Analysis of the severity of target-organ leasions in patients with arterial hypertension by means of united information system

The aim of our study was the analysis of target organ leasions in patients with arterial hypertension (AH) without regular treatment. 74 patients with arterial hypertension (AH) were investigaed (40 female, 34 male; 5 were 18-40 years old, 28 - 40-50 years old, 27 - 50-60 years old, 14 - over 60 years old). On the basis of the National Recommendations, a questionnaire for the patient with AH was designed, followed by its elec­tronic version. The peculiarities of the disease were analyzed, as well as it’s therapy, accompanying diseases, risk factors, the patients’ working conditions, character features, lifestyle, physical activity, and gynecological anamnesis of the female patients. The following information was collected: physical examination, urine ana­lyzes, creatinine, blood lipids, electrolytes, glucose, fibrinogen, ECG, EchoCG, kidney ultrasound exanima­tion, ECG monitoring (31 patients), aortal arch ultrasound examination (48). All the data were collected in the united information space, and the main databank of the whole system was available for search. All results were presented automatically to allow selecting the most informative ones and analyzing the changes during monitoring, and a number of values were calculated automatically. The first stage of the disease was found in 10 patients, the second stage - in 38, the third stage - in 26. The risk digree was low in 5 patients, middle in 3, high in 29, and very high in 37 patients. With the help of the information system target organ lesions were analyzed based on the AH history (under 5 years - in 27 patients, 5-10 years - in 22, over 10 years - in 25 patients). The influence of risk factors on the severity of the disease was evaluated at different AH stages. We came to the following conclusions: the patient’s complaints had to do with target organ lesions, most of the patients had stage 2 or 3 of the disease because of the accompanying ischemic heart disease or cere­bral atherosclerosis, and most of them were in the high or very high risk groups because of multiple target organs lesions, multiple risk factors and high levels of arterial pressure. The ambulatory patients with AH need regular ECG monitoring and aortal arch ultrasound examination. Information systems are required for a bet­ter organization of AH patients monitoring.