Prehypertension: How Often This Cardiovascular Condition Occurs in Citizens of European Russia (EPOCH-AH, 2002–2007)
In recent years there has been actively discussed the problem of prehypertension since this arterial pressure level combined with three or more risk factors is a separate stratification index of cardiovascular incidence and mortality rate.
The aim of the investigation was to study the prehypertension prevalence depending on gender and age, state its dynamics and determine the frequency of combinations of various risk factors in European Russia population from 2002 till 2007.
Materials and Methods. Population in nine European Russian subjects was randomized in 2002. The respondents included in the sampling were examined by outpatient physicians. The prevalence of prehypertension and a number of risk factors in respondents were reanalyzed 2007.
Results. 286 outpatient physicians examined 6780 families (14 555 respondents). Prehypertension prevalence in 2002 was 13.7% of the population size, in 2007 the prevalence reached 16.9% (p<0.001). Prehypertension develops reliably more frequently in men than in women that subsequently predetermines earlier formation of arterial hypertension and cardiovascular complications. Age-specific prehypertension prevalence in RF increases in the period from 10 to 60 years, men preserving priority. The number of prehypertensive respondents with three and more risk factors did not change significantly over the period of five years and was 84.2% in 2002 and 65.2% — in 2007.
Conclusion. Prehypertension prevalence in the Russian Federation is high, over 60% of respondents have normal or high normal arterial pressure level and three and more hypertension risk factors that is a major medical and social problem for the country.
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