Features of Hypertension and Coronary Heart Disease Secondary Prevention in the Population of Veliky Novgorod Russia - Cardiovascular Research

By analogy with the “Regular Treatment and Prevention as The Key  to  Improving  CVD  Situation  in  Russia  -  RELIEF”  large-scale  study on assessing the adequacy of the treatment of hypertension and  coronary  heart  disease  and  adherence  of  patients  to  the  doctor’s  recommendations,  in  a  period  from  2012  to  2014  one-time, continuous, clinical and epidemiological study was conducted among 39 first contact physicians in Veliky Novgorod hospitals and 212 patients with a verified diagnosis of hypertension and coronary  heart  disease. Thirtyseven  women  and  73  men  with  the  diagnosis of coronary artery disease were selected and 33 women and 69 men diagnosed with myocardial infarction. All patients were examined clinically taking into account biochemical and functional parameters. To assess the quality of treatment of patients, an open, non-experimental,  descriptive,  cross-sectional clinical and pharmaceutical research of doctors’ prescriptions and  receiving  medications by patients, was conducted. Each patient had two medical record cards. One card was filled in by a doctor - “Doctor’s Card: Patient’s Conditions”; the second - by a patient - “Patient’s card”. The structure of such cards was tested  in  the  course  of  a  federal research in 2006. Statistical and mathematical calculations were performed using Statistica 10 (Russian- language  version,  2012) licensed programme.

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