Jankowski Piotr, Banach Maciej, Małyszko Jolanta, Mastej Mirosław, Tykarski Andrzej, Narkiewicz Krzysztof, Hoffman Piotr, Nowicki Michał P, Tomasik Tomasz, Windak Adam, Olszanecka Agnieszka, Tomaszewskil Maciej, Motyl Agnieszka, Nowak Dariusz, Skowron Łukasz, Beaney Thomas, Ster Anca Chis, Xin Xia, Poulter Neil R, Jóźwiak Jacek
I Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University Medical College, Kopernika 17, Kraków 31-501, Poland.
Department of Hypertension, Chair of Nephrology and Hypertension, Medical University of Lodz, Żeromskiego 113, Łódz 90-549, Poland.
Eur Heart J Suppl. 2020 Aug;22(Suppl H):H108-H111. doi: 10.1093/eurheartj/suaa041. Epub 2020 Aug 28.
Hypertension remains the most important cardiovascular risk factor in Poland. May Measurement Month is a global initiative organized by the International Society of Hypertension aimed at raising awareness of hypertension and the need for blood pressure (BP) screening and demonstrating the potential of the opportunistic BP measurements. An opportunistic cross-sectional survey of volunteers aged ≥18 was carried out in 146 sites in May 2018. Blood pressure was measured in 6450 subjects (mean age: 41 ± 15 years; 59% females). After multiple imputation, the age and sex standardized systolic and diastolic BP was 126.7/78.4 mmHg in the whole analysed group, 132.8/81.3 mmHg in subjects taking antihypertensive drugs, and 125.7/78.0 mmHg in those not taking any antihypertensive drugs. After multiple imputation, the proportions of subjects with high BP (systolic ≥140 mmHg or diastolic ≥90 mmHg or on treatment for raised BP) were 22.2% in the whole analysed group, 39.2% in subjects taking antihypertensive drugs, and 18.6% those not taking any antihypertensive drugs. Overall, hypertension was present in 32.8% of participants, among them 38.7% were not aware of the disease, 53.1% were taking antihypertensive drugs, and 32.3% had BP controlled to target (<140/90 mmHg). Blood pressure was increasing with increasing body mass index and alcohol intake. Smokers and project participants with diabetes had increased average BP. In conclusion, this project provides additional evidence for a considerable potential for further reduction of cardiovascular risk through improvement in detection and treatment of hypertension in Poland.
高血压仍然是波兰最重要的心血管危险因素。五月测量月是由国际高血压学会组织的一项全球倡议，旨在提高对高血压的认识以及血压筛查的必要性，并展示机会性血压测量的潜力。2018年5月，在146个地点对18岁及以上的志愿者进行了一项机会性横断面调查。对6450名受试者（平均年龄：41±15岁；59%为女性）进行了血压测量。经过多重插补后，整个分析组的年龄和性别标准化收缩压和舒张压为126.7/78.4 mmHg，服用抗高血压药物的受试者为132.8/81.3 mmHg，未服用任何抗高血压药物的受试者为125.7/78.0 mmHg。经过多重插补后，高血压患者（收缩压≥140 mmHg或舒张压≥90 mmHg或正在接受高血压治疗）的比例在整个分析组中为22.2%，服用抗高血压药物的受试者中为39.2%，未服用任何抗高血压药物的受试者中为18.6%。总体而言，32.8%的参与者患有高血压，其中38.7%不知道自己患有该病，53.1%正在服用抗高血压药物，32.3%的血压控制在目标范围内（<140/90 mmHg）。血压随着体重指数和酒精摄入量的增加而升高。吸烟者和患有糖尿病的项目参与者的平均血压升高。总之，该项目为通过改善波兰高血压的检测和治疗进一步降低心血管风险的巨大潜力提供了额外证据。
