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Re-Classifying Hypertension in the Venezuelan EVESCAM Database Using 2017 AHA/ACC Criteria: High Prevalence, Poor Control, and Urgent Call for Action Cover

Re-Classifying Hypertension in the Venezuelan EVESCAM Database Using 2017 AHA/ACC Criteria: High Prevalence, Poor Control, and Urgent Call for Action

Open Access
|May 2019

Figures & Tables

Table 1

Subjects characteristics by gender.

MenWomenTotal
n (%)1064 (31.1)2356 (68.9)3420 (100.0)
Age (years)51.6 ± 0.3349.6 ± 0.3350.2 ± 0.27
Systolic BP (mmHg)134.9 ± 0.69129.4 ± 0.49131.2 ± 0.40
Diastolic BP (mmHg)77.5 ± 0.3876.4 ± 0.2376.7 ± 0.20

[i] Data are presented as mean ± SEM. Differences between means using Student t-test p < 0.001.

Abbreviations: BP – Blood pressure.

Table 2

Comparative Crude and Age-Standardize Prevalence by Gender According to the 2017 AHA/ACC and JNC 7 Guidelines.

Guideline2017 AHA/ACCJNC 7
Definition usedSBP/DBP ≥ 130/80 mmHg or self-reported hypertensionSBP/DBP ≥ 140/90 mmHg or self-reported hypertension
Overall, crude60.4 (58.7–62.0)47.4 (45.7–49.0)
MenWomenMenWomen
Overall, age-sex standardize55.4 (52.4–58.3)49.0 (46.9–51.0)37.9 (33.8–42.1)36.3 (33.5–39.2)
Age group
20–2934.1 (25.8–42.3)19.5 (15.0–23.9)11.8 (6.1–14.4)8.6 (5.4–11.7)
30–3947.7 (39.7–55.6)35.0 (30.2–39.7)27.8 (20.6–34.9)20.6 (16.5–24.6)
40–4955.4 (48.2–62.3)54.8 (50.2–59.2)38.5 (31.6–45.3)37.9 (33.4–42.3)
50–5975.2 (69.3–81.0)67.2 (63.2–71.1)58.6 (51.9–65.2)53.3 (49.1–57.4)
60–6975.7 (70.0–81.3)83.1 (79.5–86.6)66.1 (59.8–72.3)73.9 (69.7–78.1)
70–7985.3 (78.8–91.7)91.0 (86.8–95.2)81.0 (73.8–88.1)86.5 (81.4–91.5)
80 or older78.7 (66.9–90.4)87.3 (79.6–94.9)74.5 (62.0–86.9)81.9 (73.0–90.7)

[i] Data are presented as a percent and 95 CI. Differences between genders were calculated using Chi-Square. Abbreviations: ACC – American College of Cardiology; AHA – American Heart Association; DBP – Diastolic Blood Pressure; SBP – Systolic Blood Pressure.

agh-85-1-2346-g1.png
Figure 1

Prevalence of hypertension by age according to the 2017 AHA/ACC and JNC7 definitions in men and women.

Table 3

Age-standardized Prevalence and Estimated Number of Adults with Hypertension and Uncontrolled Hypertension in Venezuela According to the 2017 AHA/ACC Guideline by Gender.

Subjects without self-report of hypertension (n = 2147)
Men (n = 694)Women (n = 1452)
Classification of blood pressure
Normal (%) (<120/80 mmHg)33.353.9
Estimated number2,576,6733,910,676
Elevated (%) (120–129/<80 mmHg)23.413.8
Estimated number1,810,6351,001,249
Hypertension Stage 1 (%) (130–139/80–89 mmHg)22.919.2
Estimated number1,771,9461,393,042
       Recommended only lifestyle treatment (%)90.794.4
       Estimated number1,607,1551,315,032
       Recommended pharmacological treatment (%)9.35,6
       Estimated number164,79178,010
Hypertension Stage 2 (%) (≥140/90 mmHg)20.413.1
Estimated number1,578,502950,461
Total number of subjects that require initiate antihypertensive medication (Stage 2 + Stage 1 with 10y CV risk ≥10% or DM)2,771,764
Subjects with self-report of hypertension (n = 1272)
Men (n = 369)Women (n = 903)
Age-standardized prevalence of self-reported hypertension (%)24.629.3
Estimated number2,524,5203,006,847
Prevalence of treated and uncontrolled hypertensive adults (≥130/80 mmHg)66.865.8
Estimated number1,686,3791,978,505
Total number of hypertensive adults (Self-reported + Stage 1 + Stage 2)5,874,9685,350,350
Total (both sex) number of hypertensive adults11,225,318

[i] Abbreviations: AHA – American Heart Association; ACC – American College of Cardiology; CV – Cardiovascular risk; DM – Diabetes mellitus.

agh-85-1-2346-g2.png
Figure 2

Prevalence of undiagnosed, treated, and controlled subjects with hypertension by age and gender.

DOI: https://doi.org/10.5334/aogh.2346 | Journal eISSN: 2214-9996
Language: English
Published on: May 28, 2019
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2019 Juan González-Rivas, Jeffrey Mechanick, Maritza Duran, Eunice Ugel, María Marulanda, Ramfis Nieto-Martínez, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.