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Related Experiment Videos

Hypertension studies in China

L Liu1

  • 1Department of Hypertension, Cardiovascular Institute, Beijing, P.R.C.

Clinical and Experimental Hypertension (New York, N.Y. : 1993)
|November 1, 1993
PubMed
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Hypertension prevalence in China rose significantly, with higher rates in urban and northern areas. Community control programs have reduced stroke and heart attack incidence, but a national strategy is needed due to an aging population.

Area of Science:

  • Cardiovascular epidemiology
  • Public health
  • Preventive medicine

Background:

  • Hypertension (HT) prevalence in China increased from 7.7% in 1980 to over 11% in 1991.
  • Higher HT prevalence is observed in northern and urban populations, potentially linked to elevated body mass index (BMI) and dietary factors.
  • Stroke and acute myocardial infarction (AMI) morbidity and mortality are notably higher in northern China and urban centers.

Purpose of the Study:

  • To assess the trends and regional variations in hypertension prevalence in China.
  • To evaluate the impact of community-based hypertension control programs on cardiovascular events.
  • To highlight the urgent need for a nationwide prevention and control program for hypertension and its complications.

Main Methods:

  • Analysis of epidemiological data on hypertension prevalence and cardiovascular disease (CVD) incidence and mortality in China.

Related Experiment Videos

  • Review of reports from community control centers with over 10 years of hypertension management history.
  • Examination of data from the Sino-Monica Beijing Project regarding regional CVD trends.

    • Main Results:

    • Hypertension prevalence in China exceeded 11% by 1991, with distinct geographical and demographic patterns.
    • Community control programs demonstrated significant reductions in stroke (40%) and AMI (34%) incidence.
    • Stroke events were 4-8 times more frequent than coronary events in urban and northern regions.

    Conclusions:

    • Despite decreasing mortality rates for stroke and AMI, high case fatality rates persist.
    • The aging population in China necessitates immediate implementation of a comprehensive national hypertension prevention and control program.
    • Addressing regional disparities and lifestyle factors like BMI and diet is crucial for effective hypertension management.