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MAY MEASUREMENT MONTH 2017 AND 2018

AN ANALYSIS OF BLOOD PRESSURE SCREENING RESULTS FROM THE UK AND REPUBLIC OF IRELAND

McDonnell, B.1; Keitley, J.2; Beaney, T.3; Tay, T.4; Brady, A.J.B.5; Padmanabhan, S.5; Cockcroft, J.R.1; Dolan, E.6; Heagerty, A.4; Greenstein, A.4; Tomaszewski, M.4; Schutte, A.7; Poulter, N.R.3; Cappuccio, F.P.8 on behalf of the International Society of Hypertension and British and Irish Hypertension Society

Journal of Hypertension: July 2019 - Volume 37 - Issue - p e44
doi: 10.1097/01.hjh.0000570812.94796.f5
ORAL SESSION 5A: BLOOD PRESSURE MEASUREMENT 1: PDF Only
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Objective: Elevated blood pressure (BP), or hypertension, is a growing burden worldwide, leading to over 10 million deaths each year. May Measurement Month (MMM) is a global initiative aimed at raising awareness of high BP and acting as a stimulus to improving screening programs worldwide. In the United Kingdom (UK) nearly 1 in 5 people, and in the Republic of Ireland (RoI) 3 out of 10, have hypertension, of which a large proportion remains undiagnosed.

Design and method: An opportunistic cross-sectional survey of volunteers aged ≥18 years was carried out in May 2017 and 2018. BP measurement, definition of hypertension and statistical analysis followed a standardized protocol. Screenings sites in hospitals, universities, shopping centres, workplaces, sports clubs, community centres, GP practices, and pharmacies were set up across the UK and RoI as part of this initiative.

Results: 12,714 individuals were screened during MMM17&18. After multiple imputation, 4,815 (37.9%) had hypertension. Of individuals not receiving antihypertensive medication, 2,388 (23.3%) were hypertensive. Of individuals receiving antihypertensive medication, 1,038 (42.9%) had uncontrolled BP.

Conclusions: MMM17&18 were the largest BP screening campaigns ever undertaken in the UK and RoI. These data prove for the first time that a relatively inexpensive, volunteer based, convenience sampling of screening blood pressure in the community identified 2 out of 5 individuals as hypertensive, with 1 in 4 not receiving treatment. Of major concern is that these data demonstrate that of those individuals receiving treatment, 2 out of 5 still did not have controlled BP.

1Cardiff Metropolitan University, Cardiff, UNITED KINGDOM

2Royal United Hospitals Bath NHS Foundation Trust, Bath, UNITED KINGDOM

3Imperial College London, London, UNITED KINGDOM

4University of Manchester, Manchester, UNITED KINGDOM

5University of Glasgow, Glasgow, UNITED KINGDOM

6Connolly Hospital Dublin, Dublin, IRELAND

7North-West University/Medical Research Council, Potchefstroom, SOUTH AFRICA

8University of Warwick, Coventry, UNITED KINGDOM

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