Key result
Goal blood pressure (<140/90 mmHg) was achieved in only 16.8% of hypertensive patients in the Yaroslavl region, despite 97% receiving antihypertensive therapy.
Cross-Sectional (n=1,794)
Yes
In a Russian regional cohort, blood pressure control was achieved in only 17% of hypertensive patients despite high rates of pharmacological treatment, highlighting a significant gap in effective hypertension management.
BP control remains low despite high treatment rates; leaves open barriers to effective real-world hypertension management.
INTRODUCTION: In Russia, cardiovascular (CV) mortality is the leading cause of death. With the prevalence of hypertension in adults reaching 40%, hypertension is a key priority for health authorities to improve its prevention, diagnosis, and treatment. This requires an evaluation of current clinical practices in order to develop specific improvement initiatives. METHODS: This cross-sectional survey was conducted in 39 outpatient institutions of Yaroslavl region from April to May 2011. A total of 180 physicians (154 general practitioners [GPs]; 26 cardiologists) completed diaries on 10 consecutive patients whose visits were related to hypertension. This survey was approved by the Department of Health and Pharmacy of Yaroslavl region. RESULTS: A total of 1,794 diaries (1,525 from GPs; 269 from cardiologists) were analyzed. The majority of patients were women (60%), mean age was 60 years, and most (97%) were on antihypertensive therapy. Mean blood pressure (BP) was 151/90 mmHg and goal BP (<140/90 mmHg) was achieved in 17% of patients. The distribution of patients' systolic BP (SBP) was: 20% controlled (<140 mmHg), 44% SBP 140-159 mmHg, 26% SBP 160-179 mmHg, and 10% SBP≥180 mmHg. The most common CV risk factors included left ventricular hypertrophy (72% of patients), abdominal obesity (54%), dyslipidemia (48%), family history of early CV events (33%), smoking (24%), and type 2 diabetes (21%). Heart diseases and cerebrovascular diseases were reported in 48% and 15% of patients, respectively, and regular alcohol consumption was mentioned by 37%. CONCLUSION: The majority of patients with hypertension had additional CV risk factors and associated clinical conditions. Blood pressure control rates in Yaroslavl region are similar to those for Russia as a whole, but much lower than countries that have successfully implemented comprehensive hypertension intervention programs, such as Canada.
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Mozheyko et al. (2012) conducted a cross-sectional in Hypertension (n=1,794). Current hypertension treatment practices was evaluated on Achievement of goal blood pressure (<140/90 mmHg). Goal blood pressure (<140/90 mmHg) was achieved in only 16.8% of hypertensive patients in the Yaroslavl region, despite 97% receiving antihypertensive therapy.
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