Arterial hypertension associated with somatic pathology in present-day practice of internal diseases

Abstract

Dynamics of regional and gender features of occurrence of arterial hypertension associated with diseases of gallbladder, biliary ducts and pancreas for 2003-2011 was analyzed. There researched 23,310 patients (9111 males and 14,188 females) treated in clinic of scientific centre of clinical and experimental medicine SB RAMS. Occurrence of such combination, depending on gender, residence (the Novosibirsk region (NR) or Yakutia) as well as in age subgroups (16-39, 40-59 and over 60) was estimated. Occurrence of arterial hypertension associated with dis eases of gallbladder, biliary ducts and pancreas was observed more in male of Subgroup I, living in NR and Yakutia. In 2003-2008 in female of Subgroup III, living in NR comorbidity pathology was observed more frequently than in male. In Subgroup III in female of NR occurrence of combined pathology was maximum (36.6%) 2006-2008, in female of Yakutia — 38.5% in 2003-2005. Dependence of occurrence of combined pa thology on residence was observed in male. In 2003-2011 in male of Yakutia combined pathology was observed frequently than in male of NR. Occurrence of comorbidity pathology, depending on gender and age was typical for inhabitants of NR. In Group I comorbidity pathology was frequently observed in male, in Group III — in female. It is necessary to develop regional strategies for observing patients with combined pathologies to improve prevention, rehabilitation and treatment of patients with arterial hypertension associated with diseases of gallbladder, biliary ducts and pancreas.