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Success in control of hypertension in a low-resource setting: the Cuban experience
Pedro Orduñez-Garcia1, Jose Luis Bernal Munoz, Dania Pedraza
1Hospital Universitario Dr. Gustavo Aldereguia Lima, Cienfuegos, Cuba.
Insights
Hypertension control rates in Cuba were higher than previously reported in other countries. These findings suggest effective hypertension management is achievable even in low-resource settings.
Area of Science:
- Cardiovascular Health
- Public Health
- Epidemiology
Background:
- Pharmacologic control of hypertension is crucial for managing cardiovascular diseases.
- Cardiovascular disease presents a significant challenge in developing countries.
- Cuba prioritizes cardiovascular disease reduction through hypertension management within its primary care system.
Purpose of the Study:
- To assess current hypertension control rates in a Cuban population.
- To evaluate the effectiveness of hypertension management strategies in a low-resource setting.
Main Methods:
- A population-based sample of 1667 individuals aged 15-74 years was surveyed in Cienfuegos.
- Hypertension control rates were determined based on awareness, medication use, and blood pressure readings.
Main Results:
- The prevalence of hypertension was 20% in the sampled population.
- Among hypertensive individuals, 78% were aware of their condition, and 61% were on medication.
- Blood pressure control (<140/90 mmHg) was achieved in 40% of all hypertensives and 62% of treated hypertensives.
Conclusions:
- The documented hypertension control level surpasses previous population survey findings.
- Effective hypertension control appears highly feasible in low-resource environments like Cuba.
- Further validation in larger Cuban samples is recommended.
Background:
Pharmacologic control of hypertension is an essential component of the current strategy to control cardiovascular diseases. Much concern has been focused in recent years on the challenge that cardiovascular disease poses for developing countries. Available medical therapies should be equally effective in low- and high-resource settings; however, this has not yet been demonstrated. Cuba has a well-organized primary-care system and has made reduction of cardiovascular diseases a priority, particularly through detection and treatment of hypertension.
Methods:
To determine current hypertension control rates a population-based sample of 1667 persons aged 15-74 years was examined in the city of Cienfuegos.
Results:
The prevalence of hypertension, weighted to the age structure of the sampled population, was 20%. Among all hypertensives, 78% were previously aware of the condition, 61% were currently taking medications, and 40% had systolic/diastolic blood pressures < 140/90 mmHg (men = 29%, women = 49%). Among treated hypertensives, 62% had blood pressures < 140/90 mmHg.
Discussion:
The level of control documented in this survey is higher than reported previously from population surveys in other countries. If confirmed in broader samples in Cuba, these findings would suggest that effective control of hypertension is highly feasible in low-resource settings.
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