Epidemiología de la hipertensión arterial en adultos mexicanos: diagnóstico, control y tendencias. Ensanut 2020

espanolObjetivo. Describir la prevalencia de hipertension arterial (HTA) en adultos mexicanos, la proporcion que tiene tension arterial (TA) controlada y la tendencia en el periodo 2018-2020. Material y metodos. Se midio la TA a 9 844 adul-tos en la Encuesta Nacional de Salud y Nutricion (Ensanut) 2020. Se considero que tenian HTA o TA controlada cuando cumplian los criterios del Eighth Joint National Committee(JNC-8) o American Heart Association (AHA). Resultados. La prevalencia de HTA fue 49.4% (segun JNC-8), de los cuales 70% desconocia su diagnostico. Segun la clasificacion AHA, 30.2% de los adultos tenia HTA y 51.0% ignoraba su diagnostico. Entre adultos con diagnostico previo de HTA, 54.9% tuvo TA controlada. Entre el periodo 2018-2020 no se observaron cambios en las prevalencias. Conclusiones. Al menos un tercio de los adultos mexicanos tiene HTA y de ellos al menos la mitad no habian sido diagnosticados. Debe evaluarse la pertinencia de los actuales programas de diagnostico de HTA porque el subdiagnostico y mal control pueden ocasionar complicaciones y la muerte. EnglishObjective. To describe the prevalence of hypertension in Mexican adults, the proportion with controlled blood pres-sure (BP), and the trend in the 2018-2020 period. Materials and methods. BP was measured in 9 844 adults who parti-cipated in the National Health and Nutrition Survey (Ensanut, in Spanish) 2020. They were considered to have hypertension or BP controlled when adults met the Eighth Joint National Committee (JNC-8) or American Heart Association (AHA) criteria. Results. The prevalence of hypertension was 49.4% (according to JNC-8), of which 70.0% were unaware of their diagnosis. When using AHA criteria, 30.2% of the adults had hypertension and 51.0% were unaware of your diagnosis. Among adults with a previous diagnosis of hypertension, 54.9% had controlled BP. Between the 2018-2020 period, no changes in prevalences were observed. Conclusions. At least a third of Mexican adults have hypertension and of them, at least half have not been diagnosed. The relevance of current hypertension diagnostic programs should be eva-luated because underdiagnosis and poor control can lead to complications and death.