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如何提高非洲高血压的知晓率、治疗率和控制率,以及如何减少其后果:世界高血压联盟的行动呼吁。

How to Improve Awareness, Treatment, and Control of Hypertension in Africa, and How to Reduce Its Consequences: A Call to Action From the World Hypertension League.

机构信息

Istituto Auxologico Italiano, IRCCS, Department of Cardiovascular Neural and Metabolic Sciences; and Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy (G.P.).

Division of Translational Neurosciences and Population Studies, Medical University of South Carolina, Charleston (D.T.L.).

出版信息

Hypertension. 2022 Sep;79(9):1949-1961. doi: 10.1161/HYPERTENSIONAHA.121.18884. Epub 2022 May 31.

Abstract

Hypertension is the leading preventable risk factor for cardiovascular diseases and disability globally. In low- and middle-income countries hypertension has a major social impact, increasing the disease burden and costs for national health systems. The present call to action aims to stimulate all African countries to adopt several solutions to achieve better hypertension management. The following 3 goals should be achieved in Africa by 2030: (1) 80% of adults with high blood pressure in Africa are diagnosed; (2) 80% of diagnosed hypertensives, that is, 64% of all hypertensives, are treated; and (3) 80% of treated hypertensive patients are controlled. To achieve these aims, we call on individuals and organizations from government, private sector, health care, and civil society in Africa and indeed on all Africans to undertake a few specific high priority actions. The aim is to improve the detection, diagnosis, management, and control of hypertension, now considered to be the leading preventable killer in Africa.

摘要

高血压是全球导致心血管疾病和残疾的首要可预防风险因素。在低收入和中等收入国家,高血压具有重大的社会影响,加重了国家卫生系统的疾病负担和成本。本次行动呼吁旨在激励所有非洲国家采取多项解决方案,以实现更好的高血压管理。到 2030 年,非洲应实现以下 3 项目标:(1)非洲 80%的高血压患者得到诊断;(2)诊断出的高血压患者中有 80%得到治疗,即所有高血压患者的 64%得到治疗;(3)80%接受治疗的高血压患者得到控制。为了实现这些目标,我们呼吁非洲的个人和组织(包括政府、私营部门、医疗保健和民间社会),甚至所有非洲人采取一些具体的高度优先行动。目的是改善高血压的检测、诊断、管理和控制,目前高血压被认为是非洲首要可预防的杀手。

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