THE PREVALENCE OF ARTERIAL HYPERTENSION AND THE SPECIFIC FEATURES OF DEVELOPMENT OF LEFT VENTRICULAR HYPERTROPHY IN RADIATION-EXPOSED PERSONS

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Abstract

Moscow Aim – to study the prevalence of arterial hypertension (AH) and left ventricular hypertrophy among male liquidators (ML) of Chernobyl accident consequences and a group of unorganized males (UM) from one of the Moscow regions. Materials and methods. The results of examining a random representative sample of three hundred and ninety-five 35–64-year-old Mos-cow Registry MLs of Chernobyl accident consequences (n = 395; 79 % response rate) were analyzed. A random sample of males from one of the Moscow regions (n = 382; 70 % response rate) was used to make up an age-matched comparison group.Results. The age-adjusted prevalence rate (AAPR) of AH according to the expanded WHO criteria (> 140/90 Hg mm) was substantially higher among MLs than among UMs (64.9 and 54.7 %, respectively; p < 0.01). The prevalence of AH was associated with the men’s age in both populations. Thus, this among MLs and UMs in the 35–44 year age group was 54.6 and 47.2 %, respectively and in the 55–64 year age group 80 and 62.2 % (i.e. the incidence of AH increased by 1.3 (р < 0.01) and 1.2 (р < 0.05) times, respectively). Conclusion. AAPR of AH among the liquidators was significantly higher than that in the control group (64.9 % versus 54.7 %, respectively). In the compared groups, that of left ventricular hypertrophy did not differ and was 25 and 25.6 %, respectively; significant differences were found in the degree of left ventricular hypertrophy: certain (concentric) left ventricular hypertrophy was more common in the liquidators than in the comparison group (12.9 % versus 7.4 %, respectively). In the ML group compared to the control group, there was much higher awareness of having AH (59.1 % versus 46 %, respectively), drug treatment was performed in 38.7 % versus 7.9 %; effective BP control in the patients was 13.1 % versus 4.7 %, respectively.

About the authors

S. K. Kukushkin

State Research Center of Preventive Medicine, Ministry of Health of Russia, Moscow;
I.M. Sechenov First Moscow State Medical University, Moscow;

Author for correspondence.
Department of Evidence-Based Medicine Russian Federation

E. A. Martynchik

Research Institute of Public Health and Health Care Management, I.M. Sechenov First Moscow State Medical University

Russian Federation

E. M. Manoshkina

State Research Center of Preventive Medicine, Ministry of Health of Russia, Moscow
Moscow State University of Medicine and Dentistry, Moscow

Hospital Therapy Department One, Medical Faculty Russian Federation

A. Yu. Kharitonov

State Research Center of Preventive Medicine, Ministry of Health of Russia, Moscow

Russian Federation

V. M. Shamarin

State Research Center of Preventive Medicine, Ministry of Health of Russia, Moscow

Russian Federation

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