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

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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


  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.

Copyright (c) 2011 Kiselev A.R., Shvarts V.A., Posnenkova O.M., Gridnev V.I., Dovgalevskiy P.Y., Oshchepkova E.V., Evstifeeva S.E., Kiselev A.R., Shvarts V.A., Posnenkova O.M., Gridnev V.I., Dovgalevsky P.Y., Oschepkova E.V., Evstifeeva S.E.

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