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Published on: May 3, 2018
[FEATURES OF ARTERIAL HYPERTENSION IN THE WORKING POPULATION]
G Mershenova1, M Kossybayeva1, B Chancharov1
1Karaganda State Medical University, Republic of Kazakhstan.
Insights
Arterial hypertension in Karaganda
Area of Science:
- Cardiology
- Public Health
- Occupational Medicine
Background:
- Arterial hypertension is a significant public health concern, particularly within the working population.
- Understanding the clinical features and risk factors is crucial for effective management and prevention strategies.
Purpose of the Study:
- To investigate the clinical characteristics of arterial hypertension among the working population in Karaganda.
- To identify prevalent risk factors and their association with hypertension severity in this demographic.
Main Methods:
- A retrospective analysis of 500 patients (250 base, 250 control) aged 18-63 with arterial hypertension.
- Inclusion criteria: Grades 1-3 hypertension, dynamic arterial pressure measurement, informed consent.
- Methods included analysis of patient records and physical examinations (anthropometric indicators).
Main Results:
- The study group exhibited a higher prevalence of hypertension risk factors, notably hypercholesterolemia and dyslipidemia, in half of the cases.
- Hypertension severity correlated with age and illness duration, showing a trend towards more pronounced hypertension in men.
- Slavic men showed more severe hypertension (grades 1-3) compared to Kazakh men (grades 1-2).
- Night and mixed work schedules were associated with hypertension grades 2-3.
Conclusions:
- Hypercholesterolemia and dyslipidemia are key risk factors for arterial hypertension in the working population.
- Age, gender, ethnicity, and work schedules influence hypertension severity and presentation.
- Targeted interventions addressing these risk factors are essential for managing arterial hypertension in Karaganda's workforce.
Abstract:
Purpose of the research was to study clinical features of arterial hypertension in the working population in Karaganda. The number of participants (500 patients): base group (250 patients) and control group (250 patients). The criteria for inclusion (age and gender characteristics, diseases/conditions and etc): age from 18 to 63 years; presence of arterial hypertension 1, 2 and 3 grades; possibility to measure the arterial pressure in dynamic; patients, who agreed to participate in the research work (the existence of informed consent). The criteria for an exception: children under 18 years, pregnant, the patient's refusal to participate in the research work. Methods of research - retrospective analysis of patients card in base and control groups at the working population of the city of Karaganda; physical examinations (anthropometrical indicators) in base and control groups. The processing and analysis of materials was conducted by using the average values and their standard errors. Significance of differences of independent sets of were estimated with parametric and nonparametric methods. In the study group compared with control were more common all the risk factors of hypertension, especially hypercholesterolemia and dyslipidemia in half of the cases in patients with arterial hypertension working age. We believe that the main factors of risk in arterial hypertension are hypercholesterolemia and dyslipidemia with combination in other factors, affecting mainly on the course and outcome of hypertension. Degrees of hypertension was dependent from age of patients and duration of illness, there was a trend more pronounced degree of hypertension in men than in women. In men with slavic nationality was more pronounced hypertension 1,2 and 3 degree, while in Kazakh nationality men often was observed hypertension 1, 2 degree. The degree of hypertension in the study group depending on the mental and physical labor did not observed. Hypertension 2-3 degrees was observed at workers with the night and the mixed mode of operation.
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Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.

