May Measurement Month 2018: a pragmatic global screening campaign to raise awareness of blood pressure by the International Society of Hypertension

Aims Raised blood pressure (BP) is the biggest contributor to mortality and disease burden worldwide and fewer than half of those with hypertension are aware of it. May Measurement Month (MMM) is a global campaign set up in 2017, to raise awareness of high BP and as a pragmatic solution to a lack of formal screening worldwide. The 2018 campaign was expanded, aiming to include more participants and countries. Methods and results Eighty-nine countries participated in MMM 2018. Volunteers (≥18 years) were recruited through opportunistic sampling at a variety of screening sites. Each participant had three BP measurements and completed a questionnaire on demographic, lifestyle, and environmental factors. Hypertension was defined as a systolic BP ≥140 mmHg or diastolic BP ≥90 mmHg, or taking antihypertensive medication. In total, 74.9% of screenees provided three BP readings. Multiple imputation using chained equations was used to impute missing readings. 1 504 963 individuals (mean age 45.3 years; 52.4% female) were screened. After multiple imputation, 502 079 (33.4%) individuals had hypertension, of whom 59.5% were aware of their diagnosis and 55.3% were taking antihypertensive medication. Of those on medication, 60.0% were controlled and of all hypertensives, 33.2% were controlled. We detected 224 285 individuals with untreated hypertension and 111 214 individuals with inadequately treated (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg) hypertension. Conclusion May Measurement Month expanded significantly compared with 2017, including more participants in more countries. The campaign identified over 335 000 adults with untreated or inadequately treated hypertension. In the absence of systematic screening programmes, MMM was effective at raising awareness at least among these individuals at risk

Maladie de Takayasu chez un homme diabetique hypertendu de 52 ans : une observation inhabituelle

La maladie de Takayasu est une maladie inflammatoire chronique vasculaire notamment artérielle touchant les gros vaisseaux. Son diagnostic est  souvent tardif au stade de sténose, la phase inflammatoire passe inaperçue. Nous rapportons un cas de maladie de Takayasu chez un homme de 52 ans diabétique et hypertendu ayant consulté pour une maladie abarticulaire de l’épaule gauche. L’examen clinique a noté une limitation  unidirectionnelle de l’épaule gauche avec un pseudo signe de la main de l’accoucheur lors du gonflage du brassard au bras gauche. L’angioscanner  de l’aorte thoracique occupe une place importante dans le diagnostic.   English title: Takayasu disease in a 52-year-old hypertensive diabetic man: uncommon case report Takayasu's disease is a chronic vascular, particularly arterial inflammatory disease, affecting the large vessels. Its diagnosis is often late at the stage  of stenosis; the inflammatory phase goes unnoticed. We report a case of Takayasu disease in a 52-year-old diabetic and hypertensive man who  consulted about a left shoulder joint disease. Clinical examination noted unidirectional limitation of the left shoulder with a pseudo midwife's hand  sign on cuff inflation in the left arm. Thoracic aortic angioscan is an important part of the diagnosis