Lin Hung-Ju, Pan Heng-Yu, Beaney Thomas, Partington Giles, Poulter Neil R, Chen Wen-Jone, Wang Tzung-Dau
Cardiovascular Center and Division of Cardiology, Department of Internal Medicine, 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, No.579, Sec. 2, Yunlin Rd., Douliu City, Yunlin County 640, Taiwan.
Eur Heart J Suppl. 2021 May 20;23(Suppl B):B141-B143. doi: 10.1093/eurheartj/suab046. eCollection 2021 May.
To bolster the awareness of high blood pressure (BP) and to monitor the trend of hypertension control rate. Similar to May Measurement Month (MMM) 2017 and 2018 campaigns, we conducted the MMM 2019 campaign in 643 community pharmacies across Taiwan, and recruited adults aged 20 years or over in May and June of 2019. After filling in an anonymous questionnaire regarding medical history and lifestyle habits and having 10-min sitting rest, pharmacists took triplicate upper-arm BP readings on participants using an automated oscillometric sphygmomanometer. The means of the second and third BP readings were used as the screening BP estimates. Hypertension was defined if one of the followings was met: use of antihypertensive medications, systolic BP ≥140 mmHg, or diastolic BP ≥90 mmHg. Controlled BP was defined as BP of <140/90 mmHg. Of the 24 851 participants enrolled (mean age, 55.8 ± 15.2 years), 12 427 (50.0%) were women. Among 12 351 (49.7%) participants with hypertension, 10 463 (84.7%) were aware of their high BP, and 10 142 (82.1%) received antihypertensive medications. While 59.2% of all hypertensive participants had controlled BP, the BP control rate was 72.0% in treated hypertensive participants. MMM campaigns offer a feasible way to monitor the trends in both awareness and control of hypertension. This nationwide annual BP screening campaign, from 2017 to 2019, demonstrated continued improvement in hypertension control in Taiwan.
为提高对高血压的认识并监测高血压控制率的变化趋势。与2017年和2018年的五月测量月（MMM）活动类似，我们于2019年在台湾地区的643家社区药房开展了MMM活动，并在2019年5月和6月招募了20岁及以上的成年人。在填写了一份关于病史和生活习惯的匿名问卷并静坐休息10分钟后，药剂师使用自动振荡式血压计为参与者测量上臂血压，共测量三次。第二次和第三次血压读数的平均值用作筛查血压估计值。若符合以下任何一项则定义为高血压：正在使用抗高血压药物、收缩压≥140 mmHg或舒张压≥90 mmHg。血压得到控制定义为血压<140/90 mmHg。在纳入的24851名参与者中（平均年龄55.8±15.2岁），12427名（50.0%）为女性。在12351名（49.7%）患有高血压的参与者中，10463名（84.7%）知晓自己患有高血压，10142名（82.1%）接受了抗高血压药物治疗。虽然所有高血压参与者中有59.2%的血压得到控制，但接受治疗的高血压参与者的血压控制率为72.0%。MMM活动提供了一种监测高血压知晓率和控制率变化趋势的可行方法。这项从2017年至2019年的全国性年度血压筛查活动表明，台湾地区的高血压控制情况持续改善。
