Heart lesions in individuals with arterial hypertension of various risk levels: the possibility of diagnosis and treatment

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Based on scientific literature and own data, the article discusses the problem of hypertensive heart disease in real outpatient practice and especially in conducting preventive examinations in the working population. It is shown that the use of modern diagnostic methods, in particular electrocardiography with dopplerography, including pulse-wave tissue mode, should be an integral study included in the professional examination, as well as medical examination, which covers an increasing number of the population of our country. Echocardiography should be performed to clarify the cardiovascular risk and confirm the electrocardiographic diagnosis of left ventricular hypertrophy (LVH), left atrial dilatation, or suspected heart diseases (coronary heart disease, atrial fibrillation, other rhythm disorders). It has been shown that concentric LVH is the strongest predictor of an increased risk of heart failure, although the degree of LVH is not always directly related to the degree of hypertension and the duration of the disease.

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About the authors

Anatolii N. Britov

National Medical Research Center for Therapy and Preventive Medicine; Pirogov Russian National Research Medical University

Author for correspondence.
Email: abritov@gnicpm.ru

Russian Federation, Moscow

D. Sci. (Med.), Prof., National Medical Research Center for Therapy and Preventive Medicine, Pirogov Russian National Research Medical University

Elena M. Platonova

Medical Unit №170

Email: abritov@gnicpm.ru

Russian Federation, Korolyov

Cand. Sci. (Med.), Medical Unit №170

Nina A. Eliseeva

National Medical Research Center for Therapy and Preventive Medicine

Email: abritov@gnicpm.ru

Russian Federation, Moscow

Cand. Sci. (Med.), National Medical Research Center for Therapy and Preventive Medicine


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Supplementary files

Supplementary Files Action
Fig. 1. European scheme for assessing the total cardiovascular risk for two categories of countries with low and high baseline risk (Russia is usually referred to the latter).

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Fig. 2. Card for assessing cardiovascular risk in persons with hypertension, depending on the stage of the disease and the degree of increase in blood pressure.

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Fig. 3. Types of LV remodeling according to echocardiography.

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