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Author(s): Damasceno, Albertino
Padrão, Patrícia
Matos, Carla
Prista, António
Azevedo, Ana
Lunet, Nuno
Title: Cardiovascular risk in Mozambique: who should be treated for hypertension?
Issue Date: 2013
Abstract: Aim: To estimate the proportion of Mozambicans eligiblefor pharmacological treatment for hypertension, accordingto single risk factor and total cardiovascular riskapproaches.Methods: A representative sample of Mozambicansaged 40-64 years (n¼1116) was evaluated according tothe WHO STEPwise Approach to Chronic Disease RiskFactor Surveillance (STEPS). We measured blood pressure(BP) and 12-h fasting blood glucose levels and collecteddata on sociodemographic characteristics, smoking, anduse of antidiabetic and antihypertensive drugs. Weestimated the 10-year risk of a fatal or nonfatalmajor cardiovascular event (WHO/InternationalSociety of Hypertension risk prediction charts), andcomputed the proportion of untreated participantseligible for pharmacological treatment for hypertension,according to BP values alone and accounting alsofor the total cardiovascular risk (WHO guidelines forassessment and management of cardiovasculardiseases).Results: Among the Mozambicans aged 40-64 yearsand not taking antihypertensive drugs, less than 4%were classified as having cardiovascular risk atleast 20% whereas the prevalence of SBP/DBP at least140/90mmHg was nearly 40%. A total of 19.8%of 40-64-year-olds would be eligible for pharmacologicaltreatment of hypertension according to theWHO guidelines, all of whom had SBP/DBP at least160/100mmHg.Conclusion: Among the Mozambicans aged 40-64 yearsnot taking antihypertensive drugs and having SBP/DBP atleast 140/90 mmHg, only half were eligible forpharmacological treatment according to the WHOguidelines. Taking the latter into account, when definingstrategies to control hypertension at a population level,may allow a more efficient use of the scarce resourcesavailable in developing settings.Keywords: diabetes mellitus, hypertension, Mozambique,risk assessment, smokingAbbreviations: BP, blood pressure; FBG, fasting bloodglucose; ISH, International Society of Hypertension; STEPS,STEPwise Approach to Chronic Disease Risk FactorSurveillance; USD, United States Dollar
Subject: Ciências da Saúde, Ciências da saúde
Health sciences, Health sciences
Scientific areas: Ciências médicas e da saúde::Ciências da saúde
Medical and Health sciences::Health sciences
Document Type: Artigo em Revista Científica Internacional
Rights: restrictedAccess
Appears in Collections:FCNAUP - Artigo em Revista Científica Internacional

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