title: Alarming Prevalence of Emergency Hypertension Levels in the General Public Identified by a Hypertension Awareness Campaign.
abstract: BACKGROUND
  Hypertension is a major cause of mortality and morbidity today. The "silent" nature of hypertension makes it critical to determine its prevalence and its severity in the general public and to identify strategies to identify people unaware of its presence. A mobile hypertension awareness campaign was created to: (i) determine the prevalence and types of hypertension in an urban North American center, (ii) increase hypertension awareness, and (iii) identify reasons for lack of therapy adherence.
  
  
  METHODS
  Mobile clinics were provided at shopping malls, workplaces, hospitals, and community centres to measure blood pressure in the public. Blood pressure recordings were done on a voluntary basis.
  
  
  RESULTS
  Of 1097 participants, 50% presented with high blood pressure which was higher than expected. Of particular clinical significance, an unexpectedly large number of participants (2%) exhibited a hypertensive urgency/emergency. Most of these people were not adherent to medications (if their hypertension was detected previously), were unaware of their hypertensive state, and/or unwilling to acknowledge or ignored the clinical significance of the extremely high blood pressure readings. Reasons for lack of adherence included: denial, being unaware of health consequences, and proper management of hypertension.
  
  
  CONCLUSIONS
  A relatively large segment of an urban population lives unaware of severe emergency levels of hypertension. A public mobile hypertension clinic provides a valuable strategy for identifying hypertension in the general public and for knowledge translation of hypertension management.
authors.affiliation: Institute of Cardiovascular Sciences, St. Boniface Hospital Albrechtsen Research Centre, Winnipeg, Canada.|Departments of Physiology and Pathophysiology, University of Manitoba, Winnipeg, Canada.
authors.forename: Stephanie P B
authors.initials: SP
authors.lastname: Caligiuri
authors.affiliation: Institute of Cardiovascular Sciences, St. Boniface Hospital Albrechtsen Research Centre, Winnipeg, Canada.
authors.forename: Jose Alejandro
authors.initials: JA
authors.lastname: Austria
authors.affiliation: Institute of Cardiovascular Sciences, St. Boniface Hospital Albrechtsen Research Centre, Winnipeg, Canada.|Departments of Physiology and Pathophysiology, University of Manitoba, Winnipeg, Canada.
authors.forename: Grant N
authors.initials: GN
authors.lastname: Pierce
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001795:Blood Pressure Determination; D004630:Emergencies / Q000453:epidemiology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000706:statistics & numerical data*; D006801:Humans; D006973:Hypertension / Q000453:epidemiology*; D008297:Male; D008350:Manitoba / Q000453:epidemiology; D055118:Medication Adherence; D008875:Middle Aged; D008952:Mobile Health Units; D015995:Prevalence; D014505:Urban Population; D055815:Young Adult
keywords: blood pressure; drug adherence; emergency blood pressure; hypertension; incidence of hypertension.