Monitoring the course of arterial hypertension in men in a polyclinic
https://doi.org/10.25587/SVFU.2022.26.1.002
Abstract
The paper presents data obtained as a result of a five-year follow-up of male patients with arterial hypertension (AH) in a polyclinic for the period from 2015 to 2019. 48 records of outpatients with AH were studied. The aim of the study was to study and compare the results of 5-year monitoring of the course of hypertension at the outpatient stage. The positive dynamics of heart rate in young / middle-aged men was obviously due to changes in treatment regimens with the inclusion of the most effective, modern drugs. The relationship of hemodynamic parameters, hemoglobin level and GHD with kidney function may indicate the predominance of AH of renal origin. In addition, the correlation of the concentration function of the kidneys with the level of glucose in the blood and triglycerides with sodium apparently indicates in favor of renal failure against the background of diabetes mellitus. In the elderly / senile age, an increase in the rate of SHD in the last two years of observation was alarming in terms of aggravation of the condition in the future. The negative correlation of hemoglobin level with TG was obviously due to the most common comorbidities at this age – hypothyroidism, diabetes mellitus, chronic kidney disease, and suggests the predominance of secondary AH of neuroendocrine origin. The close relationship of hemodynamic parameters with the state of metabolism should be taken into account in the recommendations for rational nutrition in this group.
About the Authors
A. A. Donskaya
M.K. Ammosov North-Eastern Federal University
Russian Federation
Russian Federation
Ariadna A. Donskaya – Doctor of Medical Sciences, Professor, Department of Internal Illnesses and General Practice (Family Medicine), Faculty of Postgraduate Education of Doctors, Institute of Medicine, M.K. Ammosov North-Eastern Federal University.
Phone: +7(984)108-76-26
S. S. Shadrina
M.K. Ammosov North-Eastern Federal University
Russian Federation
Russian Federation
Svetlana S. Shadrina – senior researcher, Research Laboratory “Cellular Technologies and Regenerative Medicine”, Institute of Medicine, M.K. Ammosov North-Eastern Federal University.
Phone: +7(914)238-56-88
E. I. Skrybykina
Republic’s Hospital No. 2 – Emergency Medical Center
Russian Federation
Russian Federation
Elizaveta I. Skrybykina – therapist, Republic’s Hospital No. 2 – Emergency Medical Center.
Phone: +7(924)174-57-22
A. S. Krivogornitsyna
M.K. Ammosov North-Eastern Federal University
Russian Federation
Russian Federation
Albina S. Krivogornitsyna – postgraduate student, Department of Internal Illnesses and General Practice (Family Medicine), Faculty of Postgraduate Education of Doctors, Institute of Medicine, M.K. Ammosov North-Eastern Federal University.
Phone: +7(914)829-63-89
References
1. Arterial’naia gipertoniia sredi lits 25-64 let: rasprostranennost’, osvedomlennost’, lechenie i kontrol’. Po materialam issledovaniia ESSE / S.A. Boitsov, Iu.A. Balanova, S.A. Shal’nova [i dr.] // Kardiovaskuliarnaia terapiia i profilaktika. – 2014. – T. 13, № 4. – S. 4-14.
2. Gogin E.E. Arterial’naia gipertoniia i gipertonicheskaia bolezn’ (diagnoz sindromnyi i diagnoz nozologicheskii) / E.E. Gogin // Terapevticheskii arkhiv. – 2010. – T. 82, № 4 – S.5–10.
3. EOK/EOAG Rekomendatsii po lecheniiu bol’nykh s arterial’noi gipertenziei [Elektronnyi resurs]. – 2018. – S.143-152. – URL: https://scardio.ru/content/Guidelines/3117-8940-1-SM.pdf (data obrashcheniia: 20.12.2019).
4. Machil’skaia O.F. Faktory, opredeliaiushchie priverzhennost’ k lecheniiu bol’nykh arterial’noi gipertenziei (obzor literatury) / O.F. Machil’skaia // Kardiologiia i serdechno-sosudistaia khirurgiia. – 2016. – T. 9, № 3. – S. 55–65.
5. Priverzhennost’ k lecheniiu i kontrol’ arterial’noi gipertenzii v ramkakh rossiiskoi aktsii skrininga MMM19 / O.P. Rotar’, K.M. Tolkunova, V.N. Solntsev [i dr.] // Rossiiskii kardiologicheskii zhurnal. – 2020. – T. 25, № 3. – S. 98-108. DOI: 10.15829/1560-4071-2020-3-3745.
6. Shkatova E.Iu. Gendernye osobennosti faktorov riska i klinicheskogo techeniia arterial’noi gipertenzii / E.Iu. Shkatova, I.N. Bakshaev, G.S. Korol’kova // Saratovskii nauchno-meditsinskii zhurnal. – 2015. – T. 11, № 4. – S. 542–547.
7. A retrospective, population-based analysis of persistence with antihypertensive drug therapy in primary care practice in Italy / E. L. Degli, E.E. Degli, G. Valpiani [et al.] // Clin Ther. – 2002. – V. 24, Is. 8. – P. 1347-57. DOI: 10.1016/s0149-2918(02)80039-x.
8. Behavioural risk factors of arterial hypertension in the Evenk population of the Russian / S.S. Shadrina, A.l. Sivtseva, E.N. Sivtseva [et al.] // Arctic International journal of circumpolar health. – 2019. – V. 78, Is. 1. – Article: 1611329. DOI: 10.1080/22423982.2019.1611329.
9. Blood pressure lowering for prevention of cardiovascular disease and death: a systematic review and meta-analysis / D. Ettehad, C.A. Emdin, A. Kiran [et al.] // Lancet. – 2016. – № 387 (10022). – P. 957-67. DOI: 10.1016/S0140-6736(15)01225-8.
10. 2019 ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD: The Task Force for diabetes, prediabetes, and cardiovascular diseases of the European Society of Cardiology (ESC) and the European Association for the Study of Diabetes (EASD) / F. Cosentino, P. Grant, V. Aboyans [et al.] // Eur Heart J. – 2020. – V. 41, Is. 2. – P. 255-323. DOI: 10.1093/eurheartj/ehz486
Review
For citations:
Donskaya A.A., Shadrina S.S., Skrybykina E.I., Krivogornitsyna A.S. Monitoring the course of arterial hypertension in men in a polyclinic. Vestnik of North-Eastern Federal University. Medical Sciences. 2022;(1):20-28. (In Russ.) https://doi.org/10.25587/SVFU.2022.26.1.002
Views:
179
Email this article 