Paniagua Maria, Ortellado José, Beaney Thomas, Clarke Jonathan, Castillo Manuel, Villamayor Abdón, Poulter Neil R, Aparicio Rocío
National Program for Cardiovascular Prevention, Ministry of Public Health and Social Welfare, Pettirossi & Brasil, Asuncion, PC 1548, Paraguay.
Imperial Clinical Trials Unit, Imperial College London, Stadium House, 68 Wood Lane, London W12 7RH, UK.
Eur Heart J Suppl. 2024 Jul 24;26(Suppl 3):iii71-iii74. doi: 10.1093/eurheartjsupp/suae051. eCollection 2024 Jun.
The aim of this study was to highlight the importance of measuring blood pressure (BP) to identify new, known, and treated individuals with hypertension and to raise awareness in the general population about the importance of good BP control. In Paraguay, 3663 individuals aged ≥18 years of both sexes were recruited from May to November 2021 as part of the May Measurement Month (MMM) campaign, which was initiated by the International Society of Hypertension in 2017. Volunteers of 18 regional health teams applied the questionnaire provided by the MMM 2021 organization throughout the country. Due to COVID-19 constraints, the majority of the questionnaires (52.2%) were administered in health centres of the Ministry of Health and concluded with three BP and pulse readings using OMRON-automated BP measurement devices. Hypertension was defined as a systolic BP ≥ 140 mmHg or as a diastolic BP ≥ 90 mmHg or taking antihypertensive medication. We found that 57.4% of screenees were hypertensive and 72.9% of these (82.3% of women and 59.4% of men) had known hypertension. Of patients with hypertension, 70.1% were on antihypertensive medication, and 40.9% had controlled BP (<140/90 mmHg). Among hypertensives detected, 79.7% of women were on antihypertensive medication and 44.1% had controlled BP, while 56.4% of men were on treatment and 34.3% had controlled BP. In summary, we found high levels of hypertension with high rates of awareness and treatment particularly among women, although control rates were low particularly among men. This may be because most screening was conducted predominately in hospital settings.
本研究的目的是强调测量血压对于识别新的、已知的和正在接受治疗的高血压患者的重要性，并提高普通人群对良好血压控制重要性的认识。在巴拉圭，2021年5月至11月招募了3663名年龄≥18岁的男女，作为2017年由国际高血压学会发起的“五月测量月”（MMM）活动的一部分。18个地区卫生团队的志愿者在全国范围内使用了MMM 2021组织提供的问卷。由于新冠疫情限制，大多数问卷（52.2%）在卫生部的卫生中心进行，并使用欧姆龙自动血压测量设备进行三次血压和脉搏读数。高血压的定义为收缩压≥140 mmHg或舒张压≥90 mmHg，或正在服用降压药物。我们发现，57.4%的筛查对象患有高血压，其中72.9%（女性为82.3%，男性为59.4%）患有已知高血压。在高血压患者中，70.1%正在服用降压药物，40.9%的血压得到控制（<140/90 mmHg）。在检测出的高血压患者中，79.7%的女性正在服用降压药物，44.1%的血压得到控制，而56.4%的男性正在接受治疗，34.3%的血压得到控制。总之，我们发现高血压水平较高，知晓率和治疗率也较高，尤其是在女性中，尽管控制率较低，尤其是在男性中。这可能是因为大多数筛查主要在医院环境中进行。
