Ilchenko I.N.1, Makarova N.V.2, Eruslanova R.I.2
1 - I.M.Sechenov First Moscow State Medical University, Moscow
2 - State Russian Social University, Cheboksari branch, Cheboksari
The resume. Arterial hypertension
morbidity remains high in Russia; it is characterized by significant
regional specific features in disease prevalence on a background of
insufficient efficiency of preventive measures .
The research was aimed at studying regional features of prevalence of
arterial hypertension, the importance of disease determining factors,
and total risk of cardiovascular mortality in Chuvashi population; the
research will help to determine the priorities of preventive measures.
The work was performed in the frameworks of EPOCH multipurpose
epidemiological research. A random representative sample comprising the
unorganized population in the Republic of the ages of 15 and elder with
the total number of 3090 persons has been examined. The total 10-year
cardiovascular mortality risk has been calculated on the basis of SCORE
ideology based on the results of Russian prospective epidemiological
researches.
Prevalence of arterial hypertension in Chuvashia is 30.7 % that is
much higher than the official statistic data; it is significantly
related with a low level of education, unemployment, living in urban
conditions. The high levels of arterial hypertension, which correspond
to arterial hypertension of 2-3 degrees of the burden of disease, have
been diagnosed in 53.4 % of population; the arterial hypertension was
burdened by ischemic heart disease in 28.5 % of patients . The total
10-years risk of death caused by cardiovascular diseases in Chuvashia
was 10.2 % for male population and 3.5 % for female population. The risk
profile in Chuvashia assessed using a complex of forecasting factors
and 10-year risk of death is higher in urban population, Russian
population , persons with a low educational level. To increase the
efficiency of disease prevention measures in arterial hypertension, it
is necessary to use technologies of high total risk and to take into
consideration the most vulnerable groups of population at planning
preventive interventions.
Key words: arterial hypertension, total cardiovascular risk, SCORE model, Chouvashia.
References
-
Simonova GI. Nikitin YuP, Glushanina OM,
Malyutina SK, Shcherbakova LV. Arterialnaya gipertoniya i risk
serdechno-sosudistoy smertnosti v gorodskoy sibirskoy populyatsii
[Arterial hypertension and risk of
cardiovascular mortality in urban Siberian population].
Byulleten SO RAMN 2006;122(4):88-92.
-
Makarova NV., Ilchenko IN. Epidemiologiya
arterialnoy gipertonii na urovne regiona Evropeyskoy chasti Rossii:
voprosy profilaktiki [Epidemiology of
arterial hypertension at Regional level of European part of Russia.
Prevention aspects]. Obshchestvennoe
zdorove i zdravookhranenie 2009;(2):12-20.
-
Oganov RG, Shalnova SA, Kalinina AM, Deev AD,
Glazachev OS, Gusev EI, Belyaeva IA, Sudarev AM. Novyy sposob
otsenki individualnogo serdechno-sosudistogo summarnogo riska dlya
naseleniya Rossii [A new way of individual
evaluation of cardiovascular cumulative risk in population of
Russia]. Kardiologiya 2008;(5):85-89.
-
Ageev FT, Fomin IV, Mareev VYu, Belenkov YuN.
Rasprostranennost arterialnoy gipertonii v Evropeyskoy chasti
Rossiyskoy Federatsii. Dannye issledovaniya EPOKHA [Prevalence
of arterial hypertension in European part of Russia. Data from the
survey “Epoch”]. Kardiologiya
2004;(11):50-53.
-
Shalnova SA, Deev AD., Oganov RG, Shestov DB. Rol
sistolicheskogo i diastolicheskogo arterialnogo davleniya dlya
prognoza smertnosti ot serdechno-sosudistykh zabolevaniy [Factors
of systolic and diastolic arterial tension in prognosis of mortality
from cardiovascular diseases].
Kardiovaskulyarnaya terapiya i profilaktika 2002;(1):10-15.
-
Chepurina NA, Shalnova SA, Deev AD.
Prognosticheskaya znachimost summarnogo riska razvitiya
serdechno-sosudistykh zabolevaniy i faktorov, ego
opredelyayushchikh: 10-letnee nablyudenie vyborki
muzhchin-gosudarstvennykh sluzhashchikh [Prognostic
value of the measure “cumulative risk of developing cardiovascular
diseases” in association with .factors sensitive to it. 10-year
experience of selected studying of male public servants].
Kardiologiya i serdechno-sosudistaya khirurgiya 2009;(1):1-15.
-
Shalnova SA, Oganov RG, Deev AD. Otsenka i
upravlenie riskom serdechno-sosudistykh zabolevaniy dlya naseleniya
Rossii [Evaluation and control of risk of
cardiovascular diseases for the population of Russia].
Kardiovaskulyarnaya terapiya i profilaktika 2004;(4):4-11.
-
Campbell DJ. Why do men and women differ in their
risk of myocardial infarction? Eur Heart J. 2008;(29):835-836.
-
European Guidelines on cardiovascular disease and
prevention in clinical practice. 4th Joint European Societies’
Task Force on Cardiovascular Disease Prevention in Clinical
Practice. Eur J Cardiovasc Rehabil 2007; Issue 4.
- Guidelines for the management of arterial
hypertension. The Task Force for the Management of Arterial
hypertension of the European Society of hypertension and of European
Society of Cardiology. J Hyperten 2007;25:1105-1187.
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