Results of a study on the disease and mortality of arterial hypertension in the population of Ulaanbaatar

Abstract

According to the 2019 study conducted by the hypertension is leads the list Global Burden of disease. In Mongolia, hypertension accounted for an average of 46,9 percent and an increase of 2.8 percent in the last 10 among cardiovascular diseases. Hence in our study we examined the morbidity of hypertension in the population of Ulaanbaatar between 2008 and 2019, dynamic changes of mortality and the climatic factors influencing it, using the retrospective descriptive analysis to the dynamic changes in outpatient and inpatient morbidity and mortality. In Ulaanbaatar, 262,469 outpatients were diagnosed for hypertension during 2008-2019, of which 65% were women, 35% were men, and the average age was 58. Among them 81% of outpatients were diagnosed with primary arterial hypertension, 14.2% with hypertensive heart disease, 1.8% with hypertension renal disease, 0.3% with hypertension heart and renal disease, and 2.7% with secondary hypertension. Besides that, 629 people died from arterial hypertension in Ulaanbaatar, between 2014 and 2019, of which 347 were women (55.2%) and 282 were men (44.8%). In terms of districts, the highest rates are in Bayanzurkh district 156 (24.8%), Songinokhairkhan district 179 (28.5%) and Khan-Uul district 122 (19.4%). As for death cause, primary hypertension accounted for 517 (82.2%) of all deaths and hypertensive heart disease accounted for 96 (15.3%). Arterial hypertension morbidity and mortality in Ulaanbaatar are more common in people over the age of 40 and are increasing with age, which in terms of gender, women make up the majority. Additionally, of those who die of arterial hypertension, 87.6% are people of retirement age. The leading cause of death in people of retirement age is primary arterial hypertension (82.2% of all deaths).