CONCOMITANT CARDIOVASCULAR DISEASES AND ANTIHYPERTENSIVE TREATMENT IN OUTPATIENT PRACTICE (BY THE RECVASA REGISTRY DATA)

Aim. To study a pattern of concomitant cardiovascular diseases (CVDs) and to estimate particularities and quality of medical antihypertensive therapy in hypertensive patients in real outpatient practice with a help of the Registry in Ryazan region.Material and methods. A total of 3690 patients with...

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Main Authors: M. M. Loukianov, S. A. Boytsov, S. S. Yakushin, S. Yu. Martsevich, A. N. Vorobyev, A. V. Zagrebelnyy, N. N. Nikulina, K. G. Pereverzeva, E. A. Pravkina, A. D. Deev, E. V. Kudryashov, E. N. Belova
Format: Article
Language:English
Published: Столичная издательская компания 2016-03-01
Series:Рациональная фармакотерапия в кардиологии
Subjects:
Online Access:https://www.rpcardio.online/jour/article/view/1186
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author M. M. Loukianov
S. A. Boytsov
S. S. Yakushin
S. Yu. Martsevich
A. N. Vorobyev
A. V. Zagrebelnyy
N. N. Nikulina
K. G. Pereverzeva
E. A. Pravkina
A. D. Deev
E. V. Kudryashov
E. N. Belova
author_facet M. M. Loukianov
S. A. Boytsov
S. S. Yakushin
S. Yu. Martsevich
A. N. Vorobyev
A. V. Zagrebelnyy
N. N. Nikulina
K. G. Pereverzeva
E. A. Pravkina
A. D. Deev
E. V. Kudryashov
E. N. Belova
author_sort M. M. Loukianov
collection DOAJ
description Aim. To study a pattern of concomitant cardiovascular diseases (CVDs) and to estimate particularities and quality of medical antihypertensive therapy in hypertensive patients in real outpatient practice with a help of the Registry in Ryazan region.Material and methods. A total of 3690 patients with hypertension, ischemic heart disease, chronic heart failure and atrial fibrillation, who had attended general practitioners and cardiologists of 3 outpatient clinics in Ryazan city, were enrolled in the outpatient Registry of cardiovascular diseases (RECVASA). The diagnosis of hypertension was recorded in 3648 of 3690 (98.9%) outpatient charts, 28.1% of the subjects were men and 71.9% - women.Results. A total of 2907 (79.7%) of 3648 patients had combination of hypertension with other CVDs. Combination of 3-4 cardiovascular diagnoses was registered in 63.8% of the cases. 11.5% and 9.5% of the patients had a history of myocardial infarction and cerebral stroke, respectively. Diagnosis of hypertension was verified in 448 of 450 randomized hypertensive patients (99.6%). The incidence of prescription of one and two antihypertensive drugs (AHDs) was 25% and 39%, respectively, of 3 AHDs – 21%, 4 and more – 2%. AHDs were not prescribed in 13% of hypertensive patients. The mean number of prescribed AHDs was 1.73. The mean incidence rate of target blood pressure achievement was 26.1%. We have noted insufficient ACE inhibitors/angiotensin receptor blockers (ARB) and beta-blockers prescription in different concomitant CVDs. Patients with 3-4 cardiovascular diagnoses were more often prescribed combined antihypertensive treatment. Prescription of ACE inhibitors/ARB, beta-blockers and thiazide diuretics combination was preferable in 74.1% of the cases, when taking into account absolute and relative contraindications for betablockers use – in 64.0%. 15.2% of the hypertensive patients used reimbursed drugs for CVDs at the moment of the Registry enrollment as compared with 39.2% in previous years (p<0.05).Conclusion. The RECVASA study data allowed revealing high incidence of concomitant CVDs in hypertensive patients, insufficient use of combined antihypertensive treatment, including AHDs with proved favorable influence on prognosis. Achievement of concordance of medical treatment to national and international guidelines, taking into account concomitant CVDs, and optimization of patients’ coverage with reimbursed drugs are the main reserves for antihypertensive treatment quality improvement.
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spelling doaj.art-9a5f2903374b4d5d851271d19e2eaf522024-04-01T07:43:33ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532016-03-0112141510.20996/1819-6446-2016-12-1-4-151175CONCOMITANT CARDIOVASCULAR DISEASES AND ANTIHYPERTENSIVE TREATMENT IN OUTPATIENT PRACTICE (BY THE RECVASA REGISTRY DATA)M. M. Loukianov0S. A. Boytsov1S. S. Yakushin2S. Yu. Martsevich3A. N. Vorobyev4A. V. Zagrebelnyy5N. N. Nikulina6K. G. Pereverzeva7E. A. Pravkina8A. D. Deev9E. V. Kudryashov10E. N. Belova11State Scientific Research Center for Preventive Medicine Petroverigsky per. 10, Moscow, 101990 RussiaState Scientific Research Center for Preventive Medicine Petroverigsky per. 10, Moscow, 101990 RussiaRyazan State Medical University named after academician I.P. Pavlov Visokovoltnaya ul. 9, Ryazan, 390026 RussiaState Scientific Research Center for Preventive Medicine Petroverigsky per. 10, Moscow, 101990 RussiaRyazan State Medical University named after academician I.P. Pavlov Visokovoltnaya ul. 9, Ryazan, 390026 RussiaState Scientific Research Center for Preventive Medicine Petroverigsky per. 10, Moscow, 101990 RussiaRyazan State Medical University named after academician I.P. Pavlov Visokovoltnaya ul. 9, Ryazan, 390026 RussiaRyazan State Medical University named after academician I.P. Pavlov Visokovoltnaya ul. 9, Ryazan, 390026 RussiaRyazan State Medical University named after academician I.P. Pavlov Visokovoltnaya ul. 9, Ryazan, 390026 RussiaState Scientific Research Center for Preventive Medicine Petroverigsky per. 10, Moscow, 101990 RussiaState Scientific Research Center for Preventive Medicine Petroverigsky per. 10, Moscow, 101990 RussiaState Scientific Research Center for Preventive Medicine Petroverigsky per. 10, Moscow, 101990 RussiaAim. To study a pattern of concomitant cardiovascular diseases (CVDs) and to estimate particularities and quality of medical antihypertensive therapy in hypertensive patients in real outpatient practice with a help of the Registry in Ryazan region.Material and methods. A total of 3690 patients with hypertension, ischemic heart disease, chronic heart failure and atrial fibrillation, who had attended general practitioners and cardiologists of 3 outpatient clinics in Ryazan city, were enrolled in the outpatient Registry of cardiovascular diseases (RECVASA). The diagnosis of hypertension was recorded in 3648 of 3690 (98.9%) outpatient charts, 28.1% of the subjects were men and 71.9% - women.Results. A total of 2907 (79.7%) of 3648 patients had combination of hypertension with other CVDs. Combination of 3-4 cardiovascular diagnoses was registered in 63.8% of the cases. 11.5% and 9.5% of the patients had a history of myocardial infarction and cerebral stroke, respectively. Diagnosis of hypertension was verified in 448 of 450 randomized hypertensive patients (99.6%). The incidence of prescription of one and two antihypertensive drugs (AHDs) was 25% and 39%, respectively, of 3 AHDs – 21%, 4 and more – 2%. AHDs were not prescribed in 13% of hypertensive patients. The mean number of prescribed AHDs was 1.73. The mean incidence rate of target blood pressure achievement was 26.1%. We have noted insufficient ACE inhibitors/angiotensin receptor blockers (ARB) and beta-blockers prescription in different concomitant CVDs. Patients with 3-4 cardiovascular diagnoses were more often prescribed combined antihypertensive treatment. Prescription of ACE inhibitors/ARB, beta-blockers and thiazide diuretics combination was preferable in 74.1% of the cases, when taking into account absolute and relative contraindications for betablockers use – in 64.0%. 15.2% of the hypertensive patients used reimbursed drugs for CVDs at the moment of the Registry enrollment as compared with 39.2% in previous years (p<0.05).Conclusion. The RECVASA study data allowed revealing high incidence of concomitant CVDs in hypertensive patients, insufficient use of combined antihypertensive treatment, including AHDs with proved favorable influence on prognosis. Achievement of concordance of medical treatment to national and international guidelines, taking into account concomitant CVDs, and optimization of patients’ coverage with reimbursed drugs are the main reserves for antihypertensive treatment quality improvement.https://www.rpcardio.online/jour/article/view/1186registryarterial hypertensioncardiovascular diseasecombined antihypertensive treatmenttreatment quality assessmentoutpatient practiceconcomitant cardiovascular pathologyconcomitant indications for medical treatmenttarget blood pressure level
spellingShingle M. M. Loukianov
S. A. Boytsov
S. S. Yakushin
S. Yu. Martsevich
A. N. Vorobyev
A. V. Zagrebelnyy
N. N. Nikulina
K. G. Pereverzeva
E. A. Pravkina
A. D. Deev
E. V. Kudryashov
E. N. Belova
CONCOMITANT CARDIOVASCULAR DISEASES AND ANTIHYPERTENSIVE TREATMENT IN OUTPATIENT PRACTICE (BY THE RECVASA REGISTRY DATA)
Рациональная фармакотерапия в кардиологии
registry
arterial hypertension
cardiovascular disease
combined antihypertensive treatment
treatment quality assessment
outpatient practice
concomitant cardiovascular pathology
concomitant indications for medical treatment
target blood pressure level
title CONCOMITANT CARDIOVASCULAR DISEASES AND ANTIHYPERTENSIVE TREATMENT IN OUTPATIENT PRACTICE (BY THE RECVASA REGISTRY DATA)
title_full CONCOMITANT CARDIOVASCULAR DISEASES AND ANTIHYPERTENSIVE TREATMENT IN OUTPATIENT PRACTICE (BY THE RECVASA REGISTRY DATA)
title_fullStr CONCOMITANT CARDIOVASCULAR DISEASES AND ANTIHYPERTENSIVE TREATMENT IN OUTPATIENT PRACTICE (BY THE RECVASA REGISTRY DATA)
title_full_unstemmed CONCOMITANT CARDIOVASCULAR DISEASES AND ANTIHYPERTENSIVE TREATMENT IN OUTPATIENT PRACTICE (BY THE RECVASA REGISTRY DATA)
title_short CONCOMITANT CARDIOVASCULAR DISEASES AND ANTIHYPERTENSIVE TREATMENT IN OUTPATIENT PRACTICE (BY THE RECVASA REGISTRY DATA)
title_sort concomitant cardiovascular diseases and antihypertensive treatment in outpatient practice by the recvasa registry data
topic registry
arterial hypertension
cardiovascular disease
combined antihypertensive treatment
treatment quality assessment
outpatient practice
concomitant cardiovascular pathology
concomitant indications for medical treatment
target blood pressure level
url https://www.rpcardio.online/jour/article/view/1186
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