Prevalence, Awareness, and Treatment of Isolated Diastolic Hypertension: Insights From the China PEACE Million Persons Project
Prevalence, Awareness, and Treatment of Isolated Diastolic Hypertension: Insights From the China PEACE Million Persons Project
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DOI：
10.1161/jaha.119.012954
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发表时间：
2019-10-01
影响因子：
5.4
通讯作者：
Shen, Jiacong
中科院分区：
文献类型：
--
作者：
Mahajan, Shiwani;Zhang, Danwei;Shen, Jiacong
背景-描述和评估孤立性舒张期高血压（IDH）患者的患病率、知晓率和治疗模式可以产生新的知识，并突出改善其护理的机会。（以患者为中心的心脏事件评估）百万人项目，在2014年至2018年期间筛选了2351035名年龄在35至75岁之间的参与者。IDH定义为收缩压和舒张压≥ 90 mm Hg;意识为自我报告的高血压诊断;治疗为当前使用抗高血压药物。在纳入的2310184名参与者中（平均年龄55.7岁; 59.5%为女性），73279人（3.2%）患有IDH，其中63112人（86.1%）未经治疗，只有6512人（10.3%）知道患有高血压。与血压正常者相比，体重28 kg/m2、饮酒、有糖尿病和既往心血管事件的参与者更可能患有IDH（所有P <28 kg/m2）、较高收入、糖尿病、既往心血管事件和中部或东部地区（所有P <28 kg/m2）。
Background-Characterizing and assessing the prevalence, awareness, and treatment patterns of patients with isolated diastolic hypertension (IDH) can generate new knowledge and highlight opportunities to improve their care.Methods and Results-We used data from the China PEACE (Patient-centered Evaluative Assessment of Cardiac Events) Million Persons Project, which screened 2 351 035 participants aged 35 to 75 years between 2014 and 2018. IDH was defined as systolic and diastolic blood pressure of = 90 mm Hg; awareness as self-reported diagnosis of hypertension; and treatment as current use of antihypertensive medications. Of the 2 310 184 participants included (mean age 55.7 years; 59.5% women); 73 279 (3.2%) had IDH, of whom 63 112 (86.1%) were untreated, and only 6512 (10.3%) of the untreated were aware of having hypertension. When compared with normotensives, participants who were 28 kg/m(2), consumed alcohol, had diabetes mellitus, and prior cardiovascular events were more likely to have IDH (all P28 kg/m(2), higher income, diabetes mellitus, prior cardiovascular events, and Central or Eastern region (all P