EPIDEMIOLOGICAL FEATURES OF COMORBID PATHOLOGY IN COMBATANTS WITH ARTERIAL HYPERTENSION

Abstract

Objective: Determination of the prevalence of comorbid pathology in patients with arterial hypertension (AH) participants in modern armed conflicts in order to implement timely preventive measures in order to prolong their health for military service. Design and method: By design, the research was a passive retrospective one-time (cross-sectional) study. The medical charts of inpatient patients of 213 male combatants, aged 27-59 years, average age 45.0 ± 6.8 years, who underwent treatment during 2018-2021, were analyzed by the method of random sampling. The examined patients were stratified according to the stage of hypertension: 126 patients with hypertension stage I and 87 patients with hypertension stage II. Results: The most common comorbid diseases with hypertension in combatants were diseases of the circulatory system (DCS, 60%), diseases of the endocrine system, nutritional disorders and metabolic disorders (DES, 82%), diseases of the nervous system (DNS, 65%), musculoskeletal diseases ulcer system and connective tissue (59%), diseases of digestive organs (52%), anxiety and depressive disorders (85% and 97% of patients, respectively). The association of an increase in the frequency of various concomitant diseases with the second stage of hypertension was determined - in stage II hypertension, compared with stage I hypertension, DCS was diagnosed more often (98% and 33%, respectively, p < 0.05), DEC (86% and 78%, respectively, p < 0.05), DNS (respectively 77% and 56%, p < 0.05). And diseases of the genitourinary system were more often diagnosed with stage I hypertension (43% and 22%, respectively, p < 0.05). The higher frequency of diagnosis of DCS in stage II hypertension is caused by coronary heart disease (97% and 25%, respectively, p < 0.05). Conclusions: The most common comorbid diseases in military personnel with hypertension who are participants in modern armed conflicts are DCS, DES, DNS, diseases of the musculoskeletal system and connective tissue, diseases of the digestive organs, anxiety and depressive disorders. In order to prolong the health for military personnel with hypertension and participants in modern armed conflicts, measures for the secondary prevention of DCS (primarily coronary heart disease), DES, DNS, anxiety and depressive disorders are expedient.