Summary
doi: 10.25005/2074-0581-2016-18-1-60-66
Uncontrolled and refractory arterial hypertension in age and sex aspects
Chair of Propaedeutics of Internal Medicine Avicenna TSMU
This report presents the results of a retrospective study of the frequency uncontrolled (UKAH) and resistant hypertension (RAH) in age and sex aspects in 1179 patients hospitalized with essential hypertension (AH).
In majority of patients (71,7%) hospitalized with hypertension during treatment blood pressure was reduced by 10%, but target levels (systolic blood pressure - less than 140, diastolic blood pressure – less than 90 mm Hg) not have been achieved in 62,2% of patients who reached the group with UKAH and RAH.
The summarized frequencyof UKAH and RAHat women more prevalent (65,7%) over that of men (62,3%), the differences were not statistically significant (> 0,05). In men RAHwas less common than controlled, accounting for 27,9% and 37,7%, respectively (p<0,05).
The frequency of NKAG RAG in the group of middle age patients was dominant, but a combine antihypertensive therapy in middle age was carried out less frequently. In the middle age group is much more frequently observed inadequate frequency of receiving antihypertensive drugs with a predominance of males in the group. Inadequate doses of antihypertensive drugs received about 1/3 of patients and changing regimens in all groups of patients with hypertension are rare.
Keywords: arterial hypertension, antihypertensive therapy.
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