№ 4 / 2016 / 82-89

The connecting factors of cardiovascular risk in appearance of vascular events in patients with arterial hypertension (myocardial infarction/stroke)

Author: Usacheva E.V.¹, Mikhaylova L.V.², Nelidova A.V.³, Zamakhina O.V.⁴, Mogilevskaya I.Yu.⁵

Abstract

The aim of the study was to establish the prevalence of the factors of cardiovascular risk in patients with arterial hypertension, depending on the availability of the anamnesis of vascular events (myocardial infarction / stroke). Materials and methods. The cross-sectional study included 60 patients with arterial hypertension aged 59.2 ± 9 years. The group 1 consisted of 20 patients with myocardial infarction, the group 2 was composed of 21 patients with stroke, the group 3 consisted 19 patients without vascular events in anamnesis. Results and discussion. Among the patients with myocardial infarction, the proportion of men (80 % vs. 20 %, p = 0.05), the proportion of smokers (65 % vs. 48 %, p = 0.054), the proportion of people who have diabetes (40 % vs. 24 %, p = 0.026), the proportion of non-disabled people of working age (20 % vs. 0 %, p = 0.014), the proportion of individuals who have high levels of stress (30 % vs. 19 %, p = 0.049) were higher compared to the patients with stroke. Patients underwent stroke, have the higher degree of arterial hypertension (patients have grade III 80 % vs. 60 %, p = 0.036) compared with patients with myocardial infarction; they are older (62.5 ± 10 years vs. 56.1 ± 10 years, p = 0.039), have a very low adherence to antihypertensive therapy (14 % vs. 42 % of patients with high adherence, p = 0.05) compared with patients without vascular events in anamnesis. The reasons for the continued high total cardiovascular risk in patients with arterial hypertension are: inadequate control of blood pressure, cholesterol and inadequate adherence to antihypertensive therapy. This article describes the clinical phenotypes of patients with arterial hypertension, while using which we can assume the probability of development of the vascular event and develop individual measures to prevent its development by targeting the correction factors of cardiovascular risk.

Key words

arterial hypertension,, stroke, myocardial infarction, stress, factors of cardiovascular risk, cardiovascular events, adherence to therapy

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About Authors (Correspondence):

Usacheva E.V. – candidate of medical sciences, assistant professor of the chair for diagnosis of internal diseases, e-mail: ElenaV.Usacheva@yandex.ru

Mikhaylova L.V. – candidate of medical sciences, assistant professor of the chair for diagnosis of internal diseases

Nelidova A.V. – candidate of medical sciences, assistant professor of the chair for diagnosis of internal diseases

Zamakhina O.V. – assistant of the chair for diagnosis of internal diseases

Mogilevskaya I.Yu. – 6-year student of pediatric faculty

Received: 31/08/2016