[Socio-economic and health organizational problems of emergency and out-patient care for elderly and senile patients with arterial hypertension (according to the sociological monitoring)].

The article contains data about the peculiarities of socio-economic and health-organization factors in the rendering emergency and out-patient care for elderly and senile patients with arterial hypertension. The results of study of satisfaction by medical care quality depending on the age and gender of the patients are discussed. A large number of living alone and widowed patients among elderly patients is marked. About half of the respondents in both groups are low-income; among middle-income respondents a low proportion of the elderly is observed. The majority of patients can be admitted to the doctor in the polyclinic no earlier than 2 to 7 days from the moment of entry. The obtained data should be taken into account when forming a model of medical-social care for patients with arterial hypertension in older age groups.

[Characteristics of antihypertensive therapy in patients of older age groups].

The review presents the data on the characteristics of drug therapy in elderly and senile patients with arterial hypertension in terms of real-life clinical practice. The age and gender differences of these problems are discussed. The pharmacy epidemiologic analysis of antihypertensive therapy shows that nowadays treatment corresponds not fully to modern national and international recommendations about diagnostics and treatment of arterial hypertension. In the treatment of the associate states patients with arterial hypertension do not receive enough beta adrenoblockers, desagreganthy and gypocholesterinemics therapy. The doctors rarely prescribe thiazide diuretics, calcium antagonists, angiotensin II receptors antagonists and the combined forms of medicines. The positive factor is a small fraction of the short-acting preparations, the "old" drugs with poor safety profile used for the treatment of hypertension.

[Incidence of sudden death cases in acute coronary insufficiency and acute myocardial infarction at the pre-hospital stage in Krasnoyarsk]. / Chastota sluchaev vnezapnoi smerti ot ostroi koronarnoi nedostatochnosti i ostrogo infarkta miokarda na dogospital'nom etape v Krasnoiarske.

The impact of improvements in prehospital cardiologic service on total and prehospital mortality associated with acute coronary insufficiency (ACI) and acute myocardial infarction (AMI) and the causes of fatal outcomes is illustrated by a study based on the acute myocardial infarction register involving populations from two city districts between 20 and 69 years of age. Prehospital mortality caused by ACI and AMI is shown to decline with the progress of cardiologic care. The decline is attributed to reduced incidence of some causes of death, such as heart failure and cardiogenic shock. Sudden coronary death (85.1%) remains the principal cause of prehospital mortality.