Outpatient prophylaxis and treatment of arterial hypertension with application of mobile telephone systems and internet techniques


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Abstract

Aim. To compare clinical efficacy of standard outpatient follow-up of hypertensive patients with efficacy of such follow-up with application of internet techniques and mobile telephone systems (ITMTS).
Material and methods. Two groups of hypertensive patients were examined: group 1 (n = 97, 45% females, age 49±11 years) on one-year ITMTS follow-up; group 2 (n = 102, 50% females, age 51±11 years) on standard one-year follow-up. Clinical efficacy was assessed by the rate of achievement and maintenance of target blood pressure, dynamics of modifiable risk factors (smoking, obesity) for a year.
Results. Withdrawal in group 1 was 36%, target blood pressure was achieved in 77% patients vs 12% in group 2 (p < 0.001).
Conclusion. Introduction of ITMTS technologies into outpatient clinics activity considerably raises efficacy of outpatient treatment of hypertensive patients.

About the authors

Anton Robertovich Kiselev

Email: antonkis@list.ru

Vladimir Aleksandrovich Shvarts

Ol'ga Mikhaylovna Posnenkova

Vladimir Ivanovich Gridnev

Email: gridnev@san.ru

Pavel Yakovlevich Dovgalevskiy

Elena Vladimirovna Oshchepkova

Svetlana Evgen'evna Evstifeeva

A R Kiselev

Research Institute of Cardiology, Saratov

Research Institute of Cardiology, Saratov

V A Shvarts

Research Institute of Cardiology, Saratov

Research Institute of Cardiology, Saratov

O M Posnenkova

Research Institute of Cardiology, Saratov

Research Institute of Cardiology, Saratov

V I Gridnev

Research Institute of Cardiology, Saratov

Research Institute of Cardiology, Saratov

P Ya Dovgalevsky

Research Institute of Cardiology, Saratov

Research Institute of Cardiology, Saratov

E V Oschepkova

Russian Cardiology Research Center, Moscow

Russian Cardiology Research Center, Moscow

S E Evstifeeva

Russian Cardiology Research Center, Moscow

Russian Cardiology Research Center, Moscow

References

  1. Чазова И. Е. Артериальная гипертония и хроническая обструктивная болезнь легких. Consilium medicum 2006; 8 (5): URL: http://www.consilium-medicum.com/article/13107.
  2. Российские рекомендации по профилактике и лечению артериальной гипертонии, 2008 г. Кардиоваскулярная терапия и профилактика. М.; 2008; 7 (6), приложение 2.
  3. Blood Pressure Lowering Treatment Trialists' Collaboration. Effects of different blood pressure-lowering regimens on major cardiovascular events in individuals with and without diabetes mellitus. Results of prospectively designed overviews of randomized trials. Arch. Intern. Med. 2005; 165: 1410-1419.
  4. Bradley H. A., Wiysonge C. S., Volmink J. A. et al. How strong is the evidence for use of beta-blockers as first-line therapy for hypertension? Systematic review and meta-analysis. J. Hypertens. 2006; 24: 2131-2141.
  5. Brewster L. M., van Montfrans G. A., Kleijnen J. Systematic review:antihypertensive drug therapy in black patients. Ann. Intern. Med. 2004; 141: 614-627.
  6. Liu L., Zhang Y., Liu G. et al. The Felodipine Event Reduction (FEVER) Study: a randomized long-term placebo-controlled trial in Chinese hypertensive patients. J. Hypertens. 2005; 23: 2157-2172.
  7. Haynes R. B., McDonald H. P., Garg A. X. Helping patients follow prescribed treatment: clinical applications. J. A. M. A. 2002; 288: 2880-2883.
  8. Ощепкова Е. В., Цагареишвили Е. В., Зелвеян П. А., Рогоза А. Н. Тер. арх. 2004; 4: 90-94.
  9. Waeber B., Vetter W., Darioli R. et al. Improved blood pressure control by monitoring compliance with antihypertensive therapy. Int. J. Clin. Pract. 1999; 53: 37-38.
  10. Cappuccio F. P., Kerry S. M., Forbes L. et al. Blood pressure control by home monitoring: Meta-analysis of randomized trials. Br. Med. J. 2004; 329: 145.
  11. Williams B., Poulter N. R., Brown M. J. et al. Guidelines for management of hypertension: report of the fourth working party of the British Hypertension Society, 2004. J. Hum. Hypertens. 2004; 18: 139-185.
  12. Houston-Miller N. Compliance with treatment regimens in chronic asymptomatic diseases. Am. J. Med. 1997; 102: 43- 49.
  13. Bennett J. W., Glasziou P., Del Mar C., De Looze F. A computerised prescribing decision support system to improve patient adherence with prescribing. A randomised controlled trial. Aust. Fam. Physician 2003; 32: 667-671.
  14. Friedman R. H. Automated telephone conversations to assess health behavior and deliver behavioral intervention. J. Med. Syst. 1998; 22 (2): 95-102.
  15. Hunt J. S., Siemienczuk J., Touchette D., Payne N. Impact of educational mailing on the blood pressure of primary care patients with mild hypertension. J. Gen. Intern. Med. 2004; 19: 925-930.
  16. Schroeder K., Fahey T., Ebrahim S. How can we improve adherence to blood pressure-lowering medication in ambulatory care? Systematic review of randomized controlled trials. Arch. Intern. Med. 2004; 164: 722-732.
  17. Шварц В. А., Гриднев В. И., Киселев А. Р., Посненкова О. М. Клиническая эффективность технологии динамического амбулаторного наблюдения за больными артериальной гипертонией с использованием компьютерной системы и мобильной телефонной связи. Саратов. науч.-мед. журн. 2009; 5 (3): 358-362.
  18. Ощепкова Е. В. Пятилетние итоги реализации федеральной целевой программы "Профилактика и лечение артериальной гипертонии в Российской Федерации" (2002- 2006 гг.). Тер. арх. 2007; 9: 25-30.
  19. Посненкова О. М., Гриднев В. И., Киселев А. Р., Шварц В. А. Клинический аудит качества медицинской помощи больным артериальной гипертонией в поликлинике г. Саратова с использованием компьютерной информационно-аналитической системы. Саратов. науч.-мед. журн. 2009; 5 (4): 548-554.
  20. Ambrosioni E. Pharmacoeconomics of hypertension management the place of combination therapy. Pharmacoeconomics 2001; 19: 337-347.
  21. Хохлов А. Л., Лисенкова Л. А., Раков А. А. Анализ факторов, определяющих приверженность к антигипертензивной терапии. Качеств. клин. практ. 2003; 4: 59-66.

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