital apparatus, the definition of hypertension (≥140/90 mmHg or being on BP-lowering treatment) and statistical analysis followed the standard MMM protocol. A total of 5333 individuals were screened during the MMM17 campaign with mean age 45.0 (11.6). Males had a higher rate (66.3%, = 3536) in those screened than females (33.0%, = 1757). A total of 55.2% (= 2943) people had hypertension. This result shows very high rates of hypertension in Pakistani people. Therefore, there is an urgent need for federal implementation of BP screening as well as awareness programs across the nation.
血压升高是全球日益加重的负担，每年导致超过1000万人死亡。五月测量月（MMM）是一项全球倡议，旨在提高对高血压的认识，并作为全球筛查项目不足的临时解决方案。高血压是发展中国家的一个全球健康问题。在巴基斯坦，除了少数几项评估高血压患病率的基于人群的研究外，目前没有全国代表性的研究（最新的全国性调查是在二十多年前进行的）。巴基斯坦高血压联盟根据国际高血压学会的指示，在2017年五月测量月（MMM17）活动的旗帜下，于2017年5月通过其14个地区分会对18岁及以上的志愿者进行了全国性横断面调查。通过数字设备记录血压测量值，高血压的定义（≥140/90 mmHg或正在接受降压治疗）以及统计分析均遵循标准的MMM方案。在MMM17活动期间，共筛查了5333人，平均年龄为45.0（11.6）。筛查人群中男性比例较高（66.3%，n = 3536），高于女性（33.0%，n = 1757）。共有55.2%（n = 2943）的人患有高血压。这一结果表明巴基斯坦人群中高血压患病率非常高。因此，迫切需要在全国范围内由联邦政府实施血压筛查以及提高认识的项目。
