Responsible for 55,000 annual deaths, HTA remains poorly controlled in France, especially among men | The doctor’s daily life | Specialties

What is the burden of high blood pressure (HTA)? For example, So far, it has not been quantified from French data. Therefore, This is done with this public health estimate France for the year 2021. Therefore, published in the Weekly epidemiological bulletin, With the hope of helping to target prevention actions and better aware the general population.

We consider that around 30 % of adults are hypertensive, or 17 million people in France. However. Meanwhile, only 55 % of hypertensive experiences their diagnosis, less than half are treated, and less than a quarter have controlled blood pressure.

In this work. Meanwhile, the authors have defined HTA by a systolic blood pressure (not) ≥ 140 mmHg; The burden has been evaluated by looking at pathologies for which sufficient evidence of a causal relationship with HTA (ischemic heart disease [CPI]brain vascular accidents responsible 55,000 annual deaths, hta [AVC] Ischemic and hemorrhagic, heart failure, rhythm and cardiac conduction disorders, aorta aneurysms, peripheral arteriopathies, chronic renal disease [MRC] and dementias). However, An indirect methodology for comparative risk assessment has been used to estimate the attributable fractions (FA) in the population. For example, of HTA for each of these pathologies.

HTA more frequent in men. in 55-75 year olds – Responsible 55,000 annual deaths, hta

According to these new calculations, the proportion of people over 35 years old with a step ≥ 140 mmHg was 23.6 % and increased with age and sex, from 2.1 % among women aged 35 to 44 to 59.8 % in men aged over 65.

HTA was particularly in question in ICCs, strokes and MRCs: 44.7 % of the ICCs were attributable to it (or 1.15 million people concerned, and almost 3 % of adults over 35 years old), 42.8 % of hemorrhagic and 38 % of ischemic strokes (more than responsible 55,000 annual deaths, hta 452,000 people, 1.14 %), and 36.4 % of MRCs (or 1.26 million patients). And some 358,000 cardiac insufficients (0.90 % of the population over 35 years old) could put their condition to the account of an HTA. Although lower, the fraction attributable to HTA for dementia reached 14.7 % (190,545 people), or even 20 % in men (twice as much as in women). While so far little work has included dementia in the evaluation of the overall burden of hypertension. “Recent studies have clearly shown an association and its reversibility”justify the authors.

In 2021, 36.2 % of hospitalizations for cardio-neurovascular. renal diseases were attributable to HTA, or 385,000 patients, 400,000 complete hospitalizations (mainly for CPI, stroke, MRC and dementia) and 6.2 million hospitalization days (by adding day hospitalizations and dialysis sessions). Men aged 55 to 74 are particularly concerned, while in women, hospitalizations mainly affect those over the age responsible 55,000 annual deaths, hta of 75. “These hospitalizations mobilize a significant amount of resources and represent a major cost for the French health system. HTA has such a significant weight in the outpatient sector, especially due to dialysis. This highlights the importance of early MRC screening in hypertensive patients in order to slow the increase in the MRC ”. lit-on.

HTA causing 8.5 % of total mortality

In 2021, more than 55,000 deaths were attributable to HTA, which corresponded to 8.5 % of the deaths that occurred in France. HTA is at the origin of 30 % of deaths linked to a cardio-necked or renal disease. This mortality was higher in men with 30,642 deaths attributable to HTA (9.6 % of men’s deaths, and a third of deaths before 75 years old) versus 24,638 in women (7.4 % of women ‘deaths).

The main cause of death attributable to HTA was the ICC responsible 55,000 annual deaths, hta in individuals aged 35 to 64. and the ICC, stroke and dementia in people over 75. The authors assess 500. 000 the number of years of life lost in France due to HTA, due to ischemic heart disease and stroke.

In conclusion, they insist on the importance of targeting men, to help them in particular to better control their HTA. More broadly. “The reduction of the burden of HTA is based on both primary prevention – promoting a healthy lifestyle to prevent its appearance or reduce blood pressure in hypertensive people – and on screening, information and therapeutic management of patients. »» In its report “charges. products” for 2026, made public on June 24, the National Health Insurance Fund (CNAM) proposes to set up organized HTA screening at the pharmacy.