THE OPTIMIZATION OF TREATMENT OF ESSENCIAL ARTERIALHYPERTENSION IN EAST KAZAKHSTAN

Abstract

Introduction.Despite the successes achieved in the treatment of essential hypertension (AH), the problem of treatment
of resistant hypertension remains urgent.
In this regard, in many countries around the world, innovative non-drug method of sympathetic denervation of renal
arteries using high frequency currents has been widely spread.
Aim. To determine efficacy of sympathetic denervation of renal arteries for the course of resistant hypertension
according to the materials of the cardiological department of the University Hospital.
Materials and methods. 86 patients with resistant hypertension were examined and treated during 2014-2017 with the
use of a method of catheter sympathetic denervation of renal arteries together with permanent antihypertensive therapy. AH
monitoring was performed during the entire period of inpatient treatment, and also during the subsequent 3-6 months after
the procedure. Statistic analysis of getting information was carried with SPSS program 12.0.2 for Windows.
Results: It was found that in most cases the application of the above method allows to achieve the target blood pressure
level in the next few months after the procedure, accompanied by the need to reduce the daily doses of constantly used
medications.

Conclusions: The use of catheter sympathetic denervation of renal vessels in resistant hypertension is a highly effective
method of its treatment, which allows improving the quality of life of patients.