Results of the prospective observation in routine practice of hypertensive patients with concomitant chronic respiratory diseases. Part II. Predictors of adverse events
Aim. To study the predictors of adverse events in hypertensive (HTN) patients, including those with chronic respiratory diseases (CRDs).Material and methods. Regression analysis evaluated clinical and anamnestic data and blood pressure (BP) in outpatients with stage II-III HTN (n=156): 49 patients h...
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«SILICEA-POLIGRAF» LLC
2023-01-01
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| Series: | Кардиоваскулярная терапия и профилактика |
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| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/3424 |
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| author | M. I. Smirnova V. M. Gorbunov A. S. Kurekhyan G. F. Andreeva Ya. N. Koshelyaevskaya А. D. Deev |
| author_facet | M. I. Smirnova V. M. Gorbunov A. S. Kurekhyan G. F. Andreeva Ya. N. Koshelyaevskaya А. D. Deev |
| author_sort | M. I. Smirnova |
| collection | DOAJ |
| description | Aim. To study the predictors of adverse events in hypertensive (HTN) patients, including those with chronic respiratory diseases (CRDs).Material and methods. Regression analysis evaluated clinical and anamnestic data and blood pressure (BP) in outpatients with stage II-III HTN (n=156): 49 patients had asthma, 20 — chronic obstructive pulmonary disease; age — 63,4±8,8 years, women — 72,4%, followup duration 29,3±8,0 months. The outcomes included in the composite primary endpoint (EP) were registered in 32 patients (death, major cardiovascular events and complications), while the secondary EPs were registered in 57 patients (hospitalizations, emergency calls, temporary disability due to cardiovascular disease/CRD, hypertensive crisis, exacerbation of CRD, pneumonia, respiratory failure), and tertiary EP — in 76 (other significant diseases/conditions, including increased blood pressure without hypertensive crisis, requiring correction of regular therapy).Results. Predictors of primary EPs were the decrease level of nocturnal diastolic BP (DBP) (β=-5,335, p=0,026), nocturnal DBP variability (β=1,796, p=0,007), blood leukocyte level (β=0,241, p=0,039); secondary EPs — systolic blood pressure ≥170 mm Hg in history (β=1,305-1,641, p=0,037-0,017), statin use (β=-0,997, p=0,037), CRD (β=0,734, p=0,023), blood platelet level (β=-0,008, p=0,022); tertiary EPs — only CRD (β=1,082, p<0,0001).Conclusion. Patients with HTN need complex multifactorial prevention. It is necessary to improve the control of office and ambulatory blood pressure, blood lipids, especially in the presence of CRD, to improve the control of CRDs themselves. The method of 24-hour blood pressure monitoring should be used more often in routine practice, including assessing the degree of nocturnal blood pressure reduction and its variability. |
| first_indexed | 2024-04-10T03:32:40Z |
| format | Article |
| id | doaj.art-229f671922e844b4b68e19f8cbfceeb1 |
| institution | Directory Open Access Journal |
| issn | 1728-8800 2619-0125 |
| language | Russian |
| last_indexed | 2024-04-10T03:32:40Z |
| publishDate | 2023-01-01 |
| publisher | «SILICEA-POLIGRAF» LLC |
| record_format | Article |
| series | Кардиоваскулярная терапия и профилактика |
| spelling | doaj.art-229f671922e844b4b68e19f8cbfceeb12023-03-13T07:23:33Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252023-01-01211210.15829/1728-8800-2022-34242547Results of the prospective observation in routine practice of hypertensive patients with concomitant chronic respiratory diseases. Part II. Predictors of adverse eventsM. I. Smirnova0V. M. Gorbunov1A. S. Kurekhyan2G. F. Andreeva3Ya. N. Koshelyaevskaya4А. D. Deev5ФГБУ Национальный медицинский исследовательский центр терапии и профилактической медицины, Минздрав РоссииФГБУ Национальный медицинский исследовательский центр терапии и профилактической медицины, Минздрав РоссииФГБУ Национальный медицинский исследовательский центр терапии и профилактической медицины, Минздрав РоссииФГБУ Национальный медицинский исследовательский центр терапии и профилактической медицины, Минздрав РоссииФГБУ Национальный медицинский исследовательский центр терапии и профилактической медицины, Минздрав РоссииФГБУ Национальный медицинский исследовательский центр терапии и профилактической медицины, Минздрав РоссииAim. To study the predictors of adverse events in hypertensive (HTN) patients, including those with chronic respiratory diseases (CRDs).Material and methods. Regression analysis evaluated clinical and anamnestic data and blood pressure (BP) in outpatients with stage II-III HTN (n=156): 49 patients had asthma, 20 — chronic obstructive pulmonary disease; age — 63,4±8,8 years, women — 72,4%, followup duration 29,3±8,0 months. The outcomes included in the composite primary endpoint (EP) were registered in 32 patients (death, major cardiovascular events and complications), while the secondary EPs were registered in 57 patients (hospitalizations, emergency calls, temporary disability due to cardiovascular disease/CRD, hypertensive crisis, exacerbation of CRD, pneumonia, respiratory failure), and tertiary EP — in 76 (other significant diseases/conditions, including increased blood pressure without hypertensive crisis, requiring correction of regular therapy).Results. Predictors of primary EPs were the decrease level of nocturnal diastolic BP (DBP) (β=-5,335, p=0,026), nocturnal DBP variability (β=1,796, p=0,007), blood leukocyte level (β=0,241, p=0,039); secondary EPs — systolic blood pressure ≥170 mm Hg in history (β=1,305-1,641, p=0,037-0,017), statin use (β=-0,997, p=0,037), CRD (β=0,734, p=0,023), blood platelet level (β=-0,008, p=0,022); tertiary EPs — only CRD (β=1,082, p<0,0001).Conclusion. Patients with HTN need complex multifactorial prevention. It is necessary to improve the control of office and ambulatory blood pressure, blood lipids, especially in the presence of CRD, to improve the control of CRDs themselves. The method of 24-hour blood pressure monitoring should be used more often in routine practice, including assessing the degree of nocturnal blood pressure reduction and its variability.https://cardiovascular.elpub.ru/jour/article/view/3424артериальная гипертонияхронические болезни органов дыханиябронхиальная астмахроническая обструктивная болезнь легкихкоморбидностьнеблагоприятные событияпредикторыстепень ночного снижения артериального давлениявариабельность артериального давлениялейкоцитытромбоцитыстатиныконтроль артериального давлениясуточное мониторирование артериального давления |
| spellingShingle | M. I. Smirnova V. M. Gorbunov A. S. Kurekhyan G. F. Andreeva Ya. N. Koshelyaevskaya А. D. Deev Results of the prospective observation in routine practice of hypertensive patients with concomitant chronic respiratory diseases. Part II. Predictors of adverse events Кардиоваскулярная терапия и профилактика артериальная гипертония хронические болезни органов дыхания бронхиальная астма хроническая обструктивная болезнь легких коморбидность неблагоприятные события предикторы степень ночного снижения артериального давления вариабельность артериального давления лейкоциты тромбоциты статины контроль артериального давления суточное мониторирование артериального давления |
| title | Results of the prospective observation in routine practice of hypertensive patients with concomitant chronic respiratory diseases. Part II. Predictors of adverse events |
| title_full | Results of the prospective observation in routine practice of hypertensive patients with concomitant chronic respiratory diseases. Part II. Predictors of adverse events |
| title_fullStr | Results of the prospective observation in routine practice of hypertensive patients with concomitant chronic respiratory diseases. Part II. Predictors of adverse events |
| title_full_unstemmed | Results of the prospective observation in routine practice of hypertensive patients with concomitant chronic respiratory diseases. Part II. Predictors of adverse events |
| title_short | Results of the prospective observation in routine practice of hypertensive patients with concomitant chronic respiratory diseases. Part II. Predictors of adverse events |
| title_sort | results of the prospective observation in routine practice of hypertensive patients with concomitant chronic respiratory diseases part ii predictors of adverse events |
| topic | артериальная гипертония хронические болезни органов дыхания бронхиальная астма хроническая обструктивная болезнь легких коморбидность неблагоприятные события предикторы степень ночного снижения артериального давления вариабельность артериального давления лейкоциты тромбоциты статины контроль артериального давления суточное мониторирование артериального давления |
| url | https://cardiovascular.elpub.ru/jour/article/view/3424 |
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