Blood pressure screening in Mata Sector, a rural area of Rwanda.

Autor: Hunjan I; School of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.; Family Medicine Institute, Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland., Umulisa A; Health Care Centre of Nyamyumba, District of Nyaruguru, Nyamyumba, Rwanda., Parati G; School of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy. gianfranco.parati@unimib.it.; Department of Cardiovascular, Neural and Metabolic Sciences, Istituto Auxologico Italiano IRCCS, San Luca Hospital, Milan, Italy. gianfranco.parati@unimib.it., Bianchetti MG; Family Medicine Institute, Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland., Milani GP; Pediatric Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.; Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy., Muvunyi B; Medical Specialized Services, King Faisal Hospital, Kigali, Rwanda., Ntaganda E; Cardiovascular diseases Unit, Non-communicable diseases Division, Rwanda Biomedical Center, Kigali, Rwanda., Radovanovic D; Family Medicine Institute, Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland., Stroppa C; School of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.; Family Medicine Institute, Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland., Suter P; Department of Internal Medicine, University Hospital of Zurich, Zurich, Switzerland., Muggli F; Family Medicine Institute, Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland.
Jazyk: angličtina
Zdroj: Journal of human hypertension [J Hum Hypertens] 2024 Apr 24. Date of Electronic Publication: 2024 Apr 24.
DOI: 10.1038/s41371-024-00912-7
Abstrakt: In rural sub-Saharan Africa, knowledge of non-communicable diseases such as high blood pressure (BP) is rather limited. This report provides information about a BP screening in Mata Sector, a rural region in Southern Province of Rwanda. Community-based, house-to-house screening was performed between February and July 2020 on more than 7000 inhabitants. The screening was conducted by a local team composed by 20 community health care workers, five community health care supervisors, and one nurse with hypertension surveillance training. BP and heart rate were recorded after 5 min of resting, using a validated automated oscillometric OMRON M6 IT-HEM-7322-E monitor with Intelli Wrap Cuff (HEM-FL31-E) technology. The mean of the second and third value was retained. BP was normal (<140/90 mm Hg) in 6340 (88%) and elevated in 863 (12%) participants with 95% of unawareness. Grade 1 (140-159/90-99 mm Hg) hypertensive BP readings were detected in 697 (81%), grade 2 (160-179/100-109 mm Hg) in 134 (16%), and grade 3 (≥180/≥110 mm Hg) in 32 (3.7%) individuals. The prevalence of hypertensive readings was significantly age-dependent. Additionally, a slightly greater proportion of participants with high BP (14% versus 11%) had a body mass index (BMI) ≥ 25.0 kg/m 2 . Also resting heart rate was higher in individuals with high BP (82 versus 77 beats/min). Although individuals identified with occasionally elevated BP values need further confirmatory measurements to establish the diagnosis of hypertension, these data suggest that high BP represents a noteworthy and preventable reason of concern within sub-Saharan Africa.
(© 2024. The Author(s).)
Databáze: MEDLINE