A Cross-sectional Survey of Hypertension Diagnosis and Treatment Practices Among Physicians in Yaroslavl Region, RussiaReport as inadecuate




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Advances in Therapy

, Volume 29, Issue 12, pp 1016–1025

First Online: 27 November 2012Received: 13 October 2012

Abstract

IntroductionIn Russia, cardiovascular CV mortality is the leading cause of death. With the prevalence of hypertension in adults reaching 40%, hypertension is a key priority for health authorities to improve its prevention, diagnosis, and treatment. This requires an evaluation of current clinical practices in order to develop specific improvement initiatives.

MethodsThis cross-sectional survey was conducted in 39 outpatient institutions of Yaroslavl region from April to May 2011. A total of 180 physicians 154 general practitioners GPs; 26 cardiologists completed diaries on 10 consecutive patients whose visits were related to hypertension. This survey was approved by the Department of Health and Pharmacy of Yaroslavl region.

ResultsA total of 1,794 diaries 1,525 from GPs; 269 from cardiologists were analyzed. The majority of patients were women 60%, mean age was 60 years, and most 97% were on antihypertensive therapy. Mean blood pressure BP was 151-90 mmHg and goal BP <140-90 mmHg was achieved in 17% of patients. The distribution of patients’ systolic BP SBP was: 20% controlled <140 mmHg, 44% SBP 140–159 mmHg, 26% SBP 160–179 mmHg, and 10% SBP ≥180 mmHg. The most common CV risk factors included left ventricular hypertrophy 72% of patients, abdominal obesity 54%, dyslipidemia 48%, family history of early CV events 33%, smoking 24%, and type 2 diabetes 21%. Heart diseases and cerebrovascular diseases were reported in 48% and 15% of patients, respectively, and regular alcohol consumption was mentioned by 37%.

ConclusionThe majority of patients with hypertension had additional CV risk factors and associated clinical conditions. Blood pressure control rates in Yaroslavl region are similar to those for Russia as a whole, but much lower than countries that have successfully implemented comprehensive hypertension intervention programs, such as Canada.

KeywordsBlood pressure control Cardiology Diagnosis Hypertension Russia Treatment To view enhanced content go to www.advancesintherapy.com

This article is published with open access at Springerlink.com

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Author: Maria Mozheyko - Sergey Eregin - Alexey Vigdorchik - David Hughes

Source: https://link.springer.com/







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