HYPERTENSION IN THE ROUTINE HEALTHCARE: FOCUS ON THE RESULTS OF HEALTH CHECK-UP

Background. Arterial hypertension (HTN) plays a major role (42 %) for cardiovascular disease incidence, meanwhile routine early HTN detection remains low. Different measures are implemented in order to solve the problem of early HTN detection, as well as other chronic diseases leading to disability and the decrease in life expectancy. These measures include medical prevention based on the regular check-up and follow-up. objective. To evaluate the quality of the check-ups regarding the diagnostics of blood pressure (BP) elevation and associated risk factors, and to evaluate the regional characteristics in the adult population.

Design and methods. We analysed general data obtained in 2015 year during the check-ups in the country and regions. In this analysis, we present the data regarding HTN rates, including cases of preliminary diagnosis and elevated BP as a risk factor.

Results. In 2015, 21,7 million people underwent health check-up. HTN incidence was 33,6 %, including 16,5 % of verified HTN, 3,6 % cases of preliminary diagnosis, in 13,5 % cases increased BP was considered as a risk factor. We found significant regional differences. In regions with a lower active HTN detection the overall HTN morbidity is lower, but primary HTN morbidity and CVD-related mortality are higher. In addition, in these regions active follow-up of patients with verified HTN is performed less frequently. In regions with high mortality associated with cerebrovascular diseases, the diagnosis of the diseases characterized by BP elevation is lower.

Conclusions. We found a positive correlation between diagnosed HTN and nutrition-associated risk factors that confirms the importance of multi-factor prevention and control of HTN in primary health care. We suggest to use the ratio between the newly diagnosed cases of elevated BP of all cases with such diagnoses for rapid assessment of the quality of the health check-up for HTN detection at the regional level.

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