Funding Acknowledgements Type of funding sources: None. Main funding source(s): - Background / Introduction. Hypertension is one of the most common causes of myocardial infarction and stroke in the Republic of Kazakhstan (RK). Blood pressure (BP) is an easily measured indicator of hypertension. Purpose To assess the effect of various factors on systolic blood pressure (SBP) in patients with hypertension identified at screening. Methods A survey of 354 patients with hypertension identified at screening was carried out and the influence of various factors on SBP was assessed. Results The average age of patients is 54 years [Q1-Q3: 50-54], of which 36.2% are men, 63.8% are women. Middle systolic blood pressure is 140 [Q1-Q3: 130-140] mm Hg. Most of the respondents have varying degrees of obesity. The average body mass index is 31.86 [Q1-Q3: 29.4-31.86]. The average waist is 95 [Q1-Q3: 92-95]. Mean values of total cholesterol. 5.8 [Q1-Q3: 5.6-5.8]. With an increase in age by 1 full years, an increase in SBP by 0.148 mm.Hg. should be expected. In accordance with the coefficient of determination R2 in the resulting model, 0.56% of the factors influencing the value of SBP were taken into account. With an increase in body mass index by 1, a decrease in SBP by 0.059 mm Hg should be expected. In accordance with the coefficient of determination R2 in the resulting model, 0.04% of the factors influencing the SBP were taken into account. With an increase in the waist by 1 cm, an increase in SBP by 0.059 mm Hg should be expected. In accordance with the coefficient of determination R2 in the resulting model, 0.09% of the factors influencing the SBP were taken into account. With an increase in total cholesterol by 1 mmol/l. an increase in SBP by 24.466 mm Hg should be expected. In accordance with the coefficient of determination R2, the resulting model took into account 34.27% of the factors affecting the SBP. The effect of total cholesterol on SBP was statistically significant (p = 0.001) (methods used: Kruskal-Wallis test). Conclusion (s) Thus, the effect of total cholesterol on SBP is statistically significant (p = 0.001). With an increase in total cholesterol by 1 mmol/l. an increase in SBP by 24.466 mm Hg should be expected.
Funding Acknowledgements Type of funding sources: None. Main funding source(s): - Background/Introduction Hypertension is one of the most common causes of myocardial infarction and stroke in the Republic of Kazakhstan (RK). In RK, screening for hypertension is performed with 40-years of age. Purpose To assess the quality of the screening for hypertension. Methods A survey of 354 patients with hypertension identified at screening was carried out. Results The average age of patients is 54 years [Q1-Q3: 50-54], of which 36.2% are men, 63.8% are women. In 66.7% of patients, heredity is burdened. According to the analysis of medical records, 117 (33.1%) patients smoke, while polling the same patients, 175 (49.4%) people smoke, which is 16.3% higher. According to the analysis, 38 (10.7%) patients drink, when we interviewed the same patients, 62 (17.5%) people drink, which is 6.8% higher. According to the analysis, 219 (61.9%) patients perform daily physical activity, according to our data, 111 (31.4%) people, which is 30.5% lower. Middle systolic blood pressure is 140 [Q1-Q3: 130-140] mm Hg. Most of the respondents have varying degrees of obesity. The average body mass index is 31.86 [Q1-Q3: 29.4-31.86]. The average waist is 95 [Q1-Q3: 92-95]. Mean values of total cholesterol. 5.8 [Q1-Q3: 5.6-5.8]. During the electrocardiographic study, changes were identified in 69 patients (32 women, 37 men). Conclusion (s) During the initial questionnaire survey and clinical examination of patients with arterial hypertension at screening in 2015 and comparison with retrospective data, it became clear that such risk factors as tobacco smoking, alcohol consumption and daily physical activity were unreliable. Unfortunately, our work also has limitations and may be subject to subjective error, for example, we were unable to establish contact with the patient and a trusting relationship with the patient, or memory errors.
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