Prevalence of arterial hypertension in the Krasnoyarsk Krai (Siberia, Russia)

BMC Cardiovascular Disorders

Research Article

Yu. I. Grinshtein¹  V. V. Shabalin¹  M. M. Petrova¹  R. R. Ruf¹  I. P. Artyukhov¹ 

[1] Krasnoyarsk State Medical University named after prof. V. F. Voyno-Yasenetsky, Ministry of Health of the Russian Federation, 660022, St., 1. Partizan Zheleznyak, Krasnoyarsk, Russian Federation;

关键词: Arterial hypertension;    Prevalence;    Epidemiological study;    ESSE-RF;   

DOI  :  10.1186/s12872-017-0559-5

 received in 2017-03-10, accepted in 2017-05-08,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundTo estimate the prevalence, awareness, treatment and control of arterial hypertension among adult inhabitants of Krasnoyarsk Krai using the data from Russian multicenter epidemiological study ESSE-RF (Epidemiological Survey of cardiovascular diSEases in different regions of the Russian Federation).MethodsThe study included 1603 subjects 25 to 64 years old selected by means of systemic multistage stratified randomization among urban and rural inhabitants of Krasnoyarsk Krai recruited between February 2014 and June 2014. Office blood pressure (BP) was measured twice with “Omron” automated BP device on the right arm in the sitting position in presence of medical personnel. Arterial hypertension (HTN) was defined as systolic BP of at least 140 mmHg and/or diastolic BP of at least 90 mmHg or self-reported previous elevated BP registration or use of antihypertensive treatment. Treatment efficacy was defined as percentage of patients achieved the target BP level among those who received antihypertensive medications, and HTN control as percentage of people achieved the target BP level among all hypertensives.ResultsThe gender distribution was 652 males (39.4%) and 951 females (60.6%). The average level of systolic BP was 133.4 ± 0.5 mmHg, diastolic BP – 82.9 ± 0.3 mmHg. The average prevalence of HTN was estimated at 49.4% and appeared to be higher than similar parameter based on the data of 10 regions from the ESSE-RF study (44%). The average prevalence of HTN was estimated at 56.3% in males and 43.7% in females. The HTN prevalence in rural community was significantly higher in comparison with urban community (63.4 ± 2.4 vs. 44.2 ± 1.5%, p < 0.01). The average rate of HTN awareness in Krasnoyarsk Krai was 77.9% (average Russian value from ESSE-RF study was 73.1%). The average use of antihypertensive treatment, its efficacy and HTN control in Krasnoyarsk Krai were estimated at 59.5%, 31.6% and 18.8%, respectively.ConclusionsEstimated prevalence of HTN in Krasnoyarsk Krai is higher than the average Russian parameter. The average HTN prevalence among men is higher than in women. The rural inhabitants are more likely to have hypertension compared with urban inhabitants. Despite high levels of HTN awareness and antihypertensive medication intake, the antihypertensive treatment efficacy in Krasnoyarsk Krai appeared to be lower in comparison with average Russian ESSE-RF values.

【 授权许可】

CC BY   
© The Author(s). 2017