Hypertension burden and challenges across the hypertension treatment cascade among adults enrolled in HIV care in northern Tanzania.
Hypertension burden and challenges across the hypertension treatment cascade among adults enrolled in HIV care in northern Tanzania.
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DOI：
10.1111/jch.13929
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发表时间：
2020-08
期刊：
影响因子：
--
通讯作者：
Watt MH
中科院分区：
文献类型：
--
作者：
Manavalan P;Madut DB;Hertz JT;Thielman NM;Okeke NL;Mmbaga BT;Watt MH
如果不解决艾滋病毒感染者（PLWH）的高血压问题，可能会破坏撒哈拉以南非洲（SSA）在降低这一高危人群死亡率方面取得的重大进展。在这里，作者报告了坦桑尼亚参加艾滋病护理的患者的高血压患病率、诊断和治疗。连续筛查HIV门诊患者的高血压。高血压定义如下：单次收缩压测量值≥ 160 mm Hg或舒张压测量值≥ 100 mm Hg，单独访视时的两次测量值收缩压≥ 140 mm Hg或舒张压≥ 90 mm Hg，或自我报告的高血压诊断。作者筛选了555例患者，19.6%符合高血压标准。在91名高血压受试者的子集中，44名（48.4%）报告了既往血压测量结果，32名（35.2%）知道诊断，10名（11.0%）报告了当前抗高血压药物使用情况，无一人血压得到控制。解决高血压治疗级联过程中的沿着障碍必须成为改善SSA中PLWH心血管结局的首要任务。
Failure to address hypertension among people living with HIV (PLWH) may undermine the significant progress made towards reducing mortality among this high-risk population in sub-Saharan Africa (SSA). Here the authors report hypertension prevalence, diagnosis and treatment among patients enrolled in HIV care in Tanzania. Patients attending an HIV clinic were consecutively screened for hypertension. Hypertension was defined as follows: a single blood pressure measurement ≥ 160 mm Hg systolic or ≥ 100 mm Hg diastolic, two measurements at separate visits ≥ 140 mm Hg systolic or ≥ 90 mm Hg diastolic, or self-reported hypertension diagnosis. The authors screened 555 patients and 19.6% met hypertension criteria. Among a subset of 91 hypertensive participants, 44 (48.4%) reported previous blood pressure measurements, 32 (35.2%) were aware of diagnosis, 10 (11.0%) reported current antihypertensive use, and none had controlled blood pressure. Addressing barriers along the hypertension treatment cascade must be a top priority to improve cardiovascular outcomes among PLWH in SSA.
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DOI：
10.1016/s0140-6736(18)32225-6
发表时间：
2018-11-10
期刊：
Lancet (London, England)
影响因子：
--
作者：
GBD 2017 Risk Factor Collaborators
通讯作者：
GBD 2017 Risk Factor Collaborators
影响因子：
4.8
作者：
Huang, Yuli;Su, Liang;Xu, Dingli
通讯作者：
Xu, Dingli
影响因子：
9.3
作者：
Peck RN;Shedafa R;Kalluvya S;Downs JA;Todd J;Suthanthiran M;Fitzgerald DW;Kataraihya JB
通讯作者：
Kataraihya JB
影响因子：
168.9
作者：
Geldsetzer, Pascal;Manne-Goehler, Jennifer;Jaacks, Lindsay M.
通讯作者：
Jaacks, Lindsay M.
影响因子：
10.8
作者：
Letebo M;Shiferaw F
通讯作者：
Shiferaw F