Lin Hung-Ju, Pan Heng-Yu, Beaney Thomas, Ster Anca Chis, Poulter Neil R, Chen Wen-Jone, Wang Tzung-Dau
Division of Cardiology, Department of Internal Medicine, Cardiovascular Center, National Taiwan University Hospital, No. 7, Chung Shan S. Rd., Zhongzheng Dist., Taipei City 10002, Taiwan.
Department of Internal Medicine, National Taiwan University Hospital, Yun-Lin Branch, Taipei City 64041, Taiwan.
Eur Heart J Suppl. 2020 Aug;22(Suppl H):H125-H127. doi: 10.1093/eurheartj/suaa087. Epub 2020 Aug 28.
To raise awareness of hypertension in the general population, we have held an annual community-based nationwide campaign for blood pressure (BP) screening. The 2018 May Measurement Month (MMM) campaign in Taiwan followed a similar protocol as the 2017 MMM campaign. We recruited adults aged 20 years and older at about 800 community pharmacies across Taiwan. After a 10-min seated rest, volunteers-consisting of community pharmacists-took three BP readings using automated BP devices. The means of the 2nd and 3rd BP readings were used as the screening BP estimates. Hypertension was defined as current use of antihypertensive medications, or the screening BP of ≥140/90 mmHg. Of the 15 365 enrolled participants with a mean age of 56.8 ± 16.4 years, 53.3% were women. After imputation, we found 48.1% of the individuals had hypertension. Among participants with hypertension, 83.7% were aware, 55.0% had controlled BP, and 81.3% were medically treated, of whom 67.7% had controlled BP (<140/90 mmHg). In contrast to the global results, our results showed that the participants with diabetes mellitus, prior myocardial infarction, or stroke had higher BP than those without these comorbidities. The annual campaign experience enables us to establish a feasible approach to raising awareness and to assessing the management of hypertension in the general population. Whether the regular annual BP screening campaign makes a lasting effect on hypertension-related disease burden awaits verification.
为提高普通人群对高血压的认识，我们开展了一项基于社区的全国性年度血压筛查活动。台湾2018年5月测量月（MMM）活动遵循了与2017年MMM活动类似的方案。我们在台湾约800家社区药房招募了20岁及以上的成年人。在静坐休息10分钟后，由社区药剂师组成的志愿者使用自动血压测量设备测量三次血压。将第二次和第三次血压读数的平均值用作筛查血压估计值。高血压定义为目前正在使用降压药物，或筛查血压≥140/90 mmHg。在15365名登记参与者中，平均年龄为56.8±16.4岁，53.3%为女性。经过数据插补后，我们发现48.1%的个体患有高血压。在患有高血压的参与者中，83.7%知晓自己的病情，55.0%的血压得到控制，81.3%接受了药物治疗，其中67.7%的血压得到控制（<140/90 mmHg）。与全球结果相反，我们的结果显示，患有糖尿病、既往心肌梗死或中风的参与者血压高于没有这些合并症的参与者。年度活动经验使我们能够建立一种可行的方法来提高认识并评估普通人群中高血压的管理情况。定期的年度血压筛查活动是否会对高血压相关疾病负担产生持久影响还有待验证。
