Quality assessment of examination of patients with arterial hypertension in primary health care (according to the Russian arterial hypertension register data)

Ощепкова, Е. В.; Лазарева, Н В; Чазова, И Е

doi:10.26442/2075-082x_14.2.29-34

Cited by 12 publications

(8 citation statements)

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“…Данные крупных регистров, проведенных в РФ за последние годы, также свидетельствуют, что в рамках ДН больных с ССЗ имеются серьезные недоработки [18,19]. Так, по данным амбулаторного регистра РЕКВАЗА, у больных АГ, ИБС, хронической сердечной недостаточностью (ХСН), фибрилляцией предсердий (ФП) наиболее часто, хотя и недостаточно, применялась эхокардиография -у 35,5 % при ИБС и у 35,2 % пациентов с ХСН.…”

Section: клинические семинары §unclassified

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Progress and Problems of Practical Cardiology in Russia at the Present Stage

et al. 2019

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Mortality of the population due to diseases of the cardiovascular system is the most acute problem in Russia. According to the World Health Organization, the standardized death rate from cardiovascular diseases in the Russian Federation remains one of the highest in Europe. This review presents statistical data on morbidity and mortality from cardiovascular diseases in the Russian Federation and analyzes the delivery of medical care to patients with these diseases in 2017. Information about activity of primary vascular departments and regional vascular centers is given. The article suggests a set of measures aimed at improvement of the provision of medical care to patients with cardiovascular diseases.

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Section: клинические семинары §unclassified

“…ст. отмечено только у 38 % пациентов, а целевого уровеня общего холестерина в крови <5,0 ммоль / л -у 32 % [18,19].…”

Section: клинические семинары §unclassified

Progress and Problems of Practical Cardiology in Russia at the Present Stage

et al. 2019

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“…Исследование проводилось методом регистра в 22 регионах Российской Федерации на базе 53 городских поликлиник и 5 кардиологических диспансеров, подробно методика его проведения описана ранее [5]. Медицинские данные карт больных в обезличенном виде передаются по сертифицированному выделенному каналу безопасности и хранятся на сервере ФГБУ «НМИЦ кардиологии» Минздрава России (в соответствии с Федеральными законами от 27 июля 2006 г.…”

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Clinical features of arterial hypertension in men and women (according to the National Registry of Arterial Hypertension)

Чазова

Аксенова

Oschepkova

2019

Terapevticheskii arkhiv

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Modern clinical guidelines for the diagnosis and treatment of arterial hypertension (AH) do not provide different treatment strategies separately for men and women. The analysis of gender differences in cardiovascular complications and features of AH therapy contributes to the development of an individualized approach to diagnosis and treatment of hypertension. The purpose of this study is to study the effect of sex on the features of therapy of arterial hypertension and the development of cardiovascular complications. Materials and methods. Data from the register of AH from outpatient hospital and cardiology departments of hospitals of 22 regions of the Russian Federation were analyzed. Data of medical documents of 33 564 patients with AH [(36.2%) men and 21 423 (63.8%) women] were entered into the on-line computer program and were analyzed using the statistical software package STATISTICA 10. Results. Cardiovascular and cerebrovascular diseases are more often diagnosed in men: peripheral artery disease, coronary heart disease, acute coronary syndrome, congestive heart failure, ischemic stroke, dissecting aortic aneurysm. The beginning of development cardiovascular disease in men with elevated blood pressure is already observed at age of 25-44 years, which indicates the need for preventive measures already in adolescence and closer monitoring of treatment at a young age. Conclusion. The study confirmed the role of the male sex as a risk factor for the development of cardiovascular disease in hypertensive men and women with comparable figures of blood pressure in. Identified gender features must be considered when diagnosing patients with AH.

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“…К сожалению, в реальной практике провести своевременное полноценное обследование всех больных АГ удается не всегда. Так, по данным регистра АГ [2], в 2010-2014 гг. в первичном звене здравоохранения регистрация электрокардиограммы (ЭКГ) выполнялась всем больным АГ, тогда как эхокардиография (ЭхоКГ) проводилась лишь у 29 % пациен-ОРИГИНАЛЬНЫЕ СТАТЬИ § тов.…”

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The value of the spatial QRS–T angle for assessing the severity of heart damage in patients with arterial hypertension

2021

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Aim To study the relationship between clinical, echocardiographic, and laboratory indexes with increased QRS–T spatial angle (sQRS–T) in patients with arterial hypertension (AH).Material and methods The study included 160 patients with AH, 61 (38 %) men and 99 (62 %) women aged 58 [49; 67] years. Patients with ischemic heart disease or His bundle blocks were not included. Echocardiography was used to determine the left ventricular end-diastolic dimension (LV EDD), left ventricular posterior wall thickness (LVPWT), interventricular septal thickness (IVST), relative wall thickness (RWT), left ventricular myocardial mass (LVMM), and LVMM index (LVMMI). Also, the following indexes were analyzed: office systolic and diastolic blood pressure (SBP, DBP), disease duration, body mass index, plasma levels of glucose, cholesterol, and creatinine, and glomerular filtration rate. The QRS-T spatial angle was calculated as an angle between the integral vectors QRS and T using a vectorcardiogram derived from a 12-lead digital electrocardiogram. Data are presented as median (25th percentile; 75th percentile].Results The QRS-T spatial angle for the group was 65 [43; 90]°. The QRS–T spatial angle increased with increases in the AH grade (grade 1 AH, 55 [37; 74]°; grade 2 AH, 60 [41; 82]°; grade 3 AH, 88 [62; 107]°; р<0.0001); the AH stage (stage 1, 50 [41; 77]°; stage 2, 68 [44; 93]°; stage 3, 78 [59; 110]°; р=0.0002), and the cardiovascular risk degree (low and moderate risk, 49 [37; 70]°, high risk, 62 [43; 88]° (р=0.005); very high risk, 88 [61; 117]° vs. high risk, 62 [43; 88]° (р=0.0002). The QRS–T spatial angle was greater with diabetes mellitus (78 [60; 117]°) than without it (63 [43; 89]°) (р=0.03). Weak but significant correlations were found between sQRS–T and body mass index (r=0.2; p<0.01), SBP (r=0.4; p<0.0001), DBP (r=0.2; p<0.01), LV EDD (r=0.2; p<0.01), LV PWT (r=0.3; p<0.001), IVST (r=0.3; p<0.001), LVMM (r=0.3; p<0.001), LVMMI (r=0.3; p<0.001), and blood glucose (r=0.2; p<0.01).Conclusion In patients with AH, a large QRS-T spatial angle is related with significantly higher values of SBP and DBP, LV dimension, blood glucose, and body mass index.

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Quality assessment of examination of patients with arterial hypertension in primary health care (according to the Russian arterial hypertension register data)

Cited by 12 publications

References 0 publications

Progress and Problems of Practical Cardiology in Russia at the Present Stage

Progress and Problems of Practical Cardiology in Russia at the Present Stage

Clinical features of arterial hypertension in men and women (according to the National Registry of Arterial Hypertension)

The value of the spatial QRS–T angle for assessing the severity of heart damage in patients with arterial hypertension

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