Diagnosis, treatment and management of hypertension in Ukraine: survey of doctors
Purpose of the study. The goal of the study was to evaluate the implementation of modern healthcare standards in patients with hypertension by practitioners in Ukraine. Materials and methods. We analyzed 76 anonymous questionnaires, represented by cardiologists (65.8%) as well as internists and f...
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| Format: | Article |
| Language: | English |
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Zaporizhia Medical Academy of Post-Graduate Education Ministry of Health of Ukraine
2022-12-01
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| Series: | Сучасні медичні технології |
| Subjects: | |
| Online Access: | https://zmapo-journal.com/index.php/journal/article/view/237 |
| _version_ | 1797847856553394176 |
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| author | N.Y. Dotsenko O.Y. Malynovska L.V. Herasymenko I.O. Shekhunova S.S. Boiev O.V. Molodan |
| author_facet | N.Y. Dotsenko O.Y. Malynovska L.V. Herasymenko I.O. Shekhunova S.S. Boiev O.V. Molodan |
| author_sort | N.Y. Dotsenko |
| collection | DOAJ |
| description | Purpose of the study. The goal of the study was to evaluate the implementation of modern healthcare standards in patients with hypertension by practitioners in Ukraine.
Materials and methods. We analyzed 76 anonymous questionnaires, represented by cardiologists (65.8%) as well as internists and family doctors (34.2%).
Results. Most physicians in the diagnostics and correction of hypertension therapy focus on the data of ambulatory blood pressure monitoring. Doctors rarely prescribe ambulatory blood pressure monitoring for the diagnostics of white coat hypertension. Most doctors prescribe ECG in the presence of heart complaints, but not for investigation of target organs damage, and echocardiography and carotid ultrasound often with each contact. If resistant hypertension is suspected, only 20% of cardiologists prescribe recommended mineralocorticoids. Statins for patients with hypertension, most doctors prescribe "1 patient out of 10".
Conclusions. In general, the approaches to the treatment of hypertension by the interviewees correspond to modern recommendations. Insufficient understanding by doctors of the indications and frequency of conducting instrumental studies, weak vigilance regarding "white coat" and resistant hypertension, insufficient prescription of statins were established. It is desirable for the compilers of the recommendations to pay more attention to the practical aspects of patient management. |
| first_indexed | 2024-04-09T18:18:03Z |
| format | Article |
| id | doaj.art-9d05c17b71ae455aabb753e7d5042e47 |
| institution | Directory Open Access Journal |
| issn | 2072-9367 |
| language | English |
| last_indexed | 2024-04-09T18:18:03Z |
| publishDate | 2022-12-01 |
| publisher | Zaporizhia Medical Academy of Post-Graduate Education Ministry of Health of Ukraine |
| record_format | Article |
| series | Сучасні медичні технології |
| spelling | doaj.art-9d05c17b71ae455aabb753e7d5042e472023-04-12T17:43:24ZengZaporizhia Medical Academy of Post-Graduate Education Ministry of Health of UkraineСучасні медичні технології2072-93672022-12-014(55)132010.34287/MMT.4(55).2022.3237Diagnosis, treatment and management of hypertension in Ukraine: survey of doctorsN.Y. Dotsenko0O.Y. Malynovska1L.V. Herasymenko2I.O. Shekhunova3S.S. Boiev4O.V. Molodan5State Institution «Zaporizhzhia Medical Academy of post-graduate education Ministry of Health of Ukraine» Zaporizhzhia, UkraineState Institution «Zaporizhzhia Medical Academy of post-graduate education Ministry of Health of Ukraine» Zaporizhzhia, UkraineState Institution «Zaporizhzhia Medical Academy of post-graduate education Ministry of Health of Ukraine» Zaporizhzhia, UkraineState Institution «Zaporizhzhia Medical Academy of post-graduate education Ministry of Health of Ukraine» Zaporizhzhia, UkraineState Institution «Zaporizhzhia Medical Academy of post-graduate education Ministry of Health of Ukraine» Zaporizhzhia, UkraineState Institution «Zaporizhzhia Medical Academy of post-graduate education Ministry of Health of Ukraine» Zaporizhzhia, UkrainePurpose of the study. The goal of the study was to evaluate the implementation of modern healthcare standards in patients with hypertension by practitioners in Ukraine. Materials and methods. We analyzed 76 anonymous questionnaires, represented by cardiologists (65.8%) as well as internists and family doctors (34.2%). Results. Most physicians in the diagnostics and correction of hypertension therapy focus on the data of ambulatory blood pressure monitoring. Doctors rarely prescribe ambulatory blood pressure monitoring for the diagnostics of white coat hypertension. Most doctors prescribe ECG in the presence of heart complaints, but not for investigation of target organs damage, and echocardiography and carotid ultrasound often with each contact. If resistant hypertension is suspected, only 20% of cardiologists prescribe recommended mineralocorticoids. Statins for patients with hypertension, most doctors prescribe "1 patient out of 10". Conclusions. In general, the approaches to the treatment of hypertension by the interviewees correspond to modern recommendations. Insufficient understanding by doctors of the indications and frequency of conducting instrumental studies, weak vigilance regarding "white coat" and resistant hypertension, insufficient prescription of statins were established. It is desirable for the compilers of the recommendations to pay more attention to the practical aspects of patient management.https://zmapo-journal.com/index.php/journal/article/view/237arterial hypertensionorganization of treatmentinstrumental diagnosics |
| spellingShingle | N.Y. Dotsenko O.Y. Malynovska L.V. Herasymenko I.O. Shekhunova S.S. Boiev O.V. Molodan Diagnosis, treatment and management of hypertension in Ukraine: survey of doctors Сучасні медичні технології arterial hypertension organization of treatment instrumental diagnosics |
| title | Diagnosis, treatment and management of hypertension in Ukraine: survey of doctors |
| title_full | Diagnosis, treatment and management of hypertension in Ukraine: survey of doctors |
| title_fullStr | Diagnosis, treatment and management of hypertension in Ukraine: survey of doctors |
| title_full_unstemmed | Diagnosis, treatment and management of hypertension in Ukraine: survey of doctors |
| title_short | Diagnosis, treatment and management of hypertension in Ukraine: survey of doctors |
| title_sort | diagnosis treatment and management of hypertension in ukraine survey of doctors |
| topic | arterial hypertension organization of treatment instrumental diagnosics |
| url | https://zmapo-journal.com/index.php/journal/article/view/237 |
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