UDK: 616.12-008.331.1:616.379-008.64

ASSESSMENT OF ACHIEVEMENT OF THE TARGET LEVEL OF BLOOD PRESSURE IN PATIENTS WITH HYPERTENSION AND TYPE 2 DIABETES WITHOUT MANIFESTED MICRO-AND MACROVASCULAR COMPLICATIONS IN OUTPATIENT PRACTICE

S.V. Nedogoda, A.V. Sabanov

ФГБОУ ВО «Волгоградский государственный медицинский университет» Министерства здравоохранения Российской Федерации, кафедра терапии и эндокринологии ФУВ

Abstract

Aim. To evaluate the background which antihypertensive therapy the most frequently achieved target blood pressure (BP)level in patients with hypertension and type 2 diabetes mellitus without manifested micro- and macrovascular complications in outpatient practice. Materials and methods. An open nonrandomized observational study wits analysis of primary medical records of patients was performed. Results. The data of 170 patients meeting the inclusion criteria were analyzed. Only 60 of patients reached the target BP level. In this case, slow calcium channel blockers (SCCB) and beta-blockers (BB) were most often prescribed – in 25,8 and 23,4 %, respectively. Angiotensin converting enzyme inhibitors (ACEI) and angiotensin II receptor blockers (ARBs) were prescribed in 14,5 and 15,3 %, respectively. Fixed combinations (FC) prescribed in 15,4 % cases, most often this were diuretics combined with ACEI or ARBs. Conclusion. In the study group the target level of BP was reached in 35,3 % cases. Most often it was achieved against the background of two- and three-component therapy (31,7 and 45 %, respectively). FC were appointed only in 15,4 % cases. Low frequency of ACEI and ARBs prescriptions, which should be firstline drugs in these patients, was revealed.

Keywords

arterial hypertension, diabetes mellitus, combination therapy, target blood pressure level.

Contacts

Сабанов Алексей Валерьевич – д. м. н., профессор кафедры терапии и эндокринологии ФУВ, Волгоградский государственный медицинский университет, e-mail: sabanov@yandex.ru