Prediction of the course and effectiveness of secondary prevention of hypertension in Tula residents by developing the concept of hypertensive heart, taking into account the polymorphism of the angiotensin-II receptor gene of the first type

Koshimbaeva Leila Akynovna

In normotensive patients, the level of correlation of IIS with human calendar age was extremely high (r=0.90; p<0.001). It is important that the majority of patients with HC IVS was above their calendar age, so the level of correlation of IVS with age in them was lower (r=0.58; p<0.001). An important advantage of IIS over other indicators is its extreme simplicity of assessment: the more IIS per calendar age-the higher the individual risk. In addition, the AIS allows you to clearly explain to the patient the result of aplanation tonometry, because on the basis of comparing their own age with the indicators of the AIS, the patient is easily aware of their own risk. Therefore, the definition of IPS not only facilitates the doctor's interpretation of the data of aplanational tonometry, but also contributes to better patient compliance. In the treatment process, we achieved the target BP levels (according to office blood pressure control, and according to the diaries of self-monitoring blood pressure) in 4 patients of group D0 and 5 patients of group N1, that is, 9 of 24 patients (37,5%). This figure can be considered quite acceptable, because according to statistics in a country like the United States, the level of blood PRESSURE control reaches 35.1%. Equally important, no patient was excluded for lack of an antihypertensive effect or the appearance of a side effect.

Keywords:Hypertension, hypertensive heart, arterial hypertension