Russian Heart Failure Journal 2004year Arterial hypertension in combination with chronic heart failure in practice of general practitioners and cardiologists in Omsk


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2004/

Arterial hypertension in combination with chronic heart failure in practice of general practitioners and cardiologists in Omsk

Nechaeva G.I., Korennova O.Yu., Natsarenus T.A., Denisova E.A., Novak V.G.

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Urgency. Arterial hypertension (AH) is «realized» in many respects as a risk factor (RF) for heart failure (HF) as AH facilitates development of other cardiovascular diseases (CVD). Therefore early detection of cardiovascular pathology, systematic monitoring of the epidemiological situation by the structure of cardiovascular diseases, and efficient treatment of AH in each region are essential. Aim. Studying clinical and functional peculiarities and efficiency of drug therapy in patients with AH and concurrent chronic heart failure (CHF) in Omsk. Materials and methods. Data of clinical and functional evaluation along with outcomes of drug therapy were analyzed for 1948 patients with AH in combination with CHF at out-patient (general practitioner and cardiologist of the outpatient clinic) and in-patient (AH department of a cardiological clinic) stages. Results. Patients with AH combined with CHF most frequently had overburdened hereditary history, obesity and hyperlipidemia. Left ventricular hypertrophy (LVH) was detected in 3/4 of evaluated patients. The most common cause of CHF development in patients with AH was ischemic heart disease (IHD), which accounted for up to 73% of cases. Drugs of four major classes being a part of combination therapy formed a basis for prescriptions. Efficacy of drug therapy approached 90% provided a high compliance of patients.

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