Частота Артериальной Гипертензии И Ее Осложнений У ЖЕНЩИН Различного Возраста По Данным Диспансеризации

Abstract

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.