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.
Abstract

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