Campbell Norm R C, Paccot Burnens Melanie, Whelton Paul K, Angell Sonia Y, Jaffe Marc G, Cohn Jennifer, Espinosa Brito Alfredo, Irazola Vilma, Brettler Jeffrey W, Roccella Edward J, Maldonado Figueredo Javier Isaac, Rosende Andres, Ordunez Pedro
Department of Medicine, Physiology and Pharmacology and Community Health Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, North Tower, 9th Floor, 1403 - 29th Street NW, Calgary, AB T2N 2T9, Canada.
Department of Non-Communicable Diseases and Mental Health, Pan American Health Organization, Washington, DC, USA.
Lancet Reg Health Am. 2022 May;9:None. doi: 10.1016/j.lana.2022.100219.
Cardiovascular disease (CVD) is the leading cause of death in the Americas and raised blood pressure accounts for over 50% of CVD. In the Americas over a quarter of adult women and four in ten adult men have hypertension and the diagnosis, treatment and control are suboptimal. In 2021, the World Health Organization (WHO) released an updated guideline for the pharmacological treatment of hypertension in adults. This policy paper highlights the facilitating role of the WHO Global HEARTS initiative and the HEARTS in the Americas initiative to catalyze the implementation of this guideline, provides specific policy advice for implementation, and emphasizes that an overarching strategic approach for hypertension control is needed. The authors urge health advocates and policymakers to prioritize the prevention and control of hypertension to improve the health and wellbeing of their populations and to reduce CVD health disparities within and between populations of the Americas.
心血管疾病(CVD)是美洲地区的主要死因,血压升高导致的心血管疾病占比超过50%。在美洲,超过四分之一的成年女性和十分之四的成年男性患有高血压,其诊断、治疗和控制情况都不尽人意。2021年,世界卫生组织(WHO)发布了成人高血压药物治疗的更新指南。本政策文件强调了WHO全球HEARTS倡议和美洲地区HEARTS倡议在推动该指南实施方面的促进作用,提供了实施的具体政策建议,并强调需要采取全面的高血压控制战略方法。作者敦促健康倡导者和政策制定者将高血压的预防和控制作为优先事项,以改善其民众的健康和福祉,并减少美洲地区不同人群内部和之间的心血管疾病健康差距。