THE EXPERIENCE OF A UNIFIED QUESTIONNAIRE USE FOR THE SREENING OF VARIOUS TYPES OF CERBROVASCULAR DISEASES IN PATIENTS WITH ARTERIAL HYPERTENSION AT THE GENERAL PRACTITIONER OFFICE

Abstract

Aim. To assess the effectiveness of the use of a unified questionnaire for various cerebrovascular diseases types screening (CVD) in patients with arterial hypertension (AH) of middle age that are under general physician observation.Material and methods. Totally257 pts. screened with AH 1-3 grade, admitted general physician “by any complaint”. The survey performed with a unified questionnaire that includes questions for the chance of acute CVD types onset in anamnesis and chronic types at the moment of screening, questions on the chest pain assessment with exertion, and intermittent claudication, ECG registered withMinnesotacoding. Diagnosis verification was done by independent physicians — neurologist and cardiologist, who ordered additional investigation methods.Results. Various CVD types were diagnosed in 148 (57,6%) patients with AH, including acute types in anamnesis — in 21 (8,2%), chronic at the moment of study — in 53 (20,6%), acute and chronic — in 74 (28,8%). Previously nondiagnosed types found in 20,2% of patients. Hypertensive cerebral crisis (HCC) before the beginning of study was mentioned in the patient’s chart in 4 (1,6%) patients, in 72 (28,0%) cases this diagnosis was set first time with the unified questionnaire.Conclusion. The usage of unified questionnaire in AH patients increases the rate of finding of chronic cerebrovascular pathology and HCC, that are interesting for the prevention of stroke. The questionnaire can be used in polyclinics conditions, including screening of adult population.

Keywords

• unified questionnaire
• arterial hypertension
• cerebrovascular diseases