M'Buyamba-Kabangu Jean-René, Katamba Fortunat K, Ntambwe Mireille L, Ngoyi Georges N, Tshiswaka Trésor M, Bayauli Pascal M, Lubenga Yves N, Kazadi Serge M, Beaney Thomas, Xia Xin, Poulter Neil R, Buila Nathan B
Hypertension Unit/Cardiology, Department of internal medicine, University of Kinshasa Hospital, University of Kinshasa, Kinshasa, DR Congo.
Centre de Recherche, Direction de l'enseignement, des relations universitaires et de la recherche, CISSS de l'Outaouais, Gatineau, Québec, Canada.
Eur Heart J Suppl. 2021 May 20;23(Suppl B):B52-B54. doi: 10.1093/eurheartj/suab050. eCollection 2021 May.
Hypertension, the foremost cause of global morbi-mortality, is linked with a high mortality from numerous cardiovascular endpoints. The May Measurement Month (MMM) campaign is an annual initiative of the International Society of Hypertension (ISH) to collect information on blood pressure (BP) and other risk factors for cardiovascular disease (CVD) in adults. MMM2019 in the Democratic Republic of the Congo (DRC) was an opportunistic cross-sectional survey of volunteers aged ≥18 years that took place in Kinshasa and Mbuji-Mayi after the training of observers to familiarize with the ISH methods. We screened 29 857 individuals (mean age: 40 years; 40% female). Hypertension was present in 7624 (25.5%) individuals. Of them, 2520 (33.1%) were aware, 1768 (23.2%) on treatment with 910 (51.5%) controlled BP (systolic BP <140 mmHg and/or diastolic BP <90 mmHg). Of all hypertensives screened, 11.9% had controlled BP. Of all respondents, 16.7% had participated in MMM18 and 60.5% did not have their BP verified during the last year. Fasting, pregnancy, and underweight status were linked with lower BP levels whilst smoking, drinking, antihypertensive medication, previous stroke, diabetes as well as being overweight/obese were associated with higher BP levels. Our results reflect the high rate of hypertension in the DRC with low levels of awareness, treatment, and control. A nationally representative sample is required to establish the nationwide hypertension prevalence.
高血压是全球发病和死亡的首要原因，与众多心血管终点事件的高死亡率相关。五月测量月（MMM）活动是国际高血压学会（ISH）的年度倡议，旨在收集成人血压（BP）及其他心血管疾病（CVD）风险因素的信息。2019年在刚果民主共和国（DRC）开展的MMM活动是一项针对年龄≥18岁志愿者的机会性横断面调查，在金沙萨和姆布吉 - 马伊进行，此前对观察员进行了培训，使其熟悉ISH方法。我们筛查了29857人（平均年龄：40岁；40%为女性）。7624人（25.5%）患有高血压。其中，2520人（33.1%）知晓自己患有高血压，1768人（23.2%）正在接受治疗，910人（51.5%）血压得到控制（收缩压<140 mmHg和/或舒张压<90 mmHg）。在所有筛查出的高血压患者中，11.9%的人血压得到控制。在所有受访者中，16.7%的人参加过MMM18活动，60.5%的人在过去一年未测量过血压。空腹状态、怀孕和体重过轻与较低的血压水平相关，而吸烟、饮酒、服用降压药、既往中风、糖尿病以及超重/肥胖与较高的血压水平相关。我们的结果反映出刚果民主共和国高血压患病率高，但知晓率、治疗率和控制率低。需要一个具有全国代表性的样本才能确定全国高血压患病率。
