Open AccessTHE TREATMENT OF PATIENTS WITH ARTERIAL HYPERTENSION IN AN ACTUAL OUT-PATIENT PRACTICE
Author(s) -
Olga Andreeva,
А. В. Мелехов,
Г. Е. Гендлин,
И. Г. Никитин
Publication year - 2018
Publication title -
rossijskij medicinskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2412-9100
pISSN - 0869-2106
DOI - 10.18821/0869-2106-2018-24-1-4-8
Subject(s) - medicine , blood pressure , compliance (psychology) , clinical practice , polyclinic , cardiology , physical therapy , psychology , nursing , social psychology
The arterial hypertension is considered as a serious disease both in Russia and many other countries. The level of target arterial pressure is reached far from in all patients receiving hypotensive therapy. The article presents the data concerning efficiency of hypotensive therapy applied to 144 patients. Their level of arterial pressure was evaluated during its office measurement and day monitoring. The group comprised out-patients observed in polyclinics of one of the Moscow okrugs and in departmental polyclinic of Moscow oblast. to all patients’ evaluation of compliance was applied considering gender, age and type of professional activity. The analysis established that in actual clinical practice the target values of arterial pressure are reached in 22%-50% of patients receiving hypotensive therapy. The level of arterial pressure in young people and patients of older age factually had no difference. The high compliance to applied treatment was established only in one third of patients. The target level of arterial pressure was reached only in one third of young patients. Therefore, in today's actual clinical practice a successful treatment of arterial hypertension remains ineffective as 17 years ago.