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On the basis of the surveys carried out the authors showed inferior quality and low efficiency of dispensarization of patients with cardiovascular diseases, which fact is traceable back to obsolete criteria for assessment of physicians' preventive activities, lack of association between the results on securing dispensarization and economic parameters, and shortage of medical experts in preventive cardiology. It is necessary that the established priorities of activities in administration of prophylaxis of cardiovascular diseases and complications from these be reconsidered, cerebrovascular pathology in the presence of arterial hypertension and without it given more importance, multicenter programmes on prophylaxis of chronic non communicable diseases developed and inaugurated, with a possibility of these being included into international projects.

On the grounds of own and obtained from literature data the authors assert that under conditions of out-patient departments detection of subjects with high risk of sudden death among cardiological patients remains unsatisfactory. System of organizational diagnostic and therapeutic measures is suggested with the view to improve effectiveness of sudden death prevention in patients with cardiovascular diseases.

It was found that the dynamics of mortality from ischemic heart disease showed a negative tendency among the population of Kiev as compared with urban population of other cities of Ukraine. An increase was noted of mortality among the workable population of Kiev and also of the non-hospital mortality.

An analysis is presented of the status of arterial hypertension prophylaxis in the Ukraine. Drawbacks in solution of this problem are discussed: diagnosis is incomplete, prophylactic management of hypertensive disease is inadequate. Ways and means of improving the diagnosis and prophylaxis of hypertensive disease in the Ukraine including better remuneration of the medical personnel and interests of the population in preserving their health are discussed.

The authors analyzed 255 case records of patients with symptomatic arterial hypertension treated in the Clinics of the Kiev Research Institute of Cardiology in 1985-1986 with the purpose of differential diagnosis of AH on the out-patient stage. It is concluded that the outpatient level of diagnosis was insufficient mainly due to the subjective character.