Arterial hypertension: ambulatory patients’ point of view. First results of GARANT Study
Abstract
Aim. To study patients’ awareness on arterial hypertension (AH), its treatment and prevention, as well as to investigate AH therapy compliance, the GARANT Study (PharmacoepidemioloGy of ARteriAl HyperteNsion in Real-World Ambulatory PracTice) was performed, supported by KRKA company.
Material and methods. Doctors and patients from 99 clinics in 63 Russian cities participated in the study. In total, 9214 patients (3189 men, 6025 women; mean age 54,7 years) responded to this doctor-performed survey.
Results. AH awareness was high enough, with as many as 86,8% of the patients knowing their blood pressure (BP) level. At the same time, only every third participant knew his or her cholesterol (CH) level. More than 70% of men and 80% of women knew that AH is a risk factor (RF). From the patients’ point of view, AH was the leading RF. Awareness on the other RF was below 33%, with only two exceptions: alcohol (42,2% for men, 35,8% for women) and smoking (38,4% and 30,9%, respectively).
Conclusion. While doctors are fully responsible for high BP diagnostics and explanation of pharmaceutical and non-pharmaceutical therapy benefits and risks to their patients, treatment compliance and lifestyle modification should be supported by patients themselves, their families, and society as a whole.
About the Authors
S. A. Shalnova
State Research Center for Preventive Medicine, State Federal Agency for Health and Social Development; I.M. Sechenov Moscow Medical Academy, Moscow
Russian Federation
Russian Federation
A. D. Deev
State Research Center for Preventive Medicine, State Federal Agency for Health and Social Development
Russian Federation
Russian Federation
O. V. Vikhireva
State Research Center for Preventive Medicine, State Federal Agency for Health and Social Development
Russian Federation
Russian Federation
References
1. Stamler J, Stamler R, Neaton JD. Blood pressure, systolic and diastolic, and cardiovascular risks. US population data. Arch Intern Med 1993; 153: 598-615.
2. Жуковский Г.С., Константинов В.В., Варламова Т.А., Капустина А.В. Артериальная гипертония: Эпидемиологическая ситуация в России и других странах. РМЖ 1997; 5(9): 551-8.
3. Psaty BM, Furberg CD, Kuller LH, et al. Association between blood pressure level and the risk of myocardial infarction, stroke, and total mortality: the cardiovascular health study. Arch Intern Med 1992; 152: 56-64.
4. 2007 Guidelines for the Management of Arterial Hypertension. The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertension 2007; 25: 1105-87.
5. Шальнова С.А., Деев А.Д., Вихирева О.В. и др. Распространенность артериальной гипертонии в России. Информированность, лечение, контроль. Профил забол укреп здор 2001; 2: 3-7.
6. Константинов В.В., Тимофеева Т.Н., Баланова Ю.А. и др. Динамика распространенности артериальной гипертонии среди мужского и женского населения Москвы с 1984 по 2001 г. Профил забол укреп здор 2002; 4: 15-9.
7. Кобалава Ж.Д., Склизкова Л.А., Котовская Ю.В. и др. Представления об артериальной гипертонии у пожилых и реальная клиническая практика в России (результаты I этапа российской научно-практической программы АРГУС). Кардиология 2001; 11: 14-9.
8. Шальнова С.А. Проблемы лечения артериальной гипертонии. Кардиоваск тер профил 2003; 3: 17-21.
9. Hajjar I, Kotchen TA. Trends in prevalence, awareness, treatment, and control of hypertension in the United States, 1988-2000. JAMA 2003; 290(2): 199-206.
10. Wolf-Maier K, Cooper RS, Banegas JR, et al. Hypertension prevalence and blood pressure levels in 6 European countries, Canada, and the United States. JAMA 2003; 289(18): 2363-9.
11. Zdrojewski T, Wyrzykowski B, Szczech R, et al. Steering Committees of the programmes NATPOL PLUS, SMS, the Polish 400-Cities Project. Blood Press Suppl 2005; 2: 10-6.
12. Volpe M, Tocci G, Trimarco B, et al. Blood pressure control in Italy: results of recent surveys on hypertension. J Hypertens 2007; 25(70): 1491-8.
13. SAS/STAT User’s Guide, Version 6, Fourth Edition, Vol.1 & 2, SAS Institute Inc., Cary, NC, USA, -1990.
14. С.А Шальнова, А.Д.Деев, Ю.А.Карпов. Артериальная гипертония и ишемическая болезнь сердца в реальной практике врача кардиолога. Кардиоваск тер профил 2006; 2: 73-80.
Review
For citations:
Shalnova S.A., Deev A.D., Vikhireva O.V. Arterial hypertension: ambulatory patients’ point of view. First results of GARANT Study. Cardiovascular Therapy and Prevention. 2007;6(5):30-33. (In Russ.)
Views:
1832
Email this article 
