[CHARACTERISTICS OF LIPID METABOLISM AND COMPLICATIONS OF ARTERIAL HYPERTENSION DEPENDING ON THE PSYCHOSOMATIC STATUS OF THE PATIENT AND TREATMENT OPTIONS].

It is established that on the investigated physiological (body mass index, body fat, the index «waist circumference/hip circumference») and biochemical (total cholesterol, lipoproteins of high, low and very low density, triglycerides) indicators of a condition of the lipid metabolism group of patients highanxiety the phlegmatic and melancholic are groups at higher risk of developing complications of hypertension. I highanxiety the phlegmatic and melancholic, unlike the choleric and sanguine, the high content of atherogenic lipid fractions and obesity is combined not only with the highest level of complications, but three times the prevalence of acute myocardial infarction on acute ischemic stroke (3:1). Effect of antihypertensive therapy aimed at relief features of the psychosomatic status of patients, manifested prior 6 months compared with «empiric» treatment option; in addition, after 12 months of therapy the values of the investigated parameters approached or were equal in the groups of healthy persons of corresponding temperament and anxiety. Also decreased the number of complications of arterial hypertension. Antihypertensive therapy based on the relief features of psychosomatic status in patients with arterial hypertension, has proven to be more effective in groups highanxiety and lowanxiety patients.