Chotruangnapa Chavalit, Kunanon Sirisawat, Sukonthasarn Apichard, Srinonprasert Varalak, Beaney Thomas, Clarke Jonathan, Poulter Neil R, Roubsanthisuk Weranuj
Division of Hypertension, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Road, Siriraj, Bangkoknoi, Bangkok 10700, Thailand.
Thai Hypertension Society, 10th Floor Royal Golden Jubilee Building, 2 Soi Soonvijai, New Petchburi Road, Huaykwang, Bangkok 10310, Thailand.
Eur Heart J Suppl. 2024 Jul 24;26(Suppl 3):iii90-iii92. doi: 10.1093/eurheartjsupp/suae062. eCollection 2024 Jun.
Blood pressure (BP) measurement is the mainstay for diagnosing and treating hypertension. Blood pressure screening in the May Measurement Month (MMM) project is helpful for the early detection of hypertension, which is usually asymptomatic. This study aimed to investigate the epidemiology of hypertension from data in the MMM21 project in Thailand. A cross-sectional study was conducted according to the MMM clinical study protocol for MMM21 in all regions of Thailand from August to November 2021. We included adults aged ≥18 years. Baseline characteristics, history of hypertension diagnosis, and treatment were collected through the questionnaires followed by three standardized BP measurements, 1 min apart. We included 10 940 participants with a mean age of 41.3 (SD ± 13.5) years. Only 6% never had their BP measured before. Of all participants, 30.2% had hypertension, and among this hypertensive population, 50.3% were aware, and 46.2% were taking antihypertensive medications. Of participants with hypertension, 31.6% had controlled BP (<140/90 mmHg), and BP control was 68.5% among those taking antihypertensive medication. The proportion of participants who had diabetes, were on aspirin, and were on statin were 6, 7.2, and 11.4%, respectively. Almost all participants (93.7%) had received at least one COVID-19 vaccination, and 8.0% reported a previous COVID-19 positive test. Most of the participants (97.4%) received hypertension care at no cost. Hypertension awareness and overall BP control rate were relatively low, while most subjects had previously had their BP checked. The widespread use of BP measurement may improve the diagnosis and treatment of hypertension to improve the care of those with hypertension in Thailand.
血压测量是诊断和治疗高血压的主要手段。五月测量月(MMM)项目中的血压筛查有助于早期发现通常无症状的高血压。本研究旨在根据泰国MMM21项目的数据调查高血压的流行病学情况。2021年8月至11月,按照MMM21的临床研究方案在泰国所有地区进行了一项横断面研究。我们纳入了年龄≥18岁的成年人。通过问卷调查收集基线特征、高血压诊断史和治疗情况,随后进行三次标准化血压测量,每次间隔1分钟。我们纳入了10940名参与者,平均年龄为41.3(标准差±13.5)岁。只有6%的人以前从未测量过血压。在所有参与者中,30.2%患有高血压,在这一高血压人群中,50.3%知晓自己患有高血压,46.2%正在服用抗高血压药物。在患有高血压的参与者中,31.6%的人血压得到控制(<140/90 mmHg),在服用抗高血压药物的人群中,血压控制率为68.5%。患有糖尿病、服用阿司匹林和服用他汀类药物的参与者比例分别为6%、7.2%和11.4%。几乎所有参与者(93.7%)至少接种过一剂新冠疫苗,8.0%的人报告曾有新冠病毒检测呈阳性。大多数参与者(97.4%)接受高血压护理是免费的。高血压知晓率和总体血压控制率相对较低,而大多数受试者以前曾检查过血压。广泛使用血压测量可能会改善高血压的诊断和治疗,从而改善泰国高血压患者的护理。