Arterial hypertension registry in Vologda Region

Abstract

Aim. To study implementation experience of arterial hypertension (AH) diagnostics, monitoring, and control technology in Vologda Region primary healthcare system. Material and methods. AH Registry was formed in primary healthcare system by clinic visit principle - blood pressure (BP) measurement in all visitors of out-patient departments and units. The analysis included 2003-2004 data, 45344 BP measurements, and 18656 AH patients. Results. AH prevalence was 41%, with 6% of newly diagnosed AH, and 84,5% of moderate to severe AH. As many as 43,6% of AH men were smokers, comparing to 2,3% of AH women. Obesity rates were 35,9% and 53,2%, hypercholesterolemia rates - 48,3% and 47,6%, respectively. Clinical AH severity was also assessed. Conclusion. Implementing clinic visit-based AH diagnostics technology facilitates dynamic AH control on population level, timely correction of diagnostics, prevention and treatment programs, improved access to and quality of care in rural healthcare settings.

Keywords

• arterial hypertension
• primary healthcare
• rural healthcare system
• epidemiological situation
• risk factors
• prevention
• clinic visits