[Prevalence of arterial hypertension and efficacy of long-term multifactor prophylaxis in some regions of Russia].

AIM: To study prevalence of arterial hypertension (AH) in relation to gender, age, profession, risk factors (RF), RF combination; efficacy of active long-term multifactor prevention among the employees of industrial enterprises in some regions of Russia.

MATERIAL AND METHODS: 14000 males and 20969 females from industrial enterprises of Cheboksary, Pskov, St-Petersburg were examined. 8974 males and 14515 females worked at enterprises of active intervention (EAI) while 1848 males and 1643 females were employed at comparison enterprises.

RESULTS: Correction of RF conducted at six EAI reduced a mean level of systolic blood pressure (SBP) and diastolic blood pressure (DBP), frequency and intensity of smoking, overweight and cases of RF combination, improved ECG parameters, wellbeing of hypertensive patients, increased number of examinees free of risk factors, decreased number of days of temporary disability. Among EAI employees overall mortality, ishemic heart disease mortality and cerebrovascular disorders fell.

CONCLUSION: Five- and 10-year active multifactor office prophylaxis resulted in reduction of the rate and intensity of RF, number of temporary disability days by 48%. Arterial hypertention, combination of RF in healthy and hypertensive subjects at the start of the trial significantly promoted high all-causes and cardiovascular mortality at all enterprises studied. Active multifactor prophylaxis reduced those mortalities significantly.