Kouala Landa Christian-Michel, Bakekolo Paterne Rog, Makani-Bassakouahou Jospin, Ngolo Letomo Kivié Mou-Moué, Abena Exaucé, Macaire Batchi Dieuveil, Chocolat Raoul, Kwealeu Jean Pierre, Ngouloubi Offouma Gildas, Beaney Thomas, Telders Carolina Janssen, Poulter Neil R, Gombet Thierry Raoul, Ellenga Mbolla Bertrand
Department of Cardiology, University Hospital of Brazzaville, 13 Avenue Auxence Ickonga, Po Box 32 Brazzaville, Republic of the Congo.
Faculty of Health Science, Marien Ngouabi University, Avenue des jeux africains, Po Box 69 Brazzaville, Republic of the Congo.
Eur Heart J Suppl. 2024 Jul 24;26(Suppl 3):iii83-iii85. doi: 10.1093/eurheartjsupp/suae070. eCollection 2024 Jun.
To determine the proportion of hypertension among opportunistic screenees in the Republic of the Congo, and the relationships between, blood pressure (BP), alcohol intake, and history of coronavirus disease 2019 (COVID-19). Screening was carried out in July and August 2021 in Brazzaville, Pointe-Noire, and Pokola, after ethical clearance had been obtained. The campaign followed the guidelines outlined in the MMM21 protocol, collecting ideally three BP readings for each participant. The screening was carried out during the partial confinement of the population, due to the COVID-19 pandemic. Social distancing measures and protection against the transmission of COVID-19 were adhered to. A total of 2135 subjects were screened of which 1138 (53.3%) were male. The mean age was 29.9 ± 9.9 years (range: 18-69 years), and 2110 participants (98.8%) were of black ethnic origin. A previous COVID-19 positive test was reported in 217 (10.2%) and vaccination in 93 (4.4%). Diabetes was reported in 113 (5.3%), 16 (0.7%) were current smokers, 171 (8.0%) reported using alcohol intake at least once per month, and 539 (25.3%) reported meeting the WHO guidelines on physical activity. The proportion of participants with hypertension (≥140/90 mmHg or taking BP-lowering medication) was 34.1%, of whom 24.5% were aware, 11.9% were on medication, and only 4.0% were controlled (<140/90 mmHg). Rates of hypertension are high in the Republic of Congo, with low rates of awareness and treatment, and national authorities should address the contributing factors highlighted in this report to improve health care for the population.
为确定刚果共和国机会性筛查人群中的高血压患病率，以及血压（BP）、酒精摄入量与2019冠状病毒病（COVID-19）病史之间的关系。在获得伦理批准后，于2021年7月和8月在布拉柴维尔、黑角和波科拉进行了筛查。该活动遵循MMM21方案中概述的指南，理想情况下为每位参与者采集三次血压读数。由于COVID-19大流行，筛查是在部分人群居家隔离期间进行的。遵守了社交距离措施和预防COVID-19传播的措施。共筛查了2135名受试者，其中1138名（53.3%）为男性。平均年龄为29.9±9.9岁（范围：18 - 69岁），2110名参与者（98.8%）为黑人种族。报告有217人（10.2%）之前COVID-19检测呈阳性，93人（4.4%）接种过疫苗。报告有113人（5.3%）患有糖尿病，16人（0.7%）为当前吸烟者，171人（8.0%）报告每月至少饮酒一次，539人（25.3%）报告符合世界卫生组织关于体育活动的指南。高血压患者（收缩压≥140/90 mmHg或正在服用降压药物）的比例为34.1%，其中24.5%知晓自己患有高血压，11.9%正在接受治疗，只有4.0%的血压得到控制（<140/90 mmHg）。刚果共和国的高血压患病率很高，知晓率和治疗率较低，国家当局应解决本报告中强调的影响因素，以改善民众的医疗保健状况。
