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PRESYON 2 Report of the Council on Hypertension Main Authors: Sison Jorge MD, Arceo Lea MD Co-Authors: Trinidad Emma MD (Chair), Bautista J Antonio MD,

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Presentation on theme: "PRESYON 2 Report of the Council on Hypertension Main Authors: Sison Jorge MD, Arceo Lea MD Co-Authors: Trinidad Emma MD (Chair), Bautista J Antonio MD,"— Presentation transcript:

1 PRESYON 2 Report of the Council on Hypertension Main Authors: Sison Jorge MD, Arceo Lea MD Co-Authors: Trinidad Emma MD (Chair), Bautista J Antonio MD, Buan Vicente MD, Chua Philip MD, Lapitan Raul MD, Neri Rey MD, Punzalan Antonio MD, Tan May MD, Torres Dennis MD, Yape Irma Marie MD, Main Authors: Sison Jorge MD, Arceo Lea MD Co-Authors: Trinidad Emma MD (Chair), Bautista J Antonio MD, Buan Vicente MD, Chua Philip MD, Lapitan Raul MD, Neri Rey MD, Punzalan Antonio MD, Tan May MD, Torres Dennis MD, Yape Irma Marie MD, PHA Annual Convention May 16-18, 2007

2 PRESYON 2 Report of the Council on Hypertension Background Prevalence of HPN in the Philippines has increased from (Council on Hypertension & National Nutrition and Health Surveys). Awareness, treatment, compliance and BP control rates have been low. 58% have TOD (PHYTON 1996) (COH) Stroke had high correlation with uncontrolled HPN, microvasculopathy, risk factors and poor compliance (PHYTON 3, 1999) (COH) HPN-related stroke was the most common cause of mortality among hospital-based population. Majority had uncontrolled BP and poor compliance (PHYTON 4, 2003) (COH) Dans A et al. Philippine Journal of Internal Medicine May-June 2005 Sison J et al. Phil. Journal of Cardiology, Vol.33, No.4, Oct-Dec 2005 Atabug J et al. Phil J of Cardiol July-Sept Sison J et al. Phil Journal of Cardiology 1998 Sison J et al, Philippine Journal of Cardiology, April-June 1996 PHA Annual Convention May 16-18, 2007

3 PRESYON 2 Report of the Council on Hypertension Rationale for PRESYON update Because of these progressive rise in HPN prevalence and its complications, the COH saw the need for an updated and a more in-depth study of the HPN problem. Population with wider age range (adolescent age and up) The COH added more data survey (arm circumference, waist and hip circumferences, BMI, TOD parameters for stroke, IHD, nephropathy, PVD and retinopathy. PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 16-18, 2007

4 PRESYON 2 Report of the Council on Hypertension Objectives Primary: To determine the prevalence of hypertension in the Philippines Secondary: To determine the prevalence of hypertension by age group To assess awareness, treatment profile and control rate To determine the prevalence of target organ damage PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 16-18, 2007

5 PRESYON 2 Report of the Council on Hypertension Materials and Method Prospective, multi-staged, stratified, nationwide survey on hypertension. Field researchers recruited and trained by an independent professional survey group and re-trained by the COH members equipped with survey forms (general data, lifestyle, perceptions) conducted the survey which involved 2 phases PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 16-18, 2007

6 PRESYON 2 Report of the Council on Hypertension 2 Phases of Survey Phase 1 (Hypertension prevalence phase): nationwide BP screening randomized selection of base population 300 subjects per region (13 regions) total target population = 3,900 Phase 2 (Target organ survey phase): additional BP screening in same areas surveyed to identify and include the first 30 known hypertensive subjects to boost the hypertensive population in Phase I for assessment of target organ damage. PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 16-18, 2007

7 PRESYON 2 Report of the Council on Hypertension Weighting of sample: A weighting factor will be applied to survey results to correct the disproportionate allocation of the sample Uneven population density among the regions in the country Used in order to arrive at a Total Philippines Sample that conforms to the natural distribution of the population by region. PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 16-18, 2007

8 PRESYON 2 Report of the Council on Hypertension Inclusion Criteria Subjects aged 12 years old and above, of either sex, regardless of socio-economic status and health condition Only one respondent will be chosen per sample household In case >1 household member qualifies, the statistical selection key “Kish Grid” method will be implemented to choose only one respondent PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 16-18, 2007

9 PRESYON 2 Report of the Council on Hypertension PHA Annual Convention May 16-18, 2007 “Kish Grid” Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 16-18, 2007

10 PRESYON 2 Report of the Council on Hypertension PHA Annual Convention May 16-18, 2007 “Kish Grid” No.Qualified membersSexAgeHousehold Number Member AM Member BF Member CM Member DF Member EF Member FM Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 16-18, 2007

11 PRESYON 2 Report of the Council on Hypertension Generation of samples: Multi-stage and stratified method as follows: Stage 1: Selection of sample province Stage 2: Selection of sample cities/ towns in each sample province Stage 3: Selection of sample barangays in each sample city Stage 4: Selection of sample households in each sample barangays Stage 5: Selection of one respondent from each sample household PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 16-18, 2007

12 PRESYON 2 Report of the Council on Hypertension Classification of adult BP (JNC 7) SystolicDiastolic Normal Pre-hypertension Hypertension Stage 1 Stage 2 < – – 159 > 160 and or <80 80 – – 99 > 100 PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 16-18, 2007

13 PRESYON 2 Report of the Council on Hypertension Definitions to be determined in the data analysis: Awareness- Subject’s knowledge and recognition that he is hypertensive based on history, consultation and follow-up check- ups, intake of anti-HPN medications. Unawareness- Denial of any of the parameters of awareness but whose average BP on two separate occasions is >140 mmHg SBP and/ or >90 mmHg DBP. Treatment profile- intake or discontinuation of anti-HPN medications, compliance, untreated despite confirmation of HPN, traditional or alternative medicines or non-pharmacologic treatment. Control rate- ability of maintenance medication(s) to control BP (<140/90) PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 16-18, 2007

14 PRESYON 2 Report of the Council on Hypertension Body measurements: (metric system) Height Weight Left arm circumference Waist circumference Hip circumference Body mass index PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 16-18, 2007

15 PRESYON 2 Report of the Council on Hypertension Assessment and definition of target organ damage: Heart – Angina questionnaires. ECG referral to MDs affiliated with PRESYON study group (Cardiac damage: LVH, ischemia, infarct, arrhythmia, heart blocks) Brain– Stroke / TIA questionnaires. Presence of residual neurologic deficit. Kidney- History. Microproteinuria (Micral test) Eyes- Referral to affiliated ophthalmologist for fundoscopy with official referral form Peripheral Vascular System – Claudication questionnaires PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 16-18, 2007

16 PRESYON 2 Report of the Council on Hypertension Data control and validation: To ensure quality in the data gathering and interview outcomes, there will be 3 phases of data control and validation: Editing of questionnaires for completeness and consistency Back-checking of completed interviews Daily tabulation and summary of control by interviewers PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 16-18, 2007

17 PRESYON 2 Report of the Council on Hypertension Results: Adult population (>18 yrs )surveyed =3,415 Age distribution (mean age: yrs) (M: 49, F: 51) *Total pop: 3901; 18 y/o= 93 PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 16-18, 2007

18 PRESYON 2 Report of the Council on Hypertension Results: Young population (<18 yrs )surveyed = 579 Age distribution (mean age: yrs) *Total pop: 3901; 18 y/o= 93 PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 16-18, 2007

19 PRESYON 2 Report of the Council on Hypertension Results: Prevalence of Hypertension in Adults (>18 yrs)* - 21% (M: 50%, F: 50%) % * 717 / 3415 PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May, 07

20 PRESYON 2 Report of the Council on Hypertension Results: Prevalence of Hypertension in the Young (<18 yrs) - 1% (6 / 579) (M: 50%, F: 50%) * Total= 6 / 579; F= 3/253; M= 3/326 MMLa= 3, Ilocos= 1, So.Min.= 1, Cen. Min.= 1 Age (yrs) SexAware?Treated?12FNoNo 15MYesYes 17MYesNo 17FNoNo 17FYesNo 18MNoNo PHA Annual Convention May 16-18, 2007

21 PRESYON 2 Report of the Council on Hypertension Prevalence of Hypertension in Adults (>18 yrs) Rural vs. Urban / Socio-economic Class % PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

22 PRESYON 2 Report of the Council on Hypertension Prevalence of Hypertension in Adults (>18 yrs) - By Occupation % PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

23 PRESYON 2 Report of the Council on Hypertension Prevalence of Hypertension in Adults (>18 yrs) by Civil Status % PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

24 PRESYON 2 Report of the Council on Hypertension Prevalence of Hypertension in Adults (>18 yrs) - By Age Group - % Age (yrs) PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

25 PRESYON 2 Report of the Council on Hypertension Prevalence of Hypertension in Adults (>18 yrs) - Age vs. Gender- % Age (yrs) PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

26 PRESYON 2 Report of the Council on Hypertension On Anti-Hypertensive Medications* Adults (>18 yrs) 35% 65% % Socio-Economic Class / / 3415= 18% treated / total population PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

27 PRESYON 2 Report of the Council on Hypertension % Non-Compliant / / 717= 43% compliance (+ medications) 34% 66% On Medications Treatment Compliance* Adults (>18 yrs) PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

28 PRESYON 2 Report of the Council on Hypertension 20% 80% On medications* 13% 87% All hypertensives + meds** * 94 / 469= 20% ** 94 / 717= 13% BP Control Rate* Adults (>18 yrs) PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

29 PRESYON 2 Report of the Council on Hypertension % Control Rate Compliance vs. BP Control* Adults (>18 yrs) PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

30 PRESYON 2 Report of the Council on Hypertension Types of Anti-Hypertensive Medications Adults (>18 yrs) Class of Anti-hypertensive Drug % PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

31 PRESYON 2 Report of the Council on Hypertension Compliance with Medications Adults (>18 yrs) Class of Anti-hypertensive Drug Compliance Rate (%) PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

32 PRESYON 2 Report of the Council on Hypertension BP Control with Medications (<140/90) Adults (>18 yrs) Class of Anti-hypertensive Drug BP Control Rate (%) PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

33 PRESYON 2 Report of the Council on Hypertension Types of Drug Combination Adults (>18 yrs) Drug Combination % PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

34 PRESYON 2 Report of the Council on Hypertension Drug Combination vs. Compliance Adults (>18 yrs) Drug Combination Compliance Rate (%) PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

35 PRESYON 2 Report of the Council on Hypertension Drug Combination vs. BP Control Adults (>18 yrs) Drug Combination BP Control Rate (%) PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

36 PRESYON 2 Report of the Council on Hypertension Mean Left Arm Circumference (Total Population) Mean left arm circumference (cm ) FemaleMaleTotal Adult (>18 yrs) Mean left arm circumference (cm ) FemaleMaleTotal Young (<18 yrs) PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

37 PRESYON 2 Report of the Council on Hypertension Mean Left Arm Circumference (Total Population) By Age Groups Age group (yrs) >70 Mean left arm circum (cm) M F PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

38 PRESYON 2 Report of the Council on Hypertension Mean Left Arm Circumference Mean left arm circumference (cm ) HypertensiveNormal Adult (>18 yrs) Mean left arm circumference (cm ) HypertensiveNormal Young (<18 yrs) PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

39 PRESYON 2 Report of the Council on Hypertension Mean Waist Circumference (Total population) TotalMaleFemale Mean waist circumference (cm ) Adult (>18 yrs)* TotalMaleFemale Mean waist circumference (cm ) Young (<18 yrs)* PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

40 PRESYON 2 Report of the Council on Hypertension Mean Waist Circumference (Total Adult Population) By Age Groups Age group (yrs) >70 Mean waist circum (cm) M F PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

41 PRESYON 2 Report of the Council on Hypertension Mean Waist Circumference (cm) Young population (<18 yrs) Total Male Female PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

42 PRESYON 2 Report of the Council on Hypertension Mean Waist Circumference Mean waist circumference (cm ) HypertensiveNormal Adult (>18 yrs) Mean waist circumference (cm ) HypertensiveNormal Young (<18 yrs) PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

43 PRESYON 2 Report of the Council on Hypertension Incidence of Central Obesity* (General adult population, >18 yrs )= 11.62% * >101.6 cm (M); >90 cm (F) waist circumference; (397 / 3415) 17% 83% Female Male 21% 79% Female Male Incidence of Central Obesity* (Hypertensive population, >18 yrs )= 21.6% PHA Annual Convention May 16-18, 2007

44 PRESYON 2 Report of the Council on Hypertension % PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07 Incidence of Central Obesity, Adults (>18 yrs) By Regions

45 PRESYON 2 Report of the Council on Hypertension Incidence of Central Obesity, Adult Males (>18 yrs) By Regions % PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

46 PRESYON 2 Report of the Council on Hypertension % Incidence of Central Obesity, Adult Females (>18 yrs) By Regions PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

47 PRESYON 2 Report of the Council on Hypertension Central Obesity (Adult, >18 yrs ) By Age Groups Age group (yrs) >70 M F Central Obesity % PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E. MD et al, PHA Annual Convention, May 07

48 +HPN HPN PRESYON 2 Report of the Council on Hypertension Central Obesity (Adult, >18 yrs ) By Age Groups Age group (yrs) >70 +HPN HPN M F Central Obesity % M F PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

49 PRESYON 2 Report of the Council on Hypertension Central Obesity (Young, <18 yrs.)*= 2.2% 1 4 % * 13/ 580; 3/ 327 (m); 10/ 253 (f) Age n PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

50 PRESYON 2 Report of the Council on Hypertension Central Obesity (Young, <18 yrs.) By Age* Age (yrs) Central Obesity (n) Males Age (yrs) Central Obesity (n) Females * ALL WERE NON-HYPERTENSIVE PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

51 PRESYON 2 Report of the Council on Hypertension Mean Body Mass Index (Adult Population, >18 yrs.)AllHypertensive Non- Hypertensive All Male Female PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

52 PRESYON 2 Report of the Council on Hypertension Mean Body Mass Index (Young Population, <18 yrs.)BMIAll18.94 Male18.98 Female18.90 Phil.MMlaIlocos Cen. Min. All M F (Young Hypertensives, <18 yrs.) PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

53 PRESYON 2 Report of the Council on Hypertension BMI vs. Socio-Economic Class (Adult Population, >18 yrs.) Total Phils. Socio-Economic Class AB/C+Broad CDE Total Male Female PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

54 PRESYON 2 Report of the Council on Hypertension Mean Body Mass Index (Young Population, <18 yrs.) Total Phils Region Met- Manil a Ilo- cos Cag. Vall. Cen. Luzn So. Tag Bicol West Vis Cent Vis East Vis West Min No. Min So. Min Cen. Min Total M F PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

55 PRESYON 2 Report of the Council on Hypertension Socio-Economic Class AB/C+ Broad C DE Total Male Female BMI vs. Socio-Economic Class (Young Population, <18 yrs.) PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

56 PRESYON 2 Report of the Council on Hypertension Mean Body Mass Index vs. Age (Young Population, <18 yrs.) All M F Age (yrs) PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

57 PRESYON 2 Report of the Council on Hypertension BMI Distribution (General Adult Population, >18 yrs.) 57% 43% 27% 5% BMI PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

58 PRESYON 2 Report of the Council on Hypertension BMI vs. Gender (General Adult Population, >18 yrs.) % PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

59 PRESYON 2 Report of the Council on Hypertension BMI <23 among regions (General Adult Population, >18 yrs.) % PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

60 PRESYON 2 Report of the Council on Hypertension BMI among regions (General Adult Population, >18 yrs.) 48 ** % PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

61 PRESYON 2 Report of the Council on Hypertension BMI among regions (General Adult Population, >18 yrs.) 36 * % PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

62 PRESYON 2 Report of the Council on Hypertension BMI >30 among regions (General Adult Population, >18 yrs.) 10 % PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

63 PRESYON 2 Report of the Council on Hypertension BMI >30 vs. Gender (Adult Population, >18 yrs.) % Male Female PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

64 Incidence of Diabetes among Adult Population, >18 yrs.)* * 0 Angina among non-hypertensives - DM -Don’t know 88% 8% 4% + DM PRESYON 2 Report of the Council on Hypertension PHA Annual Convention May 16-18, 2007 Female Male 51% 49% + DM * No young diabetics Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

65 PRESYON 2 Report of the Council on Hypertension % PHA Annual Convention May 16-18, 2007 Incidence of Diabetes among Adult Population, >18 yrs.) Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

66 Incidence of Diabetes among Adult Hypertensives, >18 yrs.) * 0 Angina among non-hypertensives - DM 77% 11% + DM PRESYON 2 Report of the Council on Hypertension PHA Annual Convention May 16-18, % + Don’t know Female Male 58% 49% +DM Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

67 Incidence of Smoking among Adult Population, >18 yrs.) * 0 Angina among non-hypertensives - Smoker +Smoker 73% 27% PRESYON 2 Report of the Council on Hypertension PHA Annual Convention May 16-18, % 8% +Smoker Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

68 Incidence of Smoking among Young Population, <18 yrs.) * 0 Angina among non-hypertensives - Smoker +Smoker* 89% 11% PRESYON 2 Report of the Council on Hypertension PHA Annual Convention May 16-18, % 1% +Smoker * Only 3% are hypertensive Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

69 Incidence of Smoking among Adult Hypertensive Population, >18 yrs.) * 0 Angina among non-hypertensives + Smoker -Smoker 75% 25% PRESYON 2 Report of the Council on Hypertension PHA Annual Convention May 16-18, % 11% +Smoker Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

70 PRESYON 2 Report of the Council on Hypertension Incidence of Angina among Adult Population, >18 yrs.)* * All hypertensives. No Angina among non-hypertensives + Angina -Angina 55% 45% Female Male 53% 47% PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

71 PRESYON 2 Report of the Council on Hypertension Angina Distribution by Gender among Hypertensives (General Adult Population, >18 yrs.) % PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

72 PRESYON 2 Report of the Council on Hypertension Incidence of Angina among Young Population, <18 yrs. - Angina + Angina* 83% 17% n= 6 * All are hypertensive 1 PHA Annual Convention May 16-18, 2007 n Angina -Angina + Angina -Angina Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

73 PRESYON 2 Report of the Council on Hypertension History of MI Among Adult Population ( >18 yrs.) * All are hypertensives; No MI among young subjects - MI +MI* 99% 1% Female Male 75% 25% +MI PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

74 PRESYON 2 Report of the Council on Hypertension History of Stroke Among Adult Population ( >18 yrs.) * All are hypertensives; No stroke among young subjects - stroke + stroke* 91% 9% Female Male 57% 43% +MI PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

75 PRESYON 2 Report of the Council on Hypertension * % 22 Stroke Distribution by Regions (Adult Population, >18 yrs.) PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

76 PRESYON 2 Report of the Council on Hypertension Incidence of Claudication Among Adult Population ( >18 yrs.) * >All are hypertensive; Young population = only 1 hypertensive male had claudication + claud* - claud 93% 7% Female Male 44% 56% +claud* PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

77 PRESYON 2 Report of the Council on Hypertension PHA Annual Convention May 16-18, 2007 Distribution of Claudication by Regions Among Adult Population ( >18 yrs.) % * 10 * * >All are hypertensive Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

78 PRESYON 2 Report of the Council on Hypertension Incidence of Microproteinuria* Among Adult Hypertensives ( >18 yrs.) * >20 mg on Micral test; (+) 527/1063; (-) 536/1063; **M:265/518; F:253/518 + micr* - micr 50% Female Male** 51% 49% +micr PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

79 PRESYON 2 Report of the Council on Hypertension Incidence of Microproteinuria Among Young Hypertensives ( <18 yrs.) * All are hypertensive + micr* - micr 50% Female Male 33% 67% +micr n=6 PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

80 PRESYON 2 Report of the Council on Hypertension Summary 1 Prevalence of hypertension in the Philippines is 21% Male: Female is 1:1 16% are aware, 5% are unaware Treatment rate is 65% Compliance is 66% among treated; (43% among treated / untreated) BP control rate is 20% among treated subjects (13% among treated / untreated) Most common drug is beta-blocker 2-drug combination is most frequent Compliance is highest with ARBs PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

81 PRESYON 2 Report of the Council on Hypertension Summary 2 The following measurements are greater among hypertensive than normotensive subjects: Mean left arm circumference (male > female) Mean waist circumference (male > female) Central obesity incidence (female > male) Mean BMI (female > male) Overweight & obesity (based on BMI) (female > male) PHA Annual Convention May 16-18, 2007 Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

82 PRESYON 2 Report of the Council on Hypertension  Angina (55%) (female > male)  History of MI (1%) (male > female)  Stroke (9%) (male > female)  Claudication (7%) (female > male) PHA Annual Convention May 16-18, 2007 Summary 3 The following were present only among hypertensive subjects: Diabetes was 4% in the general population; 11% among hypertensives (female > male) Microproteinuria among hypertensive subjects was 50% (male > female) Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07

83 PRESYON 2 Report of the Council on Hypertension PHA Annual Convention May 16-18, 2007 The Council on Hypertension extends its gratitude to the following: PHA officers & board of directors PHA Research Committee Sanofi-Synthelabo Applied Marketing Research,Inc (AMAR)- Patricio Barretto, Alby Talag Phil. Academy of Ophthalmology PHA members (free ECG service) Sison J MD, Arceo L MD, Trinidad E MD et al, PHA Annual Convention, May 07


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