Peñaherrera Ernesto, Beaney Thomas, Ster Anca Chis, Poulter Neil R, Villalba Jose, Ramirez Maria Isabel, Duarte Yan, Caceres Silvia, Mora Cecilia, Peñaherrera Ruben, Avila Elisa, Arteaga Fabricio, Bravo Jesenia, Hidalgo Eric
Hospital Luis Vernaza, Guayaquil, Ecuador.
Universidad Espiritu Santo, Guayaquil, Ecuador.
Eur Heart J Suppl. 2020 Aug;22(Suppl H):H53-H55. doi: 10.1093/eurheartj/suaa010. Epub 2020 Aug 28.
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 by the International Society of Hypertension (ISH) aimed at raising awareness of high BP and to act as a temporary solution to the lack of screening programmes worldwide. An opportunistic cross-sectional survey of volunteers aged ≥18 was carried out in May 2018. A volunteer cross-sectional survey was carried out in May 2017 across 33 health centres. Blood pressure measurement, the definition of hypertension (HTN) (mean of the 2nd and 3rd BP measurement ≥ 140/90 mmHg or who were medicated for high BP), and statistical analysis followed the standard MMM protocol. In total, 11 922 individuals (53.7% female) were screened during MMM18. After multiple imputation, 4563 (38.3%) had HTN. Of individuals not receiving antihypertensive medication, 1302 (15.0%) were hypertensive. Of individuals receiving antihypertensive medication, 933 (28.6%) had uncontrolled BP. MMM18 was the largest BP screening campaign done in Ecuador. Hypertension was detected in 38.4% of those screened and almost 4 out of 10 were either not on treatment or were not controlled to the BP goal. These results suggest that appropriate screening can help to identify a significant number of people with high BP. These data should attract the attention of doctors and health care system in Ecuador.
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）是国际高血压学会（ISH）发起的一项全球倡议，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。2018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。2017年5月在33个健康中心开展了志愿者横断面调查。血压测量、高血压（HTN）的定义（第二次和第三次血压测量的平均值≥140/90 mmHg或正在接受高血压治疗者）以及统计分析均遵循标准的MMM方案。在MMM18期间，共筛查了11922人（女性占53.7%）。经过多重填补后，4563人（38.3%）患有高血压。在未接受抗高血压药物治疗的个体中，1302人（15.0%）患有高血压。在接受抗高血压药物治疗的个体中，933人（28.6%）血压未得到控制。MMM18是厄瓜多尔开展的最大规模的血压筛查活动。在筛查人群中，38.4%被检测出患有高血压，十分之四的人要么未接受治疗，要么血压未控制在目标范围内。这些结果表明，适当的筛查有助于识别大量高血压患者。这些数据应引起厄瓜多尔医生和医疗保健系统的关注。
