Effect of varicose veins of the lower extremities on the quality of life and individual features of hemodynamics in outpatients with arterial hypertension

Abstract

The purpose of the study is to study the effect of varicose veins of the lower extremities (VVLE) on the quality of life (QoL) and individual hemodynamic characteristics of outpatients with arterial hypertension (AH). The object of the study were outpatients from a number of polyclinics in Minsk with AH of 1 and 2 degrees and in combination with VVLE with chronic venous insufficiency (CVI) of 0–1 degree. QoL was studied using the Russian-language general RAND-36 questionnaire; hemodynamic phenotypes were assessed by BP parameters using the method for analyzing quantitative relationships of BP parameters (AQRBPP). In the course of the study, it was found that AH of 1–2 degrees negatively affects all spheres of life of patients, moderately reducing QOL indicators on all scales of the RAND-36 questionnaire. LEVV with minimal CVI significantly reduces such QoL indicators as SF (social functioning), BP (bodily pain) and HH (compared to the previous year), which requires appropriate correction. At the same time, VVLE with CVI grade 0–1 does not significantly affect the distribution of hemodynamic phenotypes in patients with AH. The study showed that the use of a set of indicators, including, along with traditional methods of research, the determination of QoL and the functional state of blood circulation according to AQRBPP allows you to better objectify the condition of patients with isolated hypertension and in combination with VVLE, conduct dynamic monitoring on an outpatient basis, individualize and optimize the process of treating these patients.