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    T.A. Deriyenko, I.V. Shop, T.M. Tykhonova, T.S. Glavatskih, Yu.V. Levadna, K.V. Shepitko

    DETERMINATION OF FACTORS EFFECTING ACHIEVEMENT OF THE TARGET BLOOD PRESSURE LEVEL IN PATIENTS WITH ARTERIAL HYPERTENSION AFTER THE ELECTRIC CARDIAC PACEMAKER IMPLANTATION


    About the author: T.A. Deriyenko, I.V. Shop, T.M. Tykhonova, T.S. Glavatskih, Yu.V. Levadna, K.V. Shepitko
    Heading CLINICAL MEDICINE
    Type of article Scentific article
    Annotation The total of 119 patients (62 men and 57 women) aged 69.5±11.6 were observed at the one-year stage of maintenance drug therapy after implantation of electric cardiac pacemaker in DDD / DDDR, VVI / VVIR modes. Patients were divided into 3 groups with 1, 2 and 3 grades arterial hypertension. To determine the factors affecting the achievement of target blood pressure in patients with arterial hypertension after implantation of a pacemaker, potential factors that could be associated with achieving blood pressure control were compared. They were identified using univariate log-regression analysis and multivariate log-regression analysis. The results showed that the frequency of reaching the office arterial pressure, BP<140/90 mm hg, correlated with DDD, DDDR, VVI, VVIR pacemaker modes. In patients with implanted pacemaker, the most effective modes of antihypertensive therapy were the appointment of dual antihypertensive therapy: combination with an angiotension-converting enzyme inhibitor or angiotensin II receptor blocker with calcium channel-blocking agent and an angiotension-converting enzyme inhibitor or angiotensin II receptor blocker with diuretic.
    Tags arterial hypertension, cardiac pacing, correlation
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    Publication of the article «World of Medicine and Biology» №4(74), 2020 year, 40-44 pages, index UDK 616.12-008.331.1-085.225-036:615.817
    DOI 10.26724/2079-8334-2020-4-74-40-44