Arterial hypertension: morbidity and mortality in the non-organized Bryansk Region population

Abstract

Aim. To study the incidence of arterial hypertension (AH) and to evaluate AH effects on morbidity and mortality levels, in the presence of associated clinical conditions (ACC), target organ damage (TOD), risk factors (RFs), and various social characteristics, among the nonorganized Bryansk Region population. Material and methods. The study included a representative population sample (n=2435), examined in 2004. Response rate was 83,6%; the age of the participants ranged from 19 to 64 years. Results. AH incidence in men and women reached, respectively, 36,63 and 36,8 per 1000 person-years. In total, 101 deaths were registered, with 45,6% represented by cardiovascular disease (CVD), and 29,7% by coronary heart disease (CHD). Among CVD deaths, 65,2% were coronary deaths. AH incidence was associated with age, hypercholesterolemia, alcohol consumption, heart rate (HR), various RF combinations, high normal blood pressure (BP), and place of residence. Mortality levels were significantly higher in AH patients with ACC, TOD, and RFs. The SCORE-assessed total CVD risk increased to high and very high levels in men aged over 50 years, while in women, moderate risk levels were reached only at the age of 60. Conclusion. Development and implementation of preventive AH programmes should incorporate the assessment of ACC, TAD, and RFs. Place of residence should also be taken into account, since the current epidemiological situation is worse among rural residents.

Keywords

• person-years
• arterial hypertension incidence
• associated clinical conditions
• risk factors
• arterial hypertension
• coronary heart disease