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Latin-American Ambulatory Blood Pressure Registry (MAPA-LATAM): An urgent need
M Camafort1, L Alcocer2, A Coca1
1Unidad de Hipertensión y Riesgo Vascular, Servicio de Medicina Interna, Hospital Clínic, IDIBAPS, Universidad de Barcelona, Barcelona, Spain.
Insights
Hypertension is a major cardiovascular disease risk factor, but data from Latin America is scarce. Implementing ambulatory blood pressure monitoring (ABPM) is crucial for accurate hypertension diagnosis and management in the region.
Area of Science:
- Cardiology
- Public Health
Background:
- Hypertension (HT) is a primary risk factor for cardiovascular disease (CVD) globally.
- Limited data exists on hypertension prevalence and management in Latin America.
- Accurate blood pressure measurement is vital for effective diagnosis and treatment.
Purpose of the Study:
- To highlight the need for a prospective ambulatory blood pressure monitoring (ABPM) registry in Latin America.
- To address the lack of comprehensive data on HT prevalence, awareness, treatment, and control in the region.
Main Methods:
- The study emphasizes the importance and benefits of ABPM over traditional office measurements.
- It identifies the absence of a prospective, region-wide ABPM registry for Latin America.
Main Results:
- Current data on hypertension in Latin America is insufficient for robust epidemiological analysis and public health planning.
- ABPM offers superior accuracy and prognostic value compared to sporadic office readings.
Conclusions:
- Establishing a prospective ABPM registry in Latin America is a priority.
- Such a registry would enable better understanding and management of hypertension, ultimately reducing CVD burden.
Abstract:
Hypertension (HT) is one of the main risk factors for cardiovascular disease (CVD). Although it is a global problem, independently of economic situation, region, race or culture, the data available on Latin America are limited. Clinical guidelines emphasise the importance of obtaining reliable blood pressure readings. For this reason, the use of ambulatory blood pressure monitoring (ABPM) is recommended. This improves precision and reproducibility, resulting in better diagnosing and therapeutic decision-making, and constitutes a better estimation of prognosis than office measurements. Unfortunately, there is no global prospective ABPM registry for all of Latin America that analyses HT prevalence, the level of knowledge about it, treatment percentage and the degree of control. Consequently, the authors of this article consider its implementation a priority.
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