The role of arterial hypertension (AH) in the pattern and outcomes of hospitalizations at a multidisciplinary emergency care hospital was analyzed, by using annual statistical reports and 0199 statistical cards on patients with AH, admitted to the therapeutic, cardiological, and neurological units of City Clinical Hospital No. 64 in 2000-2001. The bulk of patients with AH comprised above 60-year-old individuals having complications and concomitant diseases (most commonly coronary heart disease, diabetes mellitus, obesity, chronic bronchi!is). AH was the background disease in most patients admitted to the hospital for myocardial infarction and acute cerebral circulatory disorders, There arc great differences in the incidence of AH, as evidenced by annual final statistical reports (3.6 %) and individual Statistical forms (23.4 %), which leads to the underestimation of the actual prevalence of AG in inpatient practice.

Aim. To study i lie impact of life exhaustion on the risk for the development of arterial hypertension (AH) in 25-64-year-old men for 6 years. Subjects and methods. In 1994, a screening survey was performed within the framework of the WHO program "MONICA - psychosocial". A random representative sample of males (n = 657) aged 25-64 years who resided in one of the Novosibirsk districts was examined. The response rate was 82.1 %. The follow-up lasted 6 years (1904-2000). A statistical analysis was made, by using a "SPSS-10" program package. The Cox-proportional regression model was used to assess the relative risk of AH. The c_ test was applied to estimate the significance of differences between the groups. Results. In the examined population of 25-64-year-old men suffering from AH. the spread of life exhaustion is high and equal to 73-796 (mean 58 %; the high life exhaustion is 15.796): During the 6-year follow-up. there was a trend for the risk of AH to show a 2-fold increase in the exhausted males. The relative risk of AH. which was studied in normotensive males aged 25-64 years dining 6 years, was 2 times higher in the exhausted individuals than that in the unexhausted ones. Among the exhausted males, there were both persons having a higher education or holding leading posts and those having a primary education, or making hard and moderate work; pensioners, and individuals at the low social level. Conclusion. The findings suggest that life exhaustion is a pathogenetic mechanism that contributes to the development of AH.

The baseline coronary blood flow and left ventricular contractility affects the results of functional tests after direct myocardial revascularization in patients with severe multivascular myocardial lesion and arterial hypertension. The overall reduction in the coronary reserve in patients with coronary heart disease (CHD) and high-grade coronary occlusions is most pronounced in patients with myocardial hypertrophy, which can cause a decrease in its functional properties before and alter direct myocardial revascularization. Some results of exercise tests, a rise in the double production in particular, may be indirectly indicative of the lowered coronary reserve in patients with CHD and arterial hypertension and be of prognostic value.