Yusufali Afzalhussein, Bazargani Nooshin, Agrawal Amrish, Muhammed Khalifa, Obaid Hanan, Gabroun Ahmed, Albadwawi Mouza, Albawab Amer, Musa Anas, Alraeesi Fatima, Vazir Zainab, Varghese Rekha, Ravi Kumar Rajakumari, Kobeissi Elsa, Beaney Thomas, Poulter Neil R
Hatta Hospital, Dubai Health Authority/Dubai Medical University, Dubai, UAE.
Dubai Medical University, Dubai, UAE.
Eur Heart J Suppl. 2019 Apr;21(Suppl D):D118-D120. doi: 10.1093/eurheartj/suz074. 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 programmes worldwide. United Arab Emirates has a young population, but cardiovascular disease (CVD) is the commonest cause of death (40%). Myocardial infarction and stroke occurs at least a decade earlier than in western countries. Previous screening in our young population showed that 85% of the population had at least one CVD risk factor and about 62% of them were unaware of it. An opportunistic cross-sectional survey of volunteers aged ≥18 was carried out in May 2017. Blood pressure measurement, the definition of hypertension and statistical analysis followed the standard MMM protocol. Screening was held in 23 sites such as mosques, sports, and men's/ladies' clubs, airports, parks, shopping malls, work places as well as their residences, and in the public areas of hospitals or outpatient clinics. A total of 6193 individuals were screened during MMM17. The mean age was 39.2 ± 13.1 years. After multiple imputation, 1867 (30.2%) had hypertension. Of individuals not receiving anti-hypertensive medication, 813 (15.8%) were hypertensive. Of 1054 individuals receiving anti-hypertensive medication, 427 (40.6%) had uncontrolled BP. MMM17 was a useful screening model as it makes BP measurement easily accessible. Eight hundred and thirteen (16%) possibly new hypertensives were uncovered and 427(40.6%) of those on treatment for hypertension were found to be uncontrolled. These results suggest that opportunistic screening can identify significant numbers with raised BP.
高血压是全球日益沉重的负担,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缺失的临时解决方案。阿拉伯联合酋长国人口年轻,但心血管疾病(CVD)是最常见的死亡原因(40%)。心肌梗死和中风的发生比西方国家至少早十年。此前对我国年轻人群的筛查显示,85%的人群至少有一个心血管疾病风险因素,其中约62%的人并未意识到这一点。2017年5月对年龄≥18岁的志愿者进行了一项机会性横断面调查。血压测量、高血压定义和统计分析遵循标准的MMM方案。筛查在23个地点进行,如清真寺、体育场所、男女俱乐部、机场、公园、购物中心、工作场所及其住所,以及医院或门诊诊所的公共区域。在MMM17期间共筛查了6193人。平均年龄为39.2±13.1岁。经过多重插补后,1867人(30.2%)患有高血压。在未接受抗高血压药物治疗的个体中,813人(15.8%)患有高血压。在1054名接受抗高血压药物治疗的个体中,427人(40.6%)血压未得到控制。MMM17是一个有用的筛查模型,因为它使血压测量变得容易获得。发现了813名(16%)可能的新高血压患者,在接受高血压治疗的患者中,有427人(40.6%)血压未得到控制。这些结果表明,机会性筛查可以识别出大量血压升高的人群。