Artyukhov I P, Grinshtein Yu I, Petrova M M, Shabalin V V, Ruf R R
Krasnoyarsk State Medical University named after prof. V. F. Voyno-Yasenetsky, Ministry of Health of the Russian Federation, 660022, St., 1. Partizan Zheleznyak, Krasnoyarsk, Russian Federation.
BMC Cardiovasc Disord. 2017 May 26;17(1):138. doi: 10.1186/s12872-017-0559-5.
To estimate the prevalence, awareness, treatment and control of arterial hypertension among adult inhabitants of Krasnoyarsk Krai using the data from Russian multicenter epidemiological study ESSE-RF (Epidemiological Survey of cardiovascular diSEases in different regions of the Russian Federation).
The study included 1603 subjects 25 to 64 years old selected by means of systemic multistage stratified randomization among urban and rural inhabitants of Krasnoyarsk Krai recruited between February 2014 and June 2014. Office blood pressure (BP) was measured twice with "Omron" automated BP device on the right arm in the sitting position in presence of medical personnel. Arterial hypertension (HTN) was defined as systolic BP of at least 140 mmHg and/or diastolic BP of at least 90 mmHg or self-reported previous elevated BP registration or use of antihypertensive treatment. Treatment efficacy was defined as percentage of patients achieved the target BP level among those who received antihypertensive medications, and HTN control as percentage of people achieved the target BP level among all hypertensives.
The gender distribution was 652 males (39.4%) and 951 females (60.6%). The average level of systolic BP was 133.4 ± 0.5 mmHg, diastolic BP - 82.9 ± 0.3 mmHg. The average prevalence of HTN was estimated at 49.4% and appeared to be higher than similar parameter based on the data of 10 regions from the ESSE-RF study (44%). The average prevalence of HTN was estimated at 56.3% in males and 43.7% in females. The HTN prevalence in rural community was significantly higher in comparison with urban community (63.4 ± 2.4 vs. 44.2 ± 1.5%, p < 0.01). The average rate of HTN awareness in Krasnoyarsk Krai was 77.9% (average Russian value from ESSE-RF study was 73.1%). The average use of antihypertensive treatment, its efficacy and HTN control in Krasnoyarsk Krai were estimated at 59.5%, 31.6% and 18.8%, respectively.
Estimated prevalence of HTN in Krasnoyarsk Krai is higher than the average Russian parameter. The average HTN prevalence among men is higher than in women. The rural inhabitants are more likely to have hypertension compared with urban inhabitants. Despite high levels of HTN awareness and antihypertensive medication intake, the antihypertensive treatment efficacy in Krasnoyarsk Krai appeared to be lower in comparison with average Russian ESSE-RF values.
利用俄罗斯多中心流行病学研究ESSE-RF（俄罗斯联邦不同地区心血管疾病流行病学调查）的数据，估算克拉斯诺亚尔斯克边疆区成年居民中动脉高血压的患病率、知晓率、治疗率和控制率。
该研究纳入了1603名年龄在25至64岁之间的受试者，这些受试者是通过系统的多阶段分层随机抽样从2014年2月至2014年6月招募的克拉斯诺亚尔斯克边疆区城乡居民中选取的。在医务人员在场的情况下，使用“欧姆龙”自动血压计在右臂坐位测量两次诊室血压（BP）。动脉高血压（HTN）定义为收缩压至少140 mmHg和/或舒张压至少90 mmHg，或自我报告既往血压升高记录或使用抗高血压治疗。治疗效果定义为接受抗高血压药物治疗的患者中达到目标血压水平的患者百分比，HTN控制定义为所有高血压患者中达到目标血压水平的人群百分比。
性别分布为男性652名（39.4%），女性951名（60.6%）。收缩压平均水平为133.4±0.5 mmHg，舒张压为82.9±0.3 mmHg。HTN的平均患病率估计为49.4% 和，高于ESSE-RF研究中10个地区的数据得出的类似参数（44%）。男性HTN的平均患病率估计为56.3%，女性为43.7%。农村社区的HTN患病率明显高于城市社区（63.4±2.4% 对44.2±1.5%，p<0.01）。克拉斯诺亚尔斯克边疆区HTN的平均知晓率为77.9%（ESSE-RF研究的俄罗斯平均数值为73.1%）。克拉斯诺亚尔斯克边疆区抗高血压治疗的平均使用率、治疗效果和HTN控制率分别估计为59.5%、31.6% 和18.8%。
克拉斯诺亚尔斯克边疆区HTN的估计患病率高于俄罗斯平均参数。男性的平均HTN患病率高于女性。与城市居民相比，农村居民患高血压的可能性更大。尽管HTN知晓率和抗高血压药物摄入量较高，但克拉斯诺亚尔斯克边疆区的抗高血压治疗效果与俄罗斯ESSE-RF研究的平均数值相比似乎较低。
