We conducted a retrospective analysis of 130 dispensary records of women who were on a dispensary examination in the State Medical Institution of the Republic of Sakha (Yakutia) "Polyclinic No. 1" in Yakutsk in order to study the frequency of arterial hypertension (AH) and its complications in various age groups. The middle age was 49.95±1.18 years. All women underwent the following laboratory and instrumental methods of examination: general blood analysis, general urine analysis, biochemical blood analysis (total cholesterol, glucose, creatinine, urea), tonometry, and electrocardiography. AH was detected in 32 examined patients, which made 24.6 % of the total number of the examined. There was found a moderate positive correlation of systolic blood pressure (SBP) and total cholesterol with age. In the studied group with hypertension, the most common complications were ischemic heart disease -28.1 %, and stroke -1 %. Thus, we revealed the frequency of hypertension according to the results of clinical examination among women of various ages living in the city of Yakutsk: 24.6 %, which is slightly lower than the national average (30.6 %). The earliest manifestations of target organ damage in hypertension are changes in the heart: hypertrophy of the left ventricle, enlargement of the left atrium, various rhythm and conduction disorders. Unlike other authors, we did not find any pronounced shifts and interrelations of hemodynamic and metabolic indicators during medical examination. Consequently, clinical examination of the organized and unorganized population is a necessary measure for the detection of hypertension and cardiovascular complications.

We conducted a retrospective analysis of 130 dispensary records of women who were on a dispensary examination in the State Medical Institution of the Republic of Sakha (Yakutia) "Polyclinic No. 1" in Yakutsk in order to study the frequency of arterial hypertension (AH) and its complications in various age groups. The middle age was 49.95±1.18 years. All women underwent the following laboratory and instrumental methods of examination: general blood analysis, general urine analysis, biochemical blood analysis (total cholesterol, glucose, creatinine, urea), tonometry, and electrocardiography. AH was detected in 32 examined patients, which made 24.6 % of the total number of the examined. There was found a moderate positive correlation of systolic blood pressure (SBP) and total cholesterol with age. In the studied group with hypertension, the most common complications were ischemic heart disease -28.1 %, and stroke -1 %. Thus, we revealed the frequency of hypertension according to the results of clinical examination among women of various ages living in the city of Yakutsk: 24.6 %, which is slightly lower than the national average (30.6 %). The earliest manifestations of target organ damage in hypertension are changes in the heart: hypertrophy of the left ventricle, enlargement of the left atrium, various rhythm and conduction disorders. Unlike other authors, we did not find any pronounced shifts and interrelations of hemodynamic and metabolic indicators during medical examination. Consequently, clinical examination of the organized and unorganized population is a necessary measure for the detection of hypertension and cardiovascular complications.

Проведено исследование 80 пациентов с артериальной гипертензией (АГ) на амбулаторном этапе, в ходе которого выявлены гендерные различия течения АГ. Выявлено, что у мужчин АГ протекает тяжелее, чем у женщин, поскольку у них чаще диагностируются гипертрофия левого желудочка, атеросклероз и снижение функции почек, что повышает риск коронарных событий и развития гипертонического нефросклероза. Полученные результаты подтверждают о возможно низкой осведомленности, неэффективной коррекции факторов риска и нерегулярном самоконтроле АД у мужского населения на уровне амбулаторного звена. A study of 80 patients with arterial hypertension (AH) at the outpatient stage was conducted, during which gender differences in the course of hypertension were revealed. It was revealed that hypertension is more severe in men than in women, since they are more often diagnosed with left ventricular hypertrophy, atherosclerosis and decreased kidney function, which increases the risk of coronary events and the development of hypertensive nephrosclerosis. The results obtained confirm the possible low awareness, ineffective correction of risk factors and irregular self-monitoring of blood pressure in the male population at the outpatient level.

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