Актуальні проблеми сучасної медицини: Вісник Української медичної стоматологічної академії, Том 23, вип. 1 (81)
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Перегляд Актуальні проблеми сучасної медицини: Вісник Української медичної стоматологічної академії, Том 23, вип. 1 (81) за Ключові слова "616.12-008.331.1"
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Документ Comparative analysis of the prevalence of normotension and hypertension in diagnosis of arterial hypertension accordingto esc/esh (2018) and acc/aha (2017) diagnosis in people with normal glucose metabolism, prediabetes and type 2 diabetes(Полтавський державний медичний університет, 2023) Isgandar, M. A.; Gurbanov, Y. Z.; Huseynova, N. N.; Sultanova, S. S.; Mirzazade, V. A.The comorbidity between hypertension with diabetes leads to an increase in the risk of death and cardiovascular events by 44% and 41%, respectively, compared with 7% and 9% risks in people suffering only from diabetes and having no hypertension. Purpose. To determine the effect of the criteria for the diagnosis of hypertension proposed by ACC/AHA (2017) and ESC/ESH (2018) on the detection of this disease in people with normal carbohydrate metabolism, prediabetes and type 2 diabetes mellitus. Materials and methods. A retrospective analysis of the database of the Azerbaijan Association of Endocrinology, Diabetology and Therapeutic Training was carried out. The data of 596 examined patients were analyzed, then three main groups were formed: a group with normal carbohydrate metabolism (n=99), a group with prediabetes (n=47), a group with type 2 diabetes mellitus (n = 450). The patients included in the study were divided into 2 samples: those, who have DM2; those, who have no DM2. Including the patients in the group of with DM2 was based medical history data about the presence of DM2 and / or taking hypoglycemic drugs. Results. When applying the ACC/AHA criteria (2017), normotension (systolic blood pressure <130 mmHg and diastolic blood pressure <80 mmHg) occurred in 40.4% (95% CI 30.69%; 50.12) of the control group, while 59.6% (95% CI 49.88; 69.31) there was arterial hypertension. 14.9% of the prediabetes group (95% CI 4.60%; 25.18)% had normotension according to the same criteria, while the majority of the participants in this group – 85.1 (95% CI 74.82; 95.40)% had arterial hypertension. In the type 2 diabetes mellitus group, normotension was found in 15.8 (95% CI 12.41%; 19.15)%, and arterial hypertension – in 84.2 (95% CI 80.85; 87.59)%. Thus, arterial hypertension was statistically significantly less common in the control group than in prediabetes (p <0.01) and type 2 diabetes mellitus (p <0.001). Conclusion. Thus, in people with normal carbohydrate metabolism, prediabetes and type 2 diabetes mellitus, the use of ACC/AHA diagnostic criteria (2017) led to a statistically significantly higher incidence of hypertension than when using the criteria for the diagnosis of hypertension according to ESC/ESH (2018).