Roadmap to achieve 25% hypertension control in Africa by 2025.
Roadmap to achieve 25% hypertension control in Africa by 2025.
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DOI：
10.5830/cvja-2017-040
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发表时间：
2017
影响因子：
0.7
通讯作者：
PASCAR task force on hypertension
中科院分区：
文献类型：
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作者：
Dzudie A;Rayner B;Ojji D;Schutte AE;Twagirumukiza M;Damasceno A;Ba SA;Kane A;Kramoh E;Kacou JB;Onwubere B;Cornick R;Sliwa K;Anisiuba B;Mocumbi AO;Ogola E;Awad M;Nel G;Otieno H;Toure AI;Kingue S;Kengne AP;Perel P;Adler A;Poulter N;Mayosi B;PASCAR task force on hypertension
泛非心脏病学会（PASCAR）已将高血压确定为非洲大陆减少心脏病和中风的最优先行动领域。本PASCAR高血压路线图旨在制定实用指南，指导如何实施将现有知识转化为有效行动的战略，并在2025年前改善撒哈拉以南非洲（SSA）高血压和心血管健康的检测，治疗和控制。该路线图的制定始于创建一个具有高血压领导技能的专家联盟。2014年，不同领域的专家，包括医生和非医生，被邀请加入。通过面对面的会议和电话会议，该联盟进行了情况分析，制定了目标，确定了高血压管理的障碍和解决方案，并定制了世界心脏联合会非洲路线图。高血压是非洲大陆的一个重大危机，但很少有随机对照试验对其管理进行研究。此外，只有25.8%的国家制定或通过了高血压管理指南。其他主要障碍要么与政府和卫生系统有关，要么与医疗保健专业人员或患者有关。PASCAR高血压工作组确定了非洲卫生部将实施的10点行动计划，以实现到2025年非洲高血压控制率达到25%。高血压影响着撒哈拉以南非洲数百万人，如果不加以治疗，是心脏病和中风的主要原因。只有极少数撒哈拉以南非洲国家有明确的高血压政策。该PASCAR路线图确定了实用有效的解决方案，可改善非洲大陆高血压的检测、治疗和控制，并可按现状实施或根据具体国家环境进行调整。
The Pan-African Society of Cardiology (PASCAR) has identified hypertension as the highest area of priority for action to reduce heart disease and stroke on the continent. The aim of this PASCAR roadmap on hypertension was to develop practical guidance on how to implement strategies that translate existing knowledge into effective action and improve detection, treatment and control of hypertension and cardiovascular health in sub-Saharan Africa (SSA) by the year 2025. Development of this roadmap started with the creation of a consortium of experts with leadership skills in hypertension. In 2014, experts in different fields, including physicians and non-physicians, were invited to join. Via faceto- face meetings and teleconferences, the consortium made a situation analysis, set a goal, identified roadblocks and solutions to the management of hypertension and customised the World Heart Federation roadmap to Africa. Hypertension is a major crisis on the continent but very few randomised, controlled trials have been conducted on its management. Also, only 25.8% of the countries have developed or adopted guidelines for the management of hypertension. Other major roadblocks are either government and health-system related or healthcare professional or patient related. The PASCAR hypertension task force identified a 10-point action plan to be implemented by African ministries of health to achieve 25% control of hypertension in Africa by 2025. Hypertension affects millions of people in SSA and if left untreated, is a major cause of heart disease and stroke. Very few SSA countries have a clear hypertension policy. This PASCAR roadmap identifies practical and effective solutions that would improve detection, treatment and control of hypertension on the continent and could be implemented as is or adapted to specific national settings.