Hypertension awareness, treatment and control in the community: Is the 'rule of halves' still valid?
Hypertension awareness, treatment and control in the community: Is the 'rule of halves' still valid?
复制标题
DOI：
10.1038/sj.jhh.1000426
复制
发表时间：
1997-04-01
影响因子：
2.7
通讯作者：
Tuomilehto, J
中科院分区：
文献类型：
--
作者：
MarquesVidal, P;Tuomilehto, J
心血管疾病一级预防的基石之一是高血压患者的筛查和早期抗高血压药物治疗。然而，最近的人群研究表明，对高血压水平的认识和管理远未达到最佳水平。在本研究中，我们搜索了不同人群中高血压意识、治疗和控制的频率。在男性中，所有高血压患者的意识、降压药物治疗和血压控制的频率分别在23%和93%之间，5%和之间，5%和87%之间，在女性中，频率分别在28%和97%之间，6%和97%之间，0%和97%之间，有意识地接受降压药治疗的高血压患者男性的百分比在47%至95%之间，女性在50%至100%之间，高血压患者接受抗高血压药物治疗的百分比在男性47%至95%之间，女性在50%至100%之间，接受治疗的高血压患者达到适当血压控制的百分比在男性29%至95%之间，女性在0%至100%之间。总体而言，妇女对高血压的认识、治疗和控制状况好于男性，而在发展中国家比工业化国家差，高血压意识、治疗和控制随着时间的推移而提高，以及确诊的高血压患者正在接受治疗的比例以及接受治疗的高血压患者中控制良好的比例。我们的结论是，尽管‘一半法则’不再适用于工业化国家的高血压筛查和治疗，但它可能仍然适用于发展中国家，并适用于所有国家的抗高血压药物治疗的有效性。
One of the cornerstones of the primary prevention of cardiovascular disease has been screening and early antihypertensive drug treatment of patients with high blood pressure (BP). Nevertheless, recent population studies have shown that awareness and management of high BP levels are far from optimal, In this study, we performed a search for publications providing frequencies of hypertension awareness, treatment and control in different populations, In men, the frequencies of awareness, antihypertensive drug treatment and BP control among all hypertensive patients varied between 23% and 93%, 5% and 89% and 5% and 87%, respectively, In women, the frequencies ranged between 28% and 97%, 6% and 97%, and 0% and 97%, respectively, The percentage of aware hypertensives who were under antihypertensive drug treatment varied between 47% and 95% in men and between 50% and 100% in women, The percentage of hypertensives who were under antihypertensive drug treatment varied between 47% and 95% in men and between 50% and 100% in women, The percentage of treated hypertensives achieving an adequate BP control varied between 29% and 95% in men and between 0% and 100% in women, Overall, women had a better awareness, treatment and control status for hypertension than men, and worse in developing countries than in industrialised countries, Hypertension awareness, treatment and control improved with time, together with the proportion of diagnosed hypertensive patients under treatment and the proportion of well controlled among treated hypertensive patients. We conclude that although the 'rule of halves' no longer applies for screening and treatment of hypertension in industrialised countries, it might still be valid for developing countries and for the effectiveness of antihypertensive drug treatment in all countries.