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Russian Journal of Cardiology

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Hypertension control during the COVID-19 pandemic: results of the MMM2021 in Russia

https://doi.org/10.15829/1560-4071-2022-5014

Abstract

Repetitive quarantines and social restrictions during the coronavirus disease 2019 (COVID-19) pandemic have negatively affected the population health in general, and the control of hypertension (HTN) in particular.

Aim. To evaluate the control of HTN in the Russian population during the COVID-19 period based on the results of screening for HTN May Measurement Month 2021 (MMM2021).

Material and methods. During May-August 2021, 2491 participants from 11 Russian regions took part in the screening. Participation was voluntary without restrictions on sex. All participants were over 18 years of age. During the screening, blood pressure (BP) was measured three times using automatic and mechanical BP monitors. In addition, a questionnaire was filled out on behavioral risk factors, comorbidities and therapy. HTN was diagnosed with systolic BP ≥140 mmHg and/ or diastolic blood pressure ≥90 mmHg and/or taking antihypertensive therapy. The questionnaire included questions about prior COVID-19, vaccinations and their impact on the intake of antihypertensive drugs.

Results. The analysis included data from 2461 respondents aged 18 to 92, of which 963 were men (39,1%). The proportion of hypertensive patients was 41,0%, while among them 59,0% took antihypertensives and 30,9% were effectively treated. In comparison with pre-pandemic period according to MMM2018-2019, the higher proportion of HTN patients in the Russian sample was revealed during MMM2021 (41,0% vs 31,3%, p<0,001) with a comparable proportion of patients receiving antihypertensive therapy (60,7% vs 59,0%, p=0,05) and treatment efficacy (28,7% vs 30,9%, p=0,36). Monotherapy was received in 44,7% of cases, while dual and triple combination therapy — in 30,9% and 14,1%, respectively. The majority of respondents (~90%) did not adjust their antihypertensive therapy during the COVID-19 pandemic.

Conclusion. According to HTN screening in Russia, there is persistent ineffective control of HTN, which may be due to both the worsening pattern of behavioral risk factors, limited access to healthcare during COVID-19, and the inertia of physicians and low adherence of patients due to the asymptomatic HTN course in the majority.

About the Authors

O. P. Rotar
Almazov National Medical Research Center
Russian Federation

Oxana P. Rotar - MD, PhD, Head of scientific laboratory “Epidemiology of non-communicable diseases” of Almazov National Medical Research Centre; Leading Researcher of the Research Department of Genetic Risks and Personalized Prevention of the Research Laboratory of Population Genetics of WCRC for Personalized Medicine.

St. Petersburg.

Researcher ID: A-3670-2014
Competing Interests:

No



A. M. Erina
Almazov National Medical Research Center
Russian Federation

MD, researcher of the Research Department of Genetic Risks and Personalized Prevention of the Research Laboratory of Population Genetics of WCRC for Personalized Medicine, contribution: data collection, final approval of the manuscript for publication.

St. Petersburg.

Research ID: AAH-1857-2019
Competing Interests:

No



M. A. Boiarinova
Almazov National Medical Research Center
Russian Federation

St. Petersburg.
Competing Interests:

No



E. V. Moguchaia
Almazov National Medical Research Center
Russian Federation

Ekaterina V. Moguchaya - MD, junior researcher of scientific laboratory “Epidemiology of non-communicable diseases” of Almazov National Medical Research Centre; junior researcher of the Research Department of Genetic Risks and Personalized Prevention of the Research Laboratory of Population Genetics of WCRC for Personalized Medicine.

St. Petersburg.

Research ID: AAH-3802-2019
Competing Interests:

No



E. P. Kolesova
Almazov National Medical Research Center
Russian Federation

MD, PhD, researcher of scientific laboratory “Epidemiology of non-communicable diseases” of Almazov National Medical Research Centre; researcher of the Research Department of Genetic Risks and Personalized Prevention of the research Laboratory of Metabolic Diseases and Microbiot of WCRC for Personalized Medicine.

St. Petersburg.

Research ID: AAH-2492-2019
Competing Interests:

No



K. M. Tolkunova
Almazov National Medical Research Center
Russian Federation

MD, postgraduate student of Almazov National Medical Research Centre; junior researcher of the Research Department of Genetic Risks and Personalized Prevention of the Research Laboratory of Population Genetics of WCRC for Personalized Medicine.

St. Petersburg.

Researcher ID: AAB-4484-2020
Competing Interests:

No



A. R. Gorshevaya
Almazov National Medical Research Center
Russian Federation

3rd year student Almazov National Medical Research Center.

St. Petersburg.

Researcher ID: AGV-7290-2022
Competing Interests:

No



K. A. Kovalenko
St. Petersburg State Pediatric Medical University
Russian Federation

6th year student of the St. Petersburg State Pediatric Medical University of the Ministry of Health of Russia.

St. Petersburg.

Researcher ID: AGV-6204-2022
Competing Interests:

No



E. A. Smirnova
I.P. Pavlov Ryazan State Medical University
Russian Federation

MD, Associate Professor, Head of the Department of Internal Medicine of the Department of Internal Diseases of the I.P. Pavlov Ryazan State Medical University.

Ryazan.

Researcher ID: Y-1235-2018
Competing Interests:

No



Ya. A. Belenikina
I.P. Pavlov Ryazan State Medical University
Russian Federation

MD, Associate Professor of the Department of Internal Diseases of the I.P. Pavlov Ryazan State Medical University.

Ryazan.

Researcher ID: ABC-4551-2022
Competing Interests:

No



I. V. Bikushova
I.P. Pavlov Ryazan State Medical University
Russian Federation

Assistant of the Department of Internal Diseases of the I.P. Pavlov Ryazan State Medical University.

Ryazan.

Researcher ID: ABB-1440-2021
Competing Interests:

No



M. A. Kercheva
Tomsk National Research Medical Center
Russian Federation

MD, Researcher, Cardiologist, Department of Emergency Cardiology of the Tomsk National Research Medical Center.

Tomsk.

Researcher ID: O-7782-2017
Competing Interests:

No



A. V. Svarovskaya
Tomsk National Research Medical Center
Russian Federation

MD, Senior Researcher, Department of Myocardial Pathology of the Tomsk National Research Medical Center.

Tomsk.

Researcher ID: A-8574-2017
Competing Interests:

No



M. M. Petrova
V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University
Russian Federation

DM, Professor, Head of the Department of Polyclinic Therapy and Family Medicine with a PO сourse of the V.F. Voino-Yasenetsky Krasnoyarsk State Medical University.

Krasnoyarsk.

Researcher ID: L-5623-2014
Competing Interests:

No



D. S. Kaskaeva
V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University
Russian Federation

MD, Associate Professor, head teacher. Department of Polyclinic Therapy and Family Medicine with a PO course of the V.F. Voino-Yasenetsky Krasnoyarsk State Medical University.

Krasnoyarsk.

Researcher ID: S-8106-2016
Competing Interests:

No



P. A. Shcherbina
V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University
Russian Federation

6th year student of the V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, contribution: data collection.

Krasnoyarsk.

Researcher ID: AGW-0570-2022
Competing Interests:

No



S. Yu. Nikulina
V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University
Russian Federation

MD, Head of the Department of Faculty Therapy in V.F. Voino-Yasenetsky Krasnoyarsk State Medical University.

Krasnoyarsk.

Researcher ID: N-7054-2014
Competing Interests:

No



A. A. Chernova
V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; Federal Research and Clinical Center
Russian Federation

MD, Professor of the Department of Faculty Therapy in V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; Head of the Department of Science and Innovation of the FSBI FSCC FMBA.

Krasnoyarsk.

Researcher ID: F-3814-2016
Competing Interests:

No



A. V. Levshin
Asinovskaya District Hospital
Russian Federation

MD, Chief Physician of the Asinovskaya District Hospital.

Asino, Tomsk region.

Researcher ID: AGW-9386-2022
Competing Interests:

No



A. O. Shabelsky
Asinovskaya District Hospital
Russian Federation

Doctor of the Department of Medical Prevention of the Asinovskaya District Hospital.

Asino, Tomsk region.

Researcher ID: ACK-3935-2022
Competing Interests:

No



E. I. Zheleznyak
Rostov State Medical
Russian Federation

MD, cardiologist, therapist, rheumatologist, assistant of the Department of Internal Diseases № 2 of the RSMU Rostov state Medical University.

Rostov-on-Don.

Researcher ID: T-6879-2017
Competing Interests:

No



E. A. Kartashova
Rostov State Medical
Russian Federation

MD, cardiologist, internist, rheumatologist, Department of Associate Professor of Internal Medicine № 2 of the RSMU Rostov state Medical University.

Rostov-on-Don.

Researcher ID: T-6259-2018
Competing Interests:

No



Yu. A. Sharapova
N.N. Burdenko Voronezh State Medical University
Russian Federation

MD, Associate Professor of the Department of Hospital Therapy and Endocrinology of N.N. Burdenko Voronezh State Medical University; Associate Professor of the Department of Management in Healthcare of N.N. Burdenko Voronezh State Medical University.

Voronezh.

Researcher ID: AAB-5935-2020
Competing Interests:

No



T. M. Chernykh
N.N. Burdenko Voronezh State Medical University
Russian Federation

Professor of the Department of Hospital Therapy and Endocrinology N. N. Burdenko Voronezh State Medical University.

Voronezh.

Researcher ID: B-6281-2017
Competing Interests:

No



M. V. Derevyanchenko
Volgograd State Medical University
Russian Federation

MD, Associate Professor, Professor of the Department of Diseases of the Pediatric and Dental Faculties, General Practitioner of the Family Medicine Clinic of Volgograd State Medical University.

Volgograd.

Researcher ID: A-1859-2016
Competing Interests:

No



V. V. Fedotov
Volgograd State Medical University
Russian Federation

3rd year student of the 1st group at the medical faculty of Volgograd State Medical University.

Volgograd.
Competing Interests:

No



N. Yu. Shaposhnikova
Volgograd State Medical University
Russian Federation

3rd year student of the 4th group at the pediatric faculty of Volgograd State Medical University.

Volgograd.
Competing Interests:

No



E. R. Makeeva
First-Called Apostle Andrew City Clinical Hospital
Russian Federation

MD, Associate Professor, Physician at the Health Center "Perspektiva" State Healthcare Institution "City Clinical Hospital of the Holy Apostle Andrew the First-Called".

Ulyanovsk.

Researcher ID: AAB-4811-2020
Competing Interests:

No



O. V. Ulitina
First-Called Apostle Andrew City Clinical Hospital
Russian Federation

Head of the Department of the Health Center "Perspektiva" State Healthcare Institution "City Clinical Hospital of the Holy Apostle Andrew the First-Called".

Ulyanovsk.
Competing Interests:

No



M. V. Menzorov
Ulyanovsk State University
Russian Federation

MD, Professor of the Department of Therapy and Occupational Diseases of Ulyanovsk State University.

Ulyanovsk.

Researcher ID: D-8191-2014
Competing Interests:

No



E. M. Dolya
V.I. Vernadsky Crimean Federal University, S.I. Georgievsky Medical Academy
Russian Federation

Associate Professor of the Department of V.I. Vernadsky Crimean Federal University, S.I. Georgievsky Medical Academy.

Simferopol, Republic of Crimea.

Researcher ID: AAB-5326-2020
Competing Interests:

No



A. A. Tanicheva
Almazov National Medical Research Center
Russian Federation

Anastasia A. Tanicheva - Executive Director of the All-Russian Public Organization "Russian Society of Cardiology", participation in the development of the concept of work and design of the study.

St. Petersburg.

Researcher ID: AAC-5213-2020
Competing Interests:

No



A. O. Konradi
Almazov National Medical Research Center
Russian Federation

Aleksandra O. Konradi - MD, PhD, Professor, corresponding member of the Russian Academy of Sciences, vice-director on scientific work of Almazov National Medical Research Centre.

St. Petersburg.

Research ID P-1547-2014
Competing Interests:

No



E. V. Shlyakhto
Almazov National Medical Research Center
Russian Federation

Evgeny V. Shlyakhto - MD, PhD, Professor, Academician of the Russian Academy of Sciences, General Director of Almazov National Medical Research Centre; Director of WCRC for Personalized Medicine.

St. Petersburg.

Research ID A-6939-2014
Competing Interests:

No



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Rotar O.P., Erina A.M., Boiarinova M.A., Moguchaia E.V., Kolesova E.P., Tolkunova K.M., Gorshevaya A.R., Kovalenko K.A., Smirnova E.A., Belenikina Ya.A., Bikushova I.V., Kercheva M.A., Svarovskaya A.V., Petrova M.M., Kaskaeva D.S., Shcherbina P.A., Nikulina S.Yu., Chernova A.A., Levshin A.V., Shabelsky A.O., Zheleznyak E.I., Kartashova E.A., Sharapova Yu.A., Chernykh T.M., Derevyanchenko M.V., Fedotov V.V., Shaposhnikova N.Yu., Makeeva E.R., Ulitina O.V., Menzorov M.V., Dolya E.M., Tanicheva A.A., Konradi A.O., Shlyakhto E.V. Hypertension control during the COVID-19 pandemic: results of the MMM2021 in Russia. Russian Journal of Cardiology. 2022;27(4):5014. (In Russ.) https://doi.org/10.15829/1560-4071-2022-5014

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ISSN 1560-4071 (Print)
ISSN 2618-7620 (Online)

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