e184 Journal of Hypertension Vol 35, e-Supplement 2, September 2017
involved in the study. Of them, 26 patients (29%) with AH with asthma of mild se-
verity – group I, 34 (37%) with asthma of the average severity- group II, 31 (34%)
- with asthma of severe degree- group III. A group IV of 30 patients with AH 1,2
degree and a group V of 32 patients with separate BA were taken for a compara-
tive analysis. All patients received the controller medication to asthma by inhaled
glucocorticosteroids (IGCS) and b2-agonists short action. There was treatment of
AH with tablet of indapamide 2.5 mg, and patients observed the recommenda-
tions about non- treatment AH therapy. Holter monitor ECG (HM-EKG) on GE
SEER MC Marquette Medical System (USA) was performed to all subjects.
Results: The sinus tachycardia was revealed in patients group I -12% of cases,
group II-18%, and in group III- 58% of cases. In patients of group IV the sinus
tachycardia was detected in 10%, in group V-28%. The significant difference was
between I and III groups (p = 0.002), between the groups V and III (p = 0.01),
between the results of groups IV and III (p = 0,001).
Conclusions: An increase in the number of patients with AH, associated with
asthma, with sinus tachycardia was revealed while bronchial obstruction progres-
sion, so that as confounding factor on influence of cardiovascular and respiratory
pathology against each other.
PP.11.13 THE FREQUENCY AND COMPLEXITY OF CARDIAC
ARRHYTHMIAS IN PEOPLE WITH HYPERTENSION
AND METABOLIC SYNDROME
A. Novakovic1, L.J. Radevic1, S. Djokic-Milojevic2. 1Institute for the workers
medical protection-Nis, Nis, Serbia, 2Hospital Dr Aleksa Savic, Prokuplje, Serbia
Objective: The metabolic syndrome (MetS) is characterized by a cluster of ath-
erosclerotic risk factors. All components of MetS in combination show a close
relationship with cardiovascular events. Objective: To determine the presence,
frequency and complexity of cardiac arrhythmias in individuals with hyperten-
sion (HTA) and MetS.
Design and method: The study included 150 subjects divided into two groups:
the first group (I), n = 100 patients with MS based on the criteria of the Interna-
tional Diabetes Federation, the second (II) healthy subjects, n = 50. In all patients
was done: anamnesis, laboratory analysis, anthropometric measurements, 24-h
ambulatory ECGmonitoring, exercise stress test, echocardiography.
Results: The presence of components MetS is more frequent in group I,p < 0.001.
In the first group the most prevalent MetS components increased waist circumfer-
ence and HTA (100%), in II group elevated triglycerides (56%). Heart rhythm
disorders are registered in 29.33% respondents. Presence of atrial fibrillation (AF)
in the whole sample was higher in males (p < 0.01) and in those older than 65
years (p < 0.05). All heart rhythm disorders prevalent in I group, a significant
permanent (AF), paroxysmal AF (p < 0.01) and ventricular arrhythmia (VA),
p < 0.001. Hypertensive patients was significantly higher incidence of AF, VA,
but generally the presence some of a rhythm disturbances (p < 0.001). Results of
univariate regression analysis showed that obesity increases the probability for
the occurrence of AF 3.61 times, increasing BMI for one unit of measurement to
15%, a rise the number of components of MetS by 73%. As significant predictors
for the occurrence of VES allocated to age, obesity and the number of components
of MetS (p < 0.05). With statistical significance of p < 0.05 increases the prob-
ability for the occurrence of VA in obese to 3.52 times, with an increase in the
number of MetS components for one, increases the probability for the occurrence
of the VES 55%.
Conclusions: Atrial and ventricular heart rhythm disorders are common in pa-
tients with MetS,especially AF and VA. Hypertensive patients were significantly
more prevalent AF and VA. The most important parameters for the occurrence of
AF and VA were obese and the number of components of MetS.
PP.11.14 PREVALENCE OF CARDIOVASCULAR DISEASE
RISK FACTORS AMONG VISITORS OF HEALTH
CENTERS IN 2010–2015
G. Ivanov1, N. Bulanova1,5, M. Nikolaeva1, S. Schelykalina3,4, D. Nikolaev3.
1Sechenov First Moscow State Medical University, Moscow, Russia, 2Peoples’
Friendship University of Russia, Moscow, Russia, 3Federal Research Institute for
Health organization and Informatics of Ministry of Health of the Russian Fed-
eration, Moscow, Russia, 4Pirogov Russian National Research Medical Univer-
sity - Department of Medical Cybernetics and Informatics MBF, Moscow, Russia,
5Central State Medical Academy Management Department of the President of the
Russian Federation, Moscow, Russia
Objective: The aim of our study was to assess the prevalence of hypercholes-
terolemia (HH), obesity, hypertension, high-normal blood pressure and isolated
systolic hypertension (ISH) as cardiovascular disease risk factors among visitors
of Health Centers (HC) in Russia and its regions.
Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.
Design and method: The data of 435299 men and women aged 25–64 years who
visited HC in more than 20 regions of Russia from 2010 to 2015 were analyzed.
Results: The prevalence of HH in men and women was 30,4% and 25,9% con-
secutively, obesity - 15,7% and 21,6%, hypertension - 19,3% and 15,1%. The
prevalence of high-normal blood pressure among visitors of HC aged 20–85 was
17,7% and 14,4% in men and women respectively (total prevalence 15,9%). Prev-
alence of ISH was 6,5% in men, 8,3% in women (total prevalence 7,5%). Stage
1 ISH was observed in 16,6% of women and 16,7% of men (16,7% of sample),
the prevalence of stage 2 was 5.9% in both men and women (5.9% of sample),
stage 3 ISH was in 1,7% of men and 1,8% of women (1,8% of sample). HH and
obesity are found to be more common in women, hypertension - in men. Stan-
dardized evaluation of obesity prevalence varies depending on the region from
10,3% in Kurgan region to 48,5% in Belgorod region, hypertension - from 12,4%
in Kurgan region to 55,0% in Bryansk region, HH - from 24,1% in Moscow to
60,9% in Saratov region. According to the standardized evaluation the prevalence
of obesity, HH and hypertension in Moscow, Kurgan region and Chuvash republic
is lower than in average in Russia. Obesity in Belgorod region (48,5%), hyperten-
sion in Bryansk region (55,0%) and HH in Saratov region (60,9%) are two times
more prevalent than in average in Russia.
Conclusions: Analysis of the cardiovascular risk factors in visitors of the HC in
Russia revealed a favorable situation in Moscow, Kurgan region and the Chuvash
Republic. However, in most regions, the prevalence of obesity, hypertension and
HH is quite high, suggesting the need to enhance measures for the prevention of
cardiovascular diseases, changing lifestyle and food habits, correction of therapy.
PP.11.16 ETHNIC DIFFERENCES IN HYPERTENSION
PREVALENCE, AWARENESS, TREATMENT AND
CONTROL IN THE THREE COUNTRIES: RUSSIA,
KYRGYZSTAN, KAZAKHSTAN
A. Myrzamatova1, A. Kontsevaya, A. Polupanov, A. Halmatov, Y. Iskakov,
A. Kashirin, K. Alikhanova, A. Altymysheva, Y. Balanova. 1National research
center for preventive medicine, Moscow, Russia, 2National research center for
preventive medicine, Moscow, Russia, 3National center of cardiology and inter-
nal medicine, Bishkek, Kyrgyzstan, 4National center of cardiology and internal
medicine, Bishkek, Kyrgyzstan, 5Karaganda state medical university, department
of general practice and nursing, Karaganda, Kazakhstan, 6Samara Regional
Clinical Hospital for War Veterans, Samara, Russia, 7Karaganda state medical
university, department of general practice and nursing, Karaganda, Kazakhstan,
8National center of cardiology and internal medicine, Bishkek, Kyrgyzstan, 9Na-
tional research center for preventive medicine, Moscow, Russia
Objective: Many of countries include large Russian populations from the soviet
time which leave in the environment of other cultures for several generations.High
hypertension prevalence and low control is the common problem for most The
Commonwealth of Independent States countries.
Design and method: This study is cross-sectional epidemiology survey of chron-
ic non-communicable diseases and its risk factors in rural areas of three countries
performed in 2012–2014.Data on representative samples of the rural population
of the Samara region of the Russian Federation(n = 1050),Chui region of the
Kyrgyz Republic(n = 1341)and Karaganda region of Kazakhstan(n = 1807).All
results were age-standardized.The share of Russian population in Kyrgyz and Ka-
zakh samples were 36,8% and 32,9%.
Results: Age-standardized hypertension prevalence in Russia was 40,1%, in
Kyrgyzstan-37,1%, in Kazakhstan-31,8%.It was significantly higher among
women than men(p < 0,01).In Russian region,average SBP was 127,1 ± 12,8
mmHg,DBP was 79,6 ± 13,7 mmHg,without gender differences.In Kyrgyz-
stan we found significant differences in SBP between the Russian and Kyr-
gyz women(129,3 and 123,3 mmHg,p < 0,05),in Kazakhstan there were
significant differences in SBP were observed among Russian and Kazakh
men(127,7vs.122,2 mmHg,p < 0,05). Hypertension awareness was 59,1% in
Russia,53,3% in Kyrgyzstan,54,8% in Kazakhstan(p>0,05).The women were
aware of hypertension more than men in Samara(63,3% vs 55,3%,p < 0,05)
and Kyrgyzstan(60,9% and 42,1%,p < 0,01),in Kazakhstan were no gender
differences(50,6% and 51,1%,p>0,05). Among hypertensive participants, the
percentage of treated hypertension in Samara was significantly higher than in
Kyrgyzstan and Kazakhstan(41,2% vs.26,7%, 25,3%,p < 0,01).In Kyrgyzstan
we found ethnic differences among both genders: in native population (23,8%
women and 13,1% men) hypertension treatment was significantly lower than
in Russian population(36,5% vs.23,7%),p < 0,01.In Kazakhstan there was the
similar picture:(18,8%vs.23,3%,p < 0,05). In Samara 37,1% of adults with
hypertension had controlled BP levels what was significantly higher compared
with residents in Kyrgyzstan and Kazakhstan(23,7% and 22,9%,(p < 0,01)).
In Kyrgyzstan and Kazakhstan were no ethnic differences in hypertension
control(p>0,05).