Experience of remote monitoring of treatment quality in patients with arterial hypertension during the current pandemic period

Abstract

Objective. To conduct a retrospective assessment of the dynamics of blood pressure (BP), the quality of antihypertensive therapy and the frequency of contacts with doctors in conditions of pandemic among patients with hypertension identified during a preventive examination of the population in an organized population of Baku.
 Materials and methods. Two groups of patients were studied: group 1 patients with hypertension who were aware of their disease before the start of the preventive examination; group 2 patients who were diagnosed hypertension for the first time during the preventive examination. The results of the survey of these patients according to the questionnaire by means of telephone contacts, which includes questions regarding the control of blood pressure (BP), taking antihypertensive drugs, frequency of visiting doctors for 2 years after the initial preventive examination were studied.
 Results. The results, obtained in group 1, indicate that taking antihypertensive drugs without periodic medical control over the effectiveness of therapy in most cases does not allow achieving the target values of blood pressure. The results, obtained in group 2, demonstrate poor adherence of patients to medical recommendations and justify the need to create a system of active detection and monitoring of persons with hypertension, who do not know about their disease.
 Conclusions. It is necessary to create such a system of remote monitoring of newly identified and registered patients with hypertension, which based on modern technological advances, would allow patients to contact doctors (including remote ones) with a calculated frequency, and thus would ensure regular monitoring of the quality of treatment and adherence to recommendations regarding the treatment and prevention of cardiovascular diseases.