[PP.30.04] ROLE OF EDUCATION IN PREVENTION OF ARTERIAL HYPERTENSION IN ST.PETERSBURG

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Abstract

Objective:

Screening of healthy subjects and prevention programs are considered the best instruments effectively improving hypertension awareness and control worldwide. Education is an important part of hypertension management. The aim of the present study was to assess efficacy of special schools for hypertensive subjects and preventive out-patients departments.

Design and method:

The analysis of the results of testing 296871 patients with arterial hypertension according to the information of medical analytical centre, 27 offices of prevention of arterial hypertension and 74 schools of health were organized since 2006 in out-patient polyclinic network. Since 2009 68000 patients passed training in the arterial hypertension schools.

Results:

The cardiovascular events was decreased from 440.9 per 1000 in 2009 to 406.4 in 2011 and 336.0 in 2012. The incidence of arterial hypertension has declined to 108.5 in 2012, compared to 126.5 in 2011 and 142.7 in 2009. In 2011–2013 the blood pressure targets was achieved in 25.5% of patients with arterial hypertension against 14.8% in 2009–2011 years. The prevalence of main cardiovascular risk factors decreased as well: hyperglycemia by 8.1% (2011–2013) against 2.5% (2009–2011), dyslipidaemia by 4.9% (2011–2013) against 2.5% (2009–2011, smoking by 9.1% (2011–2013) against 4.1% (2009–2011) respectively. The physical activity was not changed. Every year about 5000 of newly detected patients with arterial hypertension were included in educational programs.

Conclusions:

The lifestyle changes safely and effectively delay or prevent hypertension in non-hypertensive subjects, contribute to reductions blood pressure to the target level in hypertensive individuals already on medical therapy and control of cardiovascular risk factors in real clinical practice.

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