Управление организацией выявления артериальной гипертонии высокого риска и решение вопросов профилактики

Abstract

The authors present the results of the examination of 289 patients randomly selected from among 2516 people who are under therapist´s and cardiologist´s supervision on arterial hypertension for more than three years. Arterial hypertension is associated with severe chronic ischemic heart disease (IHD) in 102 patients and with severe chronic heart failure in 80 patients. In other cases, the disease is combined with atrial fibrillation. The research base is a municipal clinic of Chelyabinsk, providing services for 80.5 thousand adults. Research data tool is developed unified card with instructions for use. The audit results of clinical observations show there is an insufficient volume of measures taken to reduce the risk of complications. Full control of blood pressure has been reached 54.7% of patients, slightly more than half of patients taking the statins regularly (52,9%). Instrumental diagnostics is limited: ultrasound of the carotid arteries - in 11.1%, echocardiography - in 62.3% of patients. Correction to prevent complications of hypertension in patients is carried out. The authors propose a method to improve the quality of medical services to patients.