МОНИТОРИНГ ТЕЧЕНИЯ АРТЕРИАЛЬНОЙ ГИПЕРТЕНЗИИ У МУЖЧИН В УСЛОВИЯХ ПОЛИКЛИНИКИ

Abstract

The paper presents data obtained as a result of a five-year follow-up of male patients with arterial hypertension (AH) in a polyclinic for the period from 2015 to 2019. 48 records of outpatients with AH were studied. The aim of the study was to study and compare the results of 5-year monitoring of the course of hypertension at the outpatient stage. The positive dynamics of heart rate in young / middle-aged men was obviously due to changes in treatment regimens with the inclusion of the most effective, modern drugs. The relationship of hemodynamic parameters, hemoglobin level and GHD with kidney function may indicate the predominance of AH of renal origin. In addition, the correlation of the concentration function of the kidneys with the level of glucose in the blood and triglycerides with sodium apparently indicates in favor of renal failure against the background of diabetes mellitus. In the elderly / senile age, an increase in the rate of SHD in the last two years of observation was alarming in terms of aggravation of the condition in the future. The negative correlation of hemoglobin level with TG was obviously due to the most common comorbidities at this age – hypothyroidism, diabetes mellitus, chronic kidney disease, and suggests the predominance of secondary AH of neuroendocrine origin. The close relationship of hemodynamic parameters with the state of metabolism should be taken into account in the recommendations for rational nutrition in this group.