Quantitative diagnostic criteria of hypertension according to 24-hour blood pressure monitoring

Objective. To assess the effectiveness original Indapamide (Arifon Retard, Servier, France) in patients with arterial hypertension and type 2 diabetes mellitus. Design and methods. 30 hypertensive subjects (mean age — 55 ± 4,0 years) with type 2 diabetes mellitus and uncontrolled hypertension, who took any of generic forms of Indapamide. Generic forms were substituted by original drug in all subjects (Arifon Retard). The follow-up lasted for 3 months. We assessed blood pressure changes, achievement of target blood pressure level, the changes of blood pressure according to 24-hout blood pressure monitoring. All subjects also filled in the questionnaires on life quality MOS SF-36 (MOS 36-ltem Short-Form Health Survey). Results. The mean decrease of blood pressure was 29/15 mm Hg. 80 % patients achieved target blood pressure levels. The therapy with original form of Indapamide was safe. We observed the decrease of plasma glucose level, of serum levels of total cholesterol, triglycerides, and low density lipoproteins, while there was a slight increase of the level of high density lipoproteins. According to the survey, the quality of life (MOS SF-36) the indicators of physical and mental health considerably increased. Results. Original Indapamide shows benefits in controlling blood pressure in high risk subjects, in particular, in hypertensive patients with type 2 diabetes mellitus.

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On the Problem of Regional Specifics of Medical Care for Hypertensive Patients

Сазанова

2013

Arter. gipertenz.

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Objective. The comparative study of the actual performance of diagnostic procedures for in-patients with essential hypertension. Design and methods. Evaluation of the execution of diagnostic standards was done by the assessment of the percentage of factual performance of recommended diagnostic methods according to primary medical reports. The methods used in the research are content analysis, analytical and statistical analysis.Results. Out of 44 (100 %) recommended parameters of standard diagnostic procedures only 16 (36,4 %) were performed in Central District Hospital, 18 (40,9 %) — in the city hospitals, 13 (29,5 %) — in the regional and federal hospitals. Out of 27 parameters only 12 were carried out with the required frequency 1,0, while the rest 15 parameters were carried out with the frequency 0,2–0,9. Few parameters were performed more frequently than it is recommended by the standards.Conclusion. The defined defects emphasize the necessity of the further analysis of the reasonability of the evaluation and performance of some diagnostic procedures at different levels of medical health care delivery.

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Quantitative diagnostic criteria of hypertension according to 24-hour blood pressure monitoring

Cited by 4 publications

References 4 publications

Interrelation of Changes in the Left Ventricular Myocardium and Evidence of Clinical and Laboratory Indicators in Chronic Kidney Disease of Elderly

Interrelation of Changes in the Left Ventricular Myocardium and Evidence of Clinical and Laboratory Indicators in Chronic Kidney Disease of Elderly

The effectiveness of the original form of Iindapamide Retard in hypertensive patients with diabetes mellitus

On the Problem of Regional Specifics of Medical Care for Hypertensive Patients

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