Golovenkin S.E.
Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky, Ministry of Health of the Russian Federation, Krasnoyarsk

Contacts: Sergey Golovenkin, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. Significance of the study is substantiated by increasing incidence of recurrent myocardial infarction against the background of reducing incidence of acute myocardial infarction, suggesting defects in secondary prevention of ischemic heart disease and low efficiency of efforts aimed at reducing mortality from myocardial infarction.

The study purpose: to detect factors dependable upon access to specialized care and associated with behavior patterns of acute myocardial infarction survivors that could have improved prognosis for life expectancy and quality of life.

The results show that among manageable factors self-destructive behavior patterns are very important.

Respondents with obesity less frequently have bathroom scales, control their body mass and follow healthy nutrition recommendations.

Despite the past myocardial infarction one third of men continue smoking; two thirds of men and one fifth of women continue to drink alcoholic beverages.

Almost all respondent have a blood pressure measuring device at home but either do not control their blood pressure or do it irregularly – one quarter of men and one sixth of women.

Insufficient motivation to change their lifestyle is mostly due to insufficient knowledge about real harm to health. Among those who reluctant to change their lifestyle the majority thinks that their lifestyle doesn’t induce any harm to their health.

Besides health behavior, organization of medical care is also an important manageable factor for reducing health loss. The most accessible type care for all categories of respondents is emergency care regardless of place of residence.

Specialized cardiology care in municipal policlinics is hardly accessible due to lack of specialists (small towns or rural settlements) or problems to make an appointment with the cardiologist (territorial center).

Demand for private medical care is rather low due to territorial or financial inaccessibility. Prevention in primary care including health schools and use of internet-based technologies is almost nonexistent and not demanded by myocardial infarction survivors.

The study results can be used to identify reserves, develop and implement measures aimed at reducing mortality from myocardial infarctions at the federal and regional levels.

Keywords. Manageable factors; myocardial infarction; secondary prevention; lifestyle; quality of life; organization of care for myocardial infarction survivors.

References

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