RESISTANT HYPERTENSION: THE AWARENESS OF DOCTORS AND THE EFFECTIVENESS OF THE COMBINATION THERAPY

Aim. To study the doctor awareness of the criteria of resistant hypertension (RHT) and to evaluate the features of the combination therapy of RTH patients in outpatient clinics. Material and methods. An analysis of medical records of patients with hypertension (n=1000) in 5 outpatient clinics in Mos...

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Main Authors: R. R. Kushkhova, A. G. Avtandilov, A. A. Pukhaeva
Format: Article
Language:English
Published: Столичная издательская компания 2016-05-01
Series:Рациональная фармакотерапия в кардиологии
Subjects:
Online Access:https://www.rpcardio.online/jour/article/view/1235
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author R. R. Kushkhova
A. G. Avtandilov
A. A. Pukhaeva
author_facet R. R. Kushkhova
A. G. Avtandilov
A. A. Pukhaeva
author_sort R. R. Kushkhova
collection DOAJ
description Aim. To study the doctor awareness of the criteria of resistant hypertension (RHT) and to evaluate the features of the combination therapy of RTH patients in outpatient clinics. Material and methods. An analysis of medical records of patients with hypertension (n=1000) in 5 outpatient clinics in Moscow was made. A group of patients (n=126) with difficult to control hypertension 2-3 degrees, that internists considered as RTH, was specified. A survey of internists (n=78) of these outpatient clinics was also performed using a special questionnaire, which included questions on diagnosis and management of patients with RTH.Results. 47% of doctors were not able to give a clear RTH definition. About 75% of internists prefer to increase the drug doses consistently in spite of its low initial efficacy. 20% of physicians used triple combination in the initial treatment of RHT. More than 40% of patients received not enough effective drug combinations.Conclusion. Doctor awareness of RHT diagnostic criteria and management remained insufficient. RHT treatment is carried out with the use of not enough effective antihypertensive combinations and with low doses of drugs.
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series Рациональная фармакотерапия в кардиологии
spelling doaj-art-d7cab43b01a6470fa706b815d7e447922025-08-23T10:00:26ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532016-05-0112217617910.20996/1819-6446-2016-12-2-176-1791202RESISTANT HYPERTENSION: THE AWARENESS OF DOCTORS AND THE EFFECTIVENESS OF THE COMBINATION THERAPYR. R. Kushkhova0A. G. Avtandilov1A. A. Pukhaeva2Russian Medical Academy of Postgraduate Education, MoscowRussian Medical Academy of Postgraduate Education, MoscowRussian Medical Academy of Postgraduate Education, MoscowAim. To study the doctor awareness of the criteria of resistant hypertension (RHT) and to evaluate the features of the combination therapy of RTH patients in outpatient clinics. Material and methods. An analysis of medical records of patients with hypertension (n=1000) in 5 outpatient clinics in Moscow was made. A group of patients (n=126) with difficult to control hypertension 2-3 degrees, that internists considered as RTH, was specified. A survey of internists (n=78) of these outpatient clinics was also performed using a special questionnaire, which included questions on diagnosis and management of patients with RTH.Results. 47% of doctors were not able to give a clear RTH definition. About 75% of internists prefer to increase the drug doses consistently in spite of its low initial efficacy. 20% of physicians used triple combination in the initial treatment of RHT. More than 40% of patients received not enough effective drug combinations.Conclusion. Doctor awareness of RHT diagnostic criteria and management remained insufficient. RHT treatment is carried out with the use of not enough effective antihypertensive combinations and with low doses of drugs.https://www.rpcardio.online/jour/article/view/1235resistant hypertensionawarenesscombined therapy
spellingShingle R. R. Kushkhova
A. G. Avtandilov
A. A. Pukhaeva
RESISTANT HYPERTENSION: THE AWARENESS OF DOCTORS AND THE EFFECTIVENESS OF THE COMBINATION THERAPY
Рациональная фармакотерапия в кардиологии
resistant hypertension
awareness
combined therapy
title RESISTANT HYPERTENSION: THE AWARENESS OF DOCTORS AND THE EFFECTIVENESS OF THE COMBINATION THERAPY
title_full RESISTANT HYPERTENSION: THE AWARENESS OF DOCTORS AND THE EFFECTIVENESS OF THE COMBINATION THERAPY
title_fullStr RESISTANT HYPERTENSION: THE AWARENESS OF DOCTORS AND THE EFFECTIVENESS OF THE COMBINATION THERAPY
title_full_unstemmed RESISTANT HYPERTENSION: THE AWARENESS OF DOCTORS AND THE EFFECTIVENESS OF THE COMBINATION THERAPY
title_short RESISTANT HYPERTENSION: THE AWARENESS OF DOCTORS AND THE EFFECTIVENESS OF THE COMBINATION THERAPY
title_sort resistant hypertension the awareness of doctors and the effectiveness of the combination therapy
topic resistant hypertension
awareness
combined therapy
url https://www.rpcardio.online/jour/article/view/1235
work_keys_str_mv AT rrkushkhova resistanthypertensiontheawarenessofdoctorsandtheeffectivenessofthecombinationtherapy
AT agavtandilov resistanthypertensiontheawarenessofdoctorsandtheeffectivenessofthecombinationtherapy
AT aapukhaeva resistanthypertensiontheawarenessofdoctorsandtheeffectivenessofthecombinationtherapy