Blood pressure screening results from May Measurement Month 2019 in Vietnam

Abstract

Elevated blood pressure (BP) is a growing burden worldwide, leading to over 10 million deaths each year. May Measurement Month (MMM) is a global initiative to raise awareness of high BP and act as a temporary solution to the lack of screening programmes worldwide. We aimed to screen for hypertension and cardiovascular risk factors in people aged ≥18 years in the community, thereby defining the proportion of subjects with elevated BP and assess the awareness and the effectiveness of its treatment. An opportunistic cross-sectional survey of volunteers aged ≥18 years was carried out in May 2019. Blood pressure measurement, the definition of hypertension and statistical analysis followed the standard MMM protocol. From May 2019 to June 2019, through 10 cities/provinces in Vietnam, 25 887 individuals with mean age 48.7 (SD ±17.7) years were screened. After multiple imputations, 8758 (33.8%) had hypertension. Of individuals not receiving antihypertensive medication, 3025 (15.0%) were hypertensive. Of individuals receiving antihypertensive medication, 2800 (48.8%) had uncontrolled BP. Raised BP [systolic BP (SBP) ≥140 mmHg and/or diastolic BP (DBP) ≥90 mmHg] was also associated with additional risk factors including smoking, alcohol intake, previous hypertension in pregnancy, and obesity. May Measurement Month 2019 was the most extensive BP screening campaign ever undertaken in Vietnam. Undiagnosed and uncontrolled hypertension in Vietnam remains a substantial health problem. Local campaigns applying standardized methods such as MMM 2019 will be beneficial to screen for the significant number of individuals with raised BP and increase the awareness of hypertension.

Knowledge, Attitude, and Practice Toward Hypertension Among Hypertensive Patients Residing in Lebanon

“…Excluded patients were pregnant women and patients with psychiatric disorders. Using Cochran formula (Z = 1.96 and alpha error = 0.05) and knowing that the prevalence of hypertensive patients in Lebanon is 31.2%, 14 the minimum required sample of hypertensive patients was 330.…”

“… 10 In Lebanon, in that same year, a cross-sectional study reported a higher prevalence rate of HTN (31.2%) and a poor BP control rate (28.7%) and identified that age, weight, and history of CVD were significant risk factors. 11 More recently, through the May Measurement Month (MMM) 2019 screening campaign intended to raise awareness, Najem et al recorded a rising prevalence rate of 36.6%, 12 which is higher than the rate reported by other MMM studies in Italy (31.1%) 13 and Vietnam (33.8%) 14 in the same year. Despite the high prevalence of HTN in Lebanon, there is a significant lack in the identification of symptoms and complications of this disease.…”

“…Excluded patients were pregnant women and patients with psychiatric disorders. Using Cochran formula (Z = 1.96 and alpha error = 0.05) and knowing that the prevalence of hypertensive patients in Lebanon is 31.2%, 14 the minimum required sample of hypertensive patients was 330. At the time of the interview, HTN patients, previously admitted to hospitals or private clinics, had left hospitals/private clinics in the last 6 months to 2 years preceding the interview, with more than 70% of them who had left in the last 1.5 years to 2 years.…”

Highlights of the 2022 Vietnamese Society of Hypertension guidelines for the diagnosis and treatment of arterial hypertension

“… 10 In the next Vietnam MMM campaigns in 2018 and 2019, the proportion of hypertensive patients among surveyors was 30.3% and 33.8%, respectively, and the rate of uncontrolled BP in surveyors who taking antihypertensive medicine increased by year 46.6% and 48.8%, respectively. 11 , 12 The prevalence of important cardiovascular risk factors in Vietnam is high. Among 25–64 years old in 2015, the prevalence of hyperlipidemia was 30.2% and the prevalence of diabetes mellitus was 4.1%.…”

Nghiên Cứu Một Số Yếu Tố Liên Quan Đến Tăng Huyết Áp Ở Người Trưởng Thành Tại Quận Ninh Kiều, Thành Phố Cần Thơ Năm 2022

“…Gần đây hơn, kết quả chương trình tháng 5 đo huyết áp (MMM: May Measure Month) 2017 cho thấy có 28,7% người được khảo sát mắc THA và 37,7% bệnh nhân dùng thuốc hạ huyết áp (HA) không được kiểm soát [8]. Trong các chiến dịch MMM tiếp theo của Việt Nam vào năm 2018 và 2019, tỷ lệ bệnh nhân THA trong số người khảo sát lần lượt là 30,3% và 33,8%, và tỷ lệ không kiểm soát được huyết áp ở người có điều trị tăng tương ứng 46,6% và 48,8% [9], [10]. Dự báo trong những năm tới số người mắc bệnh tăng huyết áp sẽ còn tăng do các yếu tố liên quan như: hút thuốc lá, lạm dụng rượu bia, thừa cân-béo phì, ít vận động, … đang ngày càng phổ biến.…”