Lopez-Jaramillo Patricio, Otero Johanna, Alvernia Juliana, Ney-Salazar Daniela, Lopez-Lopez Jose, Accini Jose L, Aroca Gustavo, Urina-Triana Miguel, Sánchez-Vallejo Gregorio, Arcos Edgar, Casanova María E, García Henry, Beaney Thomas, Ster Anca Chis, Poulter Neil R
Instituto de Investigaciones Masira, Facultad de Ciencias de la Salud, Universidad de Santander (UDES), Lagos del Cacique, Bucaramanga, Santander, Colombia.
Dirección de Investigaciones, Fundación Oftalmológica de Santander (FOSCAL), Calle 155 A 23 04, El Bosque, Floridablanca, Santander, Colombia.
Eur Heart J Suppl. 2020 Aug;22(Suppl H):H43-H46. doi: 10.1093/eurheartj/suaa025. Epub 2020 Aug 28.
High blood pressure (BP) is the leading global preventable cause of death and the most common risk factor for cardiovascular disease (CVD). However, due to its asymptomatic nature, the lack of awareness of this condition causes underdiagnosis and low rates of adherence to pharmacological treatment. Looking for practical approaches to increase awareness worldwide, the International Society of Hypertension (ISH) implemented the 2nd May Measurement Month campaign in 2018 (MMM18). In order to contribute to this initiative, Colombia participated as one of the 89 countries involved in this hypertension screening programme. Blood pressure was measured in subjects from 11 departments in Colombia. Under the leadership of the Fundación Oftalmológica de Santander (FOSCAL), 400 volunteers across the country collected the data following the MMM protocol. Measurements from 35 548 participants with a mean age of 41.9 years were obtained. In total, 9475 (26.7%) of the total population studied had hypertension. Of those with hypertension, 69.9% of these subjects were aware of their condition, 65.0% were on antihypertensive medication, and 43.1% had controlled BP. Of those on medication, 66.3% had controlled BP. Hypertension screening, awareness, treatment, and control should be a priority in public health objectives due to its elevated burden of disease and direct association with increased CVD. The MMM campaign provided a positive impact in the diagnosis of hypertension across Colombia. Although efforts are being made to expand treatment capability and adherence, still more are needed to insure a broader coverage of antihypertensive medication in Colombia.
高血压是全球可预防的首要死因,也是心血管疾病(CVD)最常见的危险因素。然而,由于其无症状的特性,人们对这种疾病缺乏认识,导致诊断不足以及药物治疗的依从率较低。为寻求提高全球认识的切实可行方法,国际高血压学会(ISH)于2018年开展了5月2日测量月活动(MMM18)。为推动这一倡议,哥伦比亚作为参与该高血压筛查项目的89个国家之一参与其中。对哥伦比亚11个省的受试者进行了血压测量。在桑坦德眼科基金会(FOSCAL)的领导下,全国400名志愿者按照MMM方案收集了数据。获得了35548名平均年龄为41.9岁参与者的测量数据。在总共研究的人群中,9475人(26.7%)患有高血压。在这些高血压患者中,69.9%的人知晓自己的病情,65.0%的人正在服用降压药,43.1%的人血压得到控制。在服用药物的患者中,66.3%的人血压得到控制。鉴于高血压疾病负担沉重且与心血管疾病增加直接相关,高血压筛查、知晓、治疗和控制应成为公共卫生目标的优先事项。MMM活动对哥伦比亚高血压的诊断产生了积极影响。尽管正在努力扩大治疗能力和提高依从性,但仍需要更多努力以确保哥伦比亚有更广泛的降压药覆盖范围。