检查美国未经控制的高血压成年人的高血压控制级联
LaTonia C Richardson1, Adam S Vaughan1, Janet S Wright1
1Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
JAMA network open
|September 11, 2024
概括
许多美国成年人患有不受控制的高血压是不知道他们的情况或未经治疗. 即使在接受治疗的人中,显著多数仍然有不受控制的高血压,增加心血管疾病的风险.
科学领域:
- 公共卫生 公共卫生
- 心血管疾病流行病学
- 高血压管理 高血压管理
背景情况:
- 在美国,不受控制的高血压是心血管疾病 (CVD) 的首要驱动因素.
- 了解高血压控制级联对于有效的公共卫生干预至关重要.
- 这项研究解决了有关高血压意识,治疗和控制率的知识差距.
研究的目的:
- 为了评估高血压控制级联结局在美国成年人中高血压的患病率.
- 确定布中最需要干预的特定水平.
- 为改善高血压管理和降低心血管疾病风险提供有针对性的信息.
主要方法:
- 利用了从2017年1月到2020年3月的国家健康和营养检查调查 (NHANES) 的加权横截面数据.
- 包括非医疗机构住院的美国成年人 (≥18岁) 患有不受控制的高血压 (静脉血压≥130毫米升或静脉血压≥80毫米升).
- 分析了包括高血压意识,治疗建议和药物使用在内的结果,分析了2024年1月至2月的数据.
主要成果:
- 据估计,有10040万美国成年人患有不受控制的高血压.
- 超过一半 (57.6%) 的人不知道自己的高血压诊断.
- 在那些意识到并有资格接受药物治疗的人中,70.8%的人尽管接受了治疗,但仍然无法控制.
结论:
- 美国有很大一部分患有失控高血压的成年人不知道自己的病情,并没有接受治疗.
- 大多数接受治疗的患者无法控制血压,这凸显了医疗保健的关键差距.
- 这些发现强调,迫切需要改进高血压检测和管理策略,以减轻心血管疾病负担.
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