217 Task:851596012886148202273311 dispensary1198596012870108163233296365419482528599 supervision1830596012855125196258304374413468507577647 of2511596012870117 a2663596012863 patient2760596012870133171210272341381 with31755960128101140179249 arterial3459596012863109148210257296358397 hypertension3890596012870140209271318357420489543583652722 Sidorov886839012878117188257304373444 Roman13668390128112181291351421 Pavlovich1822839012897160230268339409448510580 (date2438839012865134197235298 of2771839012888135 birth2941839012888127174212282 02.04.1978),3258839012888159194263334369438507578648695730 invited4023839012858127197236275338407 on4465839012888159 31.10.20254659839012888157193263333368438508577648 for5342839012866135182 taking8511080012839102172210280351 under12371080012896167237299346 dispensary16181080012897135190260323392447508555625 supervision22771080012881152223285332401441495533604674 after29861080012889136174237284 the33041080012866136199 passed35381080012896159213268330400 dispensary39731080012897136190261323392446509555625 three46311080012867137184247309 days49751080012898160231284 ago52941080012890160229 (28.10.2025).8511321012847117188223292362397467537607677724759 According164513210128126188250319367436475545614 to22951321012864133 the24641321012862133195 patient,26941321012895157196234297366406441 when317013210128125194257327 feeling35331321012870133195233273342412 worse398013210128126196243297360 with437513210128125163202272 an46831321012887156 increase48741321012864134196243304367421483 in53921321012863133 blood8511563012870110179249320 pressure,12051563012870117179233288357405467502 takes17421563012837100170234288 moxonidine206415630128110177248319389429498537607669 0.227681563012870106175 mg.297815630128109177212 When85118050128133201264334 measuring123118050128109169232286357404442513582 blood18491805012879118188258328 pressure22131805012878125188241296366413475 at27241805012871109 home,28691805012879149259319354 it3258180501284888 is33811805012848102 usually35191805012879134204267305344415 130-135/80-8539671805012879150220272343412482520591661708777848 mmHg,485918050128109217318387423 and53171805012871141212 when85120460128101171234304 the11902046012856126188 patient's14142046012886149187225288358397422476 condition19252046012880149219290328367406476546 worsens250620460128119188235289352421476 (1-230162046012865134184254 times3305204601285695204264319 a36602046012879 month),379220460128109177248287358404439 it4266204601285795 increases43972046012855125187234297359413475529 to49612046012856126 160/9551222046012887157227266336406 mmHg.85122870128109218319388424 The13142287012886155218 patient15672287012874136174214276346384 does19872287012873143205260 not22822287012874144182 smoke25002287012858167235306368 and29042287012866135206 works314922870128101171218288342 as35272287012865120 an36812287012867137 engineer.38532287012867136206245314377439486521 BMI44132287012893218265 is4713228701284297 28.448462287012873143178248 kg/m2,51292287012874144182292365401 and8512529012862133202 the10892529012839108171 waist129525290128101163202256295 circumference16262529012862100147209278388432496543605675738799 (WtC)24622529012846179216310357 is2855252901283893 9829822529012871140 cm.31582529012862170204 Over85130120128101171234281 the11673012012896166228 past143030120128127189243282 time,17483012012895134244304339 when212230120128158228291361 the25193012012895165227 patient278130120128128190228267330399438 applied325430120128119189259298337400469 to37583012012896166 the39603012012896165228 clinic,422330120128119158196266305368403 the46613012012895165227 following492330120128104174213251322424461532601 examinations8513254012862133195305341412475514552622692747 were163332540128126188235297 carried19653254012887149195242281344413 out:24143254012895164203242 general26923254012893156226288335397435 blood31633254012895133204273343 test35423254012863126180219 and37973254012890159230 general40633254012894157226289336398436 urine45343254012895142180251313 testwithout48823254012864127180219321358398468538608646 pathology.8513495012870133172242311351420490561594 Parameters9053842012878140187249359419458520567622 Values203938420128101163202273336389 Biochemical9054088012894133203265335397506543606668707 blood9054330012870110179249320 test:12604330012838100155193232 Urea203940880128101148210272 6.2234640880128129165233 mmol/L,261540880128167275343383422508543 Creatinine319340880128152198261323362401470510579642 94387040880128128197 micromol/L410340880128168204267314384494561601640727 (GFR486440880128105207284378 87527640880128127197 ml/min/1.73m2),203943300128109146185296333404443514549618688798866913948 AST302343300128101179264 4633224330012871141 U/L,350043300128101138224259 ALT379443300128102187272 3941014330012871141 U/L,427943300128101138223258 total45724330012839110148211250 cholesterol48574330012863133203241304359397460507576614 6.420394571012870106176 mmol/L,225045710128137245313352391478512 HDL279745710128128229315 0.931464571012897132202 mmol/L,338345710128137245313352392478512 LDL393045710128113214299 2.342644571012897132203 mmol/L,450145710128136244313353392478513 venous50494571012897160229298369423 plasma20394813012870110172226336396 glucose24704813012870109180243312366429 5.929344813012870105174 mmol/L314448130128109216284324363449 Albuminuria90550600128101140210280390426497568615653715 in16565060012873143 a18345060012897 single905530101285594164233273336 urine16445301012870117155225288 sample9055542012855117227294334397 2020395060012870141 mg/l221550600128110177217256 ECG9055788012886179280 Sinus20395788012878117188257311 rhythm23865788012895164235272343453 78287157880128119190 per309657880128119181228 minute,335957880128160196267338377439474 violation386857880128119157227266329367407476546 of444857880128119167 repolarization46505788012895156227296335398444483545607646685755824 processes.20396031012870117188249312366420483537572 ECHD9056277012886179280381 Diastolic203962770128101140203257296366405443506 dysfunction258062770128137208261308378448510548588657727 of334262770128137185 the356262770128104175237 LV383462770128152253 myocardium412262770128177246314378441487558596667776 (without493162770128114215253293363433503541 quantitative20396518012870141203273311351389452490529599662 criteria27366518012862109147185248295333395 in31666518012839109 the33106518012839109171 description),35166518012871132187250295334404443482551622669704 EF42556518012886163 64%.44526518012870140258293 During85171060128101171218257327397 the12847106012837107170 examination,14897106012862133194303340411473512551620691727 an22517106012861131 increase24177106012839108171218279341396458 in29107106012839108 blood30547106012870108179249319 pressure34077106012870117180233288358405468 to39107106012837108 150/10040527106012870140210249318389459 mmHg454671060128109217317387 was496871060128102163218 detected,8517292012870133172234296335397467503 which138872920128102171210273342 the17657292012839108171 patient19717292012870132171210272342381 did23877292012870109178 not26017292012870139179 feel28157292012847108170209 subjectively,30607292012853124193232294356395435504567605676709 and38047292012862132203 a40427292012863 pulse41397292012870140179233296 of44697292012870117 8246217292012871140 per47967292012871132179 minute.501072920128109146216287326388423