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May Measurement Month 2022: an analysis of blood pressure screening results from Argentina
Alejandro De Cerchio1, Fortunato García Vásquez1, Pedro A Becerra1
1Sociedad Argentina de Hipertensión Arterial, Tte. Gral. Juan Domingo Perón 1479, Piso 2 '4', Bolívar 1334 Corrientes Capital (CP 3400), Buenos Aires C1037ACA, Argentina.
Insights
High blood pressure remains a global health challenge. A campaign in Argentina found nearly half of adults had hypertension, with poor control rates highlighting the need for improved strategies.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- High blood pressure (BP) is a leading cause of global mortality and morbidity.
- Low diagnosis and control rates of hypertension pose significant challenges to healthcare systems worldwide.
Purpose of the Study:
- To assess the prevalence and control of high blood pressure in Argentina.
- To evaluate the effectiveness of a public health campaign for hypertension detection.
Main Methods:
- A voluntary, cross-sectional survey was conducted in public spaces and health centers during May 2022.
- Hypertension was defined as systolic BP ≥140 mmHg and/or diastolic BP ≥90 mmHg, or current antihypertensive treatment.
- 50,746 participants were examined, with BP measurements taken and awareness/treatment status recorded.
Main Results:
- Overall, 59.8% of participants had hypertension, with 75.5% aware and 72.4% on medication, but only 33.3% achieved control (<140/90 mmHg).
- After age and sex standardization, 45.5% had hypertension, and 61.8% were aware of their condition.
- Mean BP was 131.7/80.4 mmHg, indicating a significant population with elevated readings.
Conclusions:
- The study reveals persistent low rates of hypertension awareness and control in Argentina.
- Ineffective strategies necessitate the development of new approaches in both medical and community settings.
- Enhanced public health initiatives are crucial to increase hypertension awareness and improve management outcomes.
Abstract:
High blood pressure (BP) continues to be the leading cause of disability and death in the world over the years. With an unacceptably low rate of diagnosis and control, it challenges health systems in most countries. Thus, the Argentine Society of Arterial Hypertension (SAHA), in accordance with the May Measurement Month (MMM) initiative of the International Society of Hypertension, implemented for the sixth consecutive year a high BP detection campaign. A voluntary cross-sectional survey was conducted in public spaces and health centres during the month of May 2022. Hypertension was defined as systolic BP of ≥140 mmHg and/or diastolic BP of ≥90 mmHg based on the second of two BP measurements, or in those receiving treatment for high BP. In total, 50 746 participants were examined, with a mean age of 54.8 (standard deviation 17.1) and 61.1% of whom were women. Of all participants, 30 361 (59.8%) had hypertension, of which 22 933 (75.5%) were aware, 21 997 (72.4%) were taking antihypertensive medication, and 10 116 (33.3%) were controlled to <140/90 mmHg. The mean BP was 131.7/80.4 (±20.8/±12.7) mmHg. After standardization by age and sex, 23 094 (45.5%) were found to have hypertension, of which 14 270 (61.8%) were aware of it. The poor level of hypertension control that is repeated over the years exposes insufficient efforts and ineffective strategies that should generate different approaches in both the medical field and in the community that reinforce strategies to increase awareness and control of hypertension.
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Pre-Procedural Guidelines for Assessing Blood Pressure
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Sites for measruring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement

