[Arterial hypertension in aged patients in practice of therapists of the Ivanovo region].
The authors analyse current practice of management of elderly patients with arterial hypertension in medical institutions of the Ivanovo region to find out factors impeding introduction of modern approaches to treatment of the hypertensive elderly. Medical documents were analysed for aged 291 outpatients and 178 inpatients with arterial hypertension (AH). 100 physicians filled in questionnaires. The following data were obtained: 91% physicians are sure about age-specific standards of arterial pressure; 85% physicians make their decision on elderly hypertensive patients' treatment basing on diastolic pressure; the necessity of AH treatment in the elderly is supported by only 6% physicians; nonpharmacological treatment of AH in practiced in 9% elderly patients; 40, 39, 28 and 16% patients receive ACE inhibitors, calcium antagonists, beta-blockers, diuretics, respectively; the percentage of unjustified hospitalizations is high; target arterial pressure was reached only in 0.9% hypertensive aged patients. It is concluded that the impeding factors for updating AH treatment in the region studied are the following: lack of information, stereotypes in medical practice, uneffective organization of medical aid for aged patients with hypertension.
Shutemova
E A
EA
Nazarova
O A
OA
Gridnev
V V
VV
Barochkina
O Iu
OIu
D000368:Aged; D000959:Antihypertensive Agents / Q000145:classification / Q000627:therapeutic use*; D002391:Catchment Area, Health; D006296:Health Services / Q000592:standards*; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000453:epidemiology; D008875:Middle Aged; D010818:Practice Patterns, Physicians'; D012426:Russia / Q000453:epidemiology
D000959:Antihypertensive Agents