Features of the Formation of Disability due to Coronary Heart Disease in People of Retirement Age in the Russian Federation in the Period 2006–2017

2019 ◽  
Vol 9 (3) ◽  
pp. 355-360
Author(s):  
S. A. Chandirli ◽  
S. N. Puzin ◽  
O. T. Bogova ◽  
V. N. Potapov
2018 ◽  
Vol 17 (4) ◽  
pp. 30-37
Author(s):  
A. A. Gerasimov

1 million 824 thousand people died in the Russian Federation in 2017, including 457 thousand from ischemic heart disease (IHD). IHD caused more than a quarter of deaths in Russia. Goal. The article analyzes the impact of implementation of clinical guidelines in cardiology in medical practice in the United States and the Russian Federation on the dynamics of mortality from ischemic heart disease and its outcomes in different age groups. Results. The results showed that the implementation of clinical guidelines (CG) increased the rate of mortality reduction from coronary heart diseases in Russia and the United States, which may indicate a positive impact CG on the quality of medical care. Conclusions. A higher level of mortality from coronary heart disease in Russia compared to the United States may be due to less commitment of doctors to the principles of therapy and diagnosis of various forms of coronary heart disease, set out in clinical guidelines.


2015 ◽  
Vol 14 (2) ◽  
pp. 4-12
Author(s):  
N. V. Pogosova ◽  
R. G. Oganov ◽  
S. V. Suvorov

Since 2003 there is a decline of cardiovascular (CVD) mortality of the RF, that established in 2006 in women and in men. From 2003 to 2013 y. total coefficient of cardiovascular mortality (number of died per 100 thousand of population) decreased by 25% (698,1 vs. 927,5), although still it is higher than in the beginning of the nineties (621,0 per 100 thous. of population in 1991 y.). The significant differences in RG regions are noted by the values of morbidity and mortality from CVD. For the period 2006-2013 y. the standardized value of mortality from coronary heart disease (CHD) in Moscow decreased by 35,7% that is 1,5 more than in RF and 1,3 more higher than in St-Petersburg, and 2,6 times more than in Moscow region. In 2012 the value of the suspected life duration (SLD) of Moscow citizens was 76,0 y. (mean in Russia — 70,0 y), and just 4 years is the gap between then and EU citizens. In 2013 SLD in Moscow reached 72,3 y. Significantly lower values of mortality from CVD and higher values of SLD can be explained by higher socio-economic level, higher psychological endurance and better availability of psychological (psychotherapeutic) help, higher level of fish, fruits and berries consumption, better availability of outpatient and high technology medical care for Moscow citizens. 


2021 ◽  
pp. 25-32
Author(s):  
E. V. Borisova ◽  
O. D. Ostroumova ◽  
A. P. Pereverzev ◽  
E. E. Pavleeva

Cardiovascular diseases (CVD) are the leading cause of death among adults worldwide, including in the Russian Federation. At the same time, the leading position in the structure of causes of death from CVD is occupied by coronary heart disease (CHD) (16% of the total number of deaths in the world per year). The new clinical guidelines of the Ministry of Health of the Russian Federation for the management of patients with stable coronary heart disease in 2020 identify two main goals of conservative therapy – the elimination of symptoms of the disease and the prevention of cardiovascular complications (CVD). In this connection, when choosing antianginal therapy in patients with stable angina, it is necessary to consider the possibility of using combinations of both first-line and second-line drugs in order to really improve the effectiveness of treatment and achieve the goals set. It is advisable and justified to use more widely 2-line drugs, in particular trimetazidine, at any stage of therapy to enhance the antianginal effectiveness of b-blockers, calcium antagonists and prolonged-acting nitrates, especially in patients with hemodynamic features (arterial hypotension, rhythm and conduction disorders), which is demonstrated in the given clinical example. The effective addition of tremetazidine to the arsenal of traditional antianginal drugs is legislated in practice and is reflected in the new clinical recommendations of the Ministry of Health of the Russian Federation in 2020. The accumulated experience of using trimetazidine allows a pathogenetically sound approach to the treatment of stable CHD, restoring the balance between the need and delivery of oxygen to the heart muscle, and the safety profile expands the possibilities of use in patients with comorbid pathology. 


Author(s):  
Tatiana P. Skufina ◽  
◽  
Sergey V. Baranov ◽  

The article deals with demographic and social processes in the Murmansk Oblast in the context of the implementation of pension reform in the Russian Federation. Theoretical and methodological ideas concerning the pension policy in the world and in the Russian Federation are summed up; the influence of retirement age increase on the number of working-age population in Russia and in the Murmansk region is estimated; sentiments of population of the Murmansk region in the context of the pension reform are revealed.


Author(s):  
Marina A. Shurgaya

In the article there is analyzed the problem of primary disability leave in retirement age citizens in the Russian Federation in the period of2005-2014. In particular, there are presented results of research of main indices ofprimary disability of the given numerous category of population. There are highlighted the prevalence and dynamics of primary disability in the Russian Federation, and features of the level ofprimary disability in individual subjects of the Russian Federation identified in the course of the comparative analysis. There is given the estimation of the gender composition of the cohort of citizens of the retirement age, which initially were defined the disability group in the Russian Federation. There were revealed the subjects of the Russian Federation with the high level of primary disability rate due to social diseases.


2018 ◽  
Vol 22 (2) ◽  
pp. 111-118
Author(s):  
T. A. Svetovtseva ◽  
S. A. Mamiy ◽  
T. A. Bochkova

Time of retirement is the lever regulating a ratio of number of able-bodied Russians and pensioners - the it is higher, the bigger number of citizens become payers, but not recipients of pension payments. In this work the perspective of increase in a retirement age as a factor of macroeconomic development of the Russian Federation is studied and also possible consequences of this increase for age category of citizens and youth are analysed. The purpose of the real work - to make assessment of efficiency of alleged raising the retirement age in our country and to predict influence of this economic lever on employment of the population. It is revealed that the indicator of a retirement age, being a peculiar lever, can and has to be applied not as the instrument of economy of budgetary funds, and first of all as the mechanism of social regulation. Influence of this measure on the state, economy and welfare of various groups of the population is considered. At the end of work conclusions are drawn on benefits and costs of alleged increase.


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