Uncontrolled and refractory arterial hypertension in age and sex aspects

G.A. Acheva, G.M. Negmatova, Kh.Yo. Sharipova, R.G. Sohibov

Chair of Propaedeutics of Internal Medicine Avicenna TSMU

This report presents the results of a retrospective study of the frequency uncontrolled (UKAH) and resistant hypertension (RAH) in age and sex aspects in 1179 patients hospitalized with essential hypertension (AH).

In majority of patients (71,7%) hospitalized with hypertension during treatment blood pressure was reduced by 10%, but target levels (systolic blood pressure - less than 140, diastolic blood pressure – less than 90 mm Hg) not have been achieved in 62,2% of patients who reached the group with UKAH and RAH.

The summarized frequencyof UKAH and RAHat women more prevalent (65,7%) over that of men (62,3%), the differences were not statistically significant (> 0,05). In men RAHwas less common than controlled, accounting for 27,9% and 37,7%, respectively (p<0,05).

The frequency of NKAG RAG in the group of middle age patients was dominant, but a combine antihypertensive therapy in middle age was carried out less frequently. In the middle age group is much more frequently observed inadequate frequency of receiving antihypertensive drugs with a predominance of males in the group. Inadequate doses of antihypertensive drugs received about 1/3 of patients and changing regimens in all groups of patients with hypertension are rare.

Keywords: arterial hypertension, antihypertensive therapy.

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