Back to Search
Start Over
Pharmacological treatment of hypertension and hyperlipidemia in Izhevsk, Russia.
- Source :
- BMC Cardiovascular Disorders; 6/3/2016, Vol. 16, p1-10, 10p, 3 Diagrams, 3 Charts
- Publication Year :
- 2016
-
Abstract
- <bold>Background: </bold>Cardiovascular disease (CVD) is the leading cause of death in Russia. Hypertension and hyperlipidemia are important risk factors for CVD that are modifiable by pharmacological treatment and life-style changes. We aimed to characterize the extent of the problem in a typical Russian city by examining the prevalence, treatment and control rates of hypertension and hyperlipidemia and investigating whether the specific pharmacological regimes used were comparable with guidelines from a country with much lower CVD rates.<bold>Methods: </bold>The Izhevsk Family Study II included a cross-sectional survey of a population sample of 1068 men, aged 25-60 years conducted in Izhevsk, Russia (2008-2009). Blood pressure and total cholesterol were measured and self-reported medication use was recorded by a clinician. We compared drug treatments with the Russian and Canadian treatment guidelines for hypertension and hyperlipidemia.<bold>Results: </bold>The prevalence of hypertension was 61 % (age-standardised prevalence 51 %), with 66 % of those with hypertension aware of their diagnosis and 50 % of those aware taking treatment. 17 % of those taking treatment achieved blood pressure control. The majority (59 %) of those taking treatment were not doing so regularly. Prevalence of hyperlipidemia was 45 % (age-standardised prevalence 40 %), however less than 2 % of those with hyperlipidemia were taking any treatment. Types of lipid-lowering and anti-hypertensive medications prescribed were broadly in line with Russian and Canadian guidelines.<bold>Conclusion: </bold>The prevalence of hypertension and hyperlipidemia is high in Izhevsk while the proportion of those treated and attaining treatment targets is very low. Prescribed medications were concurrent with those in Canada, but adherence is a major issue. [ABSTRACT FROM AUTHOR]
- Subjects :
- CARDIOVASCULAR diseases
PATIENTS
DISEASE risk factors
HYPERTENSION
HYPERLIPIDEMIA
RUSSIANS
DISEASES
CARDIOVASCULAR disease prevention
DRUG therapy for hyperlipidemia
ANTIHYPERTENSIVE agents
ANTILIPEMIC agents
HYPERTENSION epidemiology
BLOOD pressure
CHOLESTEROL
COMPARATIVE studies
DRUGS
HEALTH services accessibility
HEALTH status indicators
RESEARCH methodology
MEDICAL cooperation
MEDICAL protocols
PATIENT compliance
PROBABILITY theory
RESEARCH
RESEARCH funding
RISK assessment
EVALUATION research
TREATMENT effectiveness
DISEASE prevalence
CROSS-sectional method
DIAGNOSIS
Subjects
Details
- Language :
- English
- ISSN :
- 14712261
- Volume :
- 16
- Database :
- Complementary Index
- Journal :
- BMC Cardiovascular Disorders
- Publication Type :
- Academic Journal
- Accession number :
- 115925990
- Full Text :
- https://doi.org/10.1186/s12872-016-0300-9