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SCIENTIFIC-PRACTICAL PEER-REVIEWED MONTHLY JOURNAL.
INSTITUTION OF MINISTRY OF PUBLIC HEALTH OF THE REPUBLIC OF BELARUS

FORECASTING TOTAL NUMBER OF STROKES, HEART ATTACKS AND LETHAL OUTCOMES IN PATIENTS WITH ARTERIAL HYPERTENSION

Objective. To develop a method for medium-term forecasting of the total number of strokes, myocardial infarctions, and fatal outcomes in patients with arterial hypertension, grade II (risk 2-3) taking into account the assessment of the heart rate variability and turbulence, the left atrial, and the left ventricular parameters.

Materials and methods. The study included 214 patients with arterial hypertension of grade II degree aged 35 to 70 years including 121 women (56.5%) and 93 men (43.5 %). Holter monitoring was conducted in all patients to assess the heart rate variability and turbulence. The left atrium and the left ventricle parameters were evaluated during electrocardiography and echocardiography. The statistical analysis of the results has been made using the Statistica 10.0 and IBM SPSS Statistics 23 analytical packages.

Conclusion. The method developed for medium-term prognosis of the total number of myocardial infarctions, strokes, deaths can be used to individualize the risk assessment helping to improve the treatment and preventive actions and make better the treatment outcomes.

Authors: T. V. Aleynikova