Bài giảng MMM 2017 blood pressure screening in Vietnamese adults

Lecture with the content classification of HTN following the income levels; prevalence of HTN in south east Asia; materials and methods; device of BP measurement; rule of BP measurement; characteristics of participants; trends of BP in Vietnamese adults...

MMM 2017 BLOOD PRESSURE SCREENING IN VIETNAMESE

ADULTS

HUYNH VAN MINH, MD, PhD VIETNAM SOCIETY OF HYPERTENSION

Driven by ISH

Supported at country level

Thank you to our supporters

A SIMPLE MEASURE TO SAVE LIVEShinhanhykhoa.com #checkyourpressure

Introduction

M Mohsen Ibrahim, Albertino Damasceno Vol 380 August 11, 2012

Classification of HTN following the income levels

Whole country-Health statistics Yearbook- VN MOH

TREND OF MORTALITY BY CATEGORY

Reality & problems of Vietnam:Hypertension & Heart disease; We do this Pham Gia Khai, VNHA

Prevalence of HTN in South East Asia

AND SO MMM17 WAS BORN

A SIMPLE MEASURE TO SAVE LIVES #checkyourpressure

Aims of presentation

hypertension screening through MMM2017 such as prevalence, risk factors, awarenees and treatment

• To compare with our 5 previous years data and those of Asian hypertensive persons.

Materials and Methods

• In this cross-sectional study, in 10 cities and

provinces from 13/5/2017 to 29/5/2017

• 10.993 person ≥ 18 years old who had not

checked their BPs for at least a year before the

recruitment.

Have not had BPs measured for at leat

a year

Consent for Participation given

18

age  years

Everyone was tested, but only those who met the three criteria of ISH were included in the studyhinhanhykhoa.com

East Sea

BanMe Thuot

The selected cities /

No of participants

hinhanhykhoa.com

Device of BP measurement

• automated electronic device.

• some special cases with a

sphygmomanometer.

● Being on at least 1 antihypertensive medication taken for raised BP or

● The average SBP (mean of the last 2 of 3 readings) ≥

140 mmHg and/or the average DBP (mean of the last

2 of 3 readings) ≥ 90 mmHg

Definition of hypertension

Rule of BP measurement

•Measure the circumference of the arm (at the mid arm level) and ensure that the correct size of arm cuff is used

•The cuff should be placed at the heart level

•The patient’s arm being used for the measurement should rest comfortably on

a table

•BP should be measured on one arm only, preferably left, and the arm used should berecorded

•The participant should be seated with their backs supported and with their legs resting

on the ground and in the uncrossed position for 5 min

•Should not have smoked immediately before or during the measurement

hinhanhykhoa.com

ACTIVITIES OF PREPARATION

A SIMPLE MEASURE TO SAVE LIVES #checkyourpressure

RECRUITMENT FOR THE SCREENING

THE SUPERMARKET…

A SIMPLE MEASURE TO SAVE LIVEShinhanhykhoa.com #checkyourpressure

EVEN, THE FACTORY………

A SIMPLE MEASURE TO SAVE LIVES #checkyourpressure

Characteristics of Participants*

6770 (61,6%) 4217(38,4%) * 6 (0,1%)

Crude and age/sex-standardised BP measurements

after imputation, using WHO world standard populations*

Crude BP

Age and sex standardised

BP

Age and sex standardised

BP excluding those on treatment

Age and sex standardise

d BP in those on treatment

Trends of BP in Vietnamese adults*

* Excel analysis were offered by Xin Xia and Elsa Kobeissi, MMM statistic team hinhanhykhoa.com

Change BP with individual characteristics*

* Excel analysis were offered by Xin Xia and Elsa Kobeissi, MMM statistic team

Change blood pressure with Body Mass Index (BMI)*

* Excel analysis were offered by Xin Xia and Elsa Kobeissi, MMM statistic team

Coorelation between BMI and Blood Pressure

r=0,214(p<0,001), DBP= 57,763+ 0,828x BMI r=0,211 (p<0,001), SBP= 91,811 + 1,369 x BMI

Relationship between risk factors for smoking, alcohol

and obesity with hypertension.

The most common risk factors were smoking (17.5%), alcohol (13.3%) and obesity (12.7%), which accounted for high propotion of hypertension

Results from linear regression models adjusted for age, sex and antihypertensive treatment after amputation*

% Denomi

nator

Participants receiving treatment but with

uncon trolled BP

Hypertensive target organ following MMM 2017 BP screening in Vietnamese adults

Discussion

A TRULY GLOBAL CAMPAIGN

100 countries participated

1.2 million data sets collected

A SIMPLE MEASURE TO SAVE LIVES #checkyourpressure

NATIONAL PROGRAM OF PREVENTION - CONTROL OF

HYPERTENSION

Prevalence of hypertension in Vietnam

- 1960: Dang Van Chung et al.: Hypertension among adult population in Northern Vietnam.

- 1992: Tran Do Trinh et al.: Hypertension among Vietnamese people aged 18 years and over.

- 2002: Truong Viet Dung et al.: Hypertension among Vietnamese adults aged 25 to 64 years old

National Health Survey 2001 – 2002.

- 2008: Our survey.: Hypertension and its risk factors among Vietnamese adults aged 25 years and over hinhanhykhoa.com

Vietnam National Survey of HTN in 2012

Son PT et al J Hum Hypertens 2012;26(4):268-80.

1962 1914

1900 1766

Trends of absolute numbers of HTN and CVD in Vietnam

Reality & problems of Vietnam:Hypertension & Heart disease; We do this Pham Gia Khai, VNHA

Complications of HTN in Vietnam

• In nationwide hospital-based statistics : 3rd/10

most encountered diseases : 317.6/100,000

• Death related to Hypertension : Nationwide :

- Intracerebral haemorrhage : 6th rank (of 10)

Prevalence of HTN in developing countries

M Mohsen Ibrahim, Albertino Damasceno Vol 380 August 11, 2012

Awareneess & capacity of HTN control

in developing countries & developed countries

IN CONCLUSION

The MMM program has made a big impact on the awareness

of hypertension among people in particular in Vietnam

Although there were still many organizational limitations

and the number of participants was still modest, MMM can

be said to have been the most successful operation in

Vietnam

Hopefully, the upcoming ISH plan might help improve

hypertension situation in Vietnam as well as in the world /

A SIMPLE MEASURE TO SAVE LIVES #checkyourpressure

Chân thành cám ơn quí Đại biểu

Thank you for your attention

Website: hntmmttn.vn

37

GS Huynh van Minh - DHYD Hue-2018