Open AccessArterial hypertension associated with metabolic syndrome: clinical expert parameters, disability and aspects of rehabilitation
Author(s) -
В. В. Сергеева,
А. Ю. Родионова
Publication year - 2018
Publication title -
arterialʹnaâ gipertenziâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.126
H-Index - 5
eISSN - 2411-8524
pISSN - 1607-419X
DOI - 10.18705/1607-419x-2018-24-3-321-330
Subject(s) - medicine , rehabilitation , international classification of functioning, disability and health , physical therapy , blood pressure , heart failure , diabetes mellitus , angina , cardiology , myocardial infarction , endocrinology
Objective . To study clinical and expert parameters, life limitations and aspects of rehabilitation using the International Classification of Functioning, Disability and Health (ICF) in patients with systemic hypertension (HTN) associated with metabolic syndrome (MS). Design and methods . The study included 273 patients with HTN and MS, examined in the Bureau of Medical and Social Expertise of St Petersburg. All patients underwent complete examination when referred for medical and social expertise. The profile of patients’ functioning and rehabilitation effectiveness were studied using the ICF domains: b4200 — increased blood pressure; b4150 — arterial function; b4101 — heart rate; b4102 — myocardial contractility; b4550 — general physical endurance; b460 — cardiovascular sensations. The severity of the violations was coded using a quantitative assessment from their absence (0–4%) to absolute violations (96–100%). Results . In HTN patients examined in the Bureau of Medical and Social Expertise of St Petersburg, the 3‑component MS (disorders of glucose metabolism, abdominal obesity, increased level of low-density lipoproteins) is the most common one. Persistent violations result from a high degree of HTN, severity of complications of type 2 diabetes mellitus, functional class of angina and chronic heart failure, severity of arrhythmias. Evaluation of cardiovascular dysfunction with ICF showed a wide range from absence of violations to absolute impairments in the same patient. The patients demonstrate 1–2 degree disability. After rehabilitation measures, some ICF domains changed. Conclusions . Clinical and expert evaluation of HTN with MS is variable depending on the severity of MS components. Patients with HTN with MS, recognized as disabled, need a complex of rehabilitation measures, including all the main directions of an individual rehabilitation/habilitation program. ICF can be used to assess impaired functions in patients and their changes after rehabilitation measures.