LEARNING OF THE RELATIONSHIP BETWEEN EXACERBATION OF CARDIOVASCULAR PATHOLOGY AND METEOROLOGICAL FACTORS

2021 ◽  
pp. 110-116
Author(s):  
Klepikov O.V. ◽  
Berezhnova T.A. ◽  
Kulintsova Ya.V. ◽  
Kolyagina N.M.
Keyword(s):  
Heart Failure ◽  
Medical Care ◽  
Cardiovascular System ◽  
Meteorological Factors ◽  
Circulatory System ◽  
Vascular Lesions ◽  
Cardiovascular Pathology ◽  
Air Temperatures ◽  
The Relationship ◽  
The City

Relevance. The problem of weather dependence, including diseases of the circulatory system, is debatable, and, therefore, requires research in order to find ways to improve the provision of medical care to the population and improve its quality. Aim: to study the influence of meteorological factors on the treatment of the population with diseases of the cardiovascular system for medical care. Material and methods. The ratio of the average number of cases of requests for medical care on unfavorable days for meteorological factors to the average number of cases of requests per day for medical care during 2018 was calculated. Results. The average number of cases of requests for medical care on hot days when the air temperature rose above + 300C, which is abnormal for the territory of the city of Voronezh, due to such diagnoses as hypertension without heart failure, brain vascular lesions (specified), cerebrovascular disease, hypertension with heart failure, is 1.1-1.4 times higher than the average number of cases of requests per day for the same reasons (diagnoses) during the year. At the same time, low air temperatures, which are not typical for this area, can also act as a factor contributing to the exacerbation of diseases of the cardiovascular system. Conclusion. The assessment of the relationship between the treatment of patients with leading forms of cardiovascular diseases for medical care and meteorological indicators showed that with the advance of the case of the disease by 1 day with meteorological indicators, according to the results of the correlation analysis, statistically significant links of weak and medium strength were revealed.

ADVERSE METEOROLOGICAL SITUATION AS A RISK FACTOR FOR CARDIOVASCULAR DISEASES

2021 ◽  
pp. 28-33
Author(s):  
Kolyagina N.M. ◽  
Berezhnova T.A. ◽  
Kulintsova Ya.V. ◽  
Elistratova O.S. ◽  
Drapalyuk M.A.
Keyword(s):  
Risk Factors ◽  
Heart Failure ◽  
Cardiovascular Diseases ◽  
Medical Care ◽  
Air Temperature ◽  
Meteorological Factors ◽  
Vascular Lesions ◽  
Weather Sensitivity ◽  
Access To Medical Care ◽  
The City

Relevance. Exacerbation of the disease, as a rule, leads to the patient seeking medical help. In this regard, data on the population's access to medical care can serve as an indicator of the exacerbation of the disease. Aim: to analyze meteorological risk factors that contribute to the development of cardiovascular diseases. Material and methods. The ratio of the average number of cases of requests for medical care on unfavorable days for meteorological factors to the average number of cases of requests per day for medical care during the year was calculated. Using software tools (STATISTICA Base V6. 1), the type of data distribution was estimated, and a correlation analysis of the likely relationship between the number of medical care requests and the indicators of meteorological factors was carried out. Results. As a result of the study, it was found that the average number of cases of medical care requests on hot days (air temperature over + 300C) is 1.1-1.4 times higher than the average number of cases of requests per day for the same reasons (diagnoses) during the year and is abnormal for the territory of the city of Voronezh, due to such diagnoses as hypertension without heart failure, brain vascular lesions (specified), cerebrovascular disease, hypertension with heart failure. Conclusions. Thus, it was found that one of the meteorological risk factors for the formation of cardiovascular pathology is high air temperature (above + 300C), which is the goal for the implementation of the main directions of prevention of increased weather sensitivity and treatment of weather-dependent patients.

scholarly journals Assessment of the relationship of exacerbations of diseases of the cardiovascular system with the meteorological situation

2021 ◽  
Vol 100 (12) ◽  
pp. 1350-1358
Author(s):  
Natalia M. Kolyagina ◽  
Tat'jana A. Berezhnova ◽  
Nikolaj P. Mamchik ◽  
Oleg V. Klepikov ◽  
Sergej A. Yeprintsev
Keyword(s):  
Cardiovascular Diseases ◽  
Medical Care ◽  
Cardiovascular System ◽  
Atmospheric Pressure ◽  
Meteorological Factors ◽  
Ambient Air ◽  
Medical Assistance ◽  
Meteorological Situation ◽  
The Impact ◽  
The Relationship

Introduction. The impact of weather factors on the occurrence of exacerbations of diseases in meteodependent people is currently one of the actively studied problems of medicine. The aim of the study was to identify the relationship between exacerbations of diseases of the cardiovascular system with the meteorological situation to substantiate the need for preventive and informational work with meteodependent patients. Material and research methods. The study used daily data on the number of patients with cardiovascular diseases seeking medical care at Voronezh City Polyclinic No. 18 and daily information on weather conditions for 2018. The ratio of the average number of cases of medical assistance requests on days unfavourable for meteorological factors to the average number of cases of medical assistance requests per day during the year was calculated. Using software (Statistica Base V6.1), a correlation analysis of the relationship between the number of medical requests and meteorological factors was carried out. Results. It has been established that the appealability of patients with cardiovascular diseases for medical care on days unfavourable for meteorological factors is 1.1-2.0 times higher than the average annual indicator. The most informative characteristic of the six meteorological indicators taken into account in the study (average daily, minimum, maximum ambient air temperature; temperature drops by more than eight °C per day; atmospheric pressure; atmospheric pressure drops by 12 mm Hg per day or more) is a sharp drop in atmospheric pressure during the day, with which statistically significant (p <0.05) correlates the number of cases of patients with cardiovascular diseases seeking medical help. Conclusion. In medical institutions providing primary health care, it is advisable to single out separate groups of patients with meteorological dependence for dynamic observation and conduct information work with them to mitigate the severity of the course of diseases of the cardiovascular system on days unfavourable according to meteorological indicators.

ASSESSMENT OF THE PROBABLE RELATIONSHIP OF EXACERBATIONS OF CARDIOVASCULAR DISEASES WITH THE METEOROLOGICAL SITUATION

2021 ◽  
pp. 63-69
Author(s):  
Berezhnova T.A. ◽  
Kulintsova Ya.V. ◽  
Maslov O.V. ◽  
Kolyagina N.M. ◽  
Ponomaryova E.Yu.
Keyword(s):  
Heart Failure ◽  
Cardiovascular Diseases ◽  
Medical Care ◽  
Cardiovascular System ◽  
Atmospheric Pressure ◽  
Vascular Lesions ◽  
Scientific Publications ◽  
Probable Relationship ◽  
Meteorological Situation ◽  
Relationship Of

Relevance. The analysis of these scientific publications has shown the relevance of studying the problem of the influence of sudden changes in meteorological factors on the functioning of the cardiovascular system, exacerbation of its leading diseases – arterial hypertension, brain vascular lesions, cerebrovascular diseases, angina. Aim: to identify the probable relationship of exacerbations of diseases of the cardiovascular system with the meteorological situation. Material and methods. A sample of data on the daily number of cases of patients 'requests for medical care to the registry of the Voronezh City Polyclinic No. 18 for 2018 was conducted. Results. At a temperature below-200C, which was registered on 27.02.2018, the number of requests for medical care due to hypertension without heart failure is 88 cases, with a diagnosis of brain vascular damage (specified) – 15, with a diagnosis of cerebrovascular disease-16, hypertension with heart failure-2, angina-0. The difference in the average daily temperature of more than 8 0C was recorded in 204 of 365 days. Out of 365 days, the atmospheric pressure drop of more than 6 mm Hg per day was recorded 52 times. Conclusions. The most informative characteristic of the six meteorological indicators taken into account in the study is a sharp drop in atmospheric pressure during the day, with which the number of cases of patients with cardiovascular diseases seeking medical care is statistically significantly correlated.

scholarly journals ANALYSIS OF RELATIONSHIP BETWEEN STRESS FACTOR AND FUNCTIONAL STATE OF CARDIOVASCULAR SYSTEM IN ADOLESCENTS

2020 ◽  
Vol 20 (2) ◽  
pp. 194-197
Author(s):  
O.A. Shaposhnyk ◽  
V.M. Sokolenko ◽  
N.S. Kopyt’ko ◽  
T.I. Shevchenko ◽  
I.P. Kudrya
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Cardiovascular System ◽  
Functional State ◽  
Circulatory System ◽  
Stroop Test ◽  
Stress Factor ◽  
Regulatory Systems ◽  
Before And After ◽  
The Relationship

A variety of factors influence the performance of schoolchildren. The main factors are psycho-emotional stress and systematic physical activity that requires a constant tension of body's regulatory systems aimed at mobilizing the functional body reserves. The analysis of blood pressure enables to estimate quantitative and qualitative changes in the regulation of the cardiovascular system. The combination of the Stroop test and the monitoring of the cardiovascular system make it possible to assess not only attention and cognitive function parameters, but the phases of the stress response of regulatory systems as well. The purpose of the study was to analyze the relationship between stress factor and the functional state of adolescent cardiovascular system. In the context of stress factor (Stroop test), the circulatory system of students gets activated, and its indicators vary differently among boys and girls. At rest, girls have the lowest performance of the circulatory system. Before the test, heart rates vary in boys and girls in different ways. In the course of our study, we have found out a direct relationship between heart rate, blood pressure before and after psycho-emotional load that testifies the predominance of the sympathoadrenal system activity. We have revealed the arterial hypertension is determined by physiological and social factors. Prevention of arterial hypertension in existing standards of schools requires reconsidering and improving of educational approaches, especially in terms of physical education.

scholarly journals Features of the seasonal dynamics of ambulance calls for patients with angina pectoris

2019 ◽  
Vol 10 (1) ◽  
pp. 5-10
Author(s):  
V. A. Belyaeva
Keyword(s):  
Angina Pectoris ◽  
Significant Contribution ◽  
Meteorological Factors ◽  
Negative Impact ◽  
General Index ◽  
Emergency Medical ◽  
Different Seasons ◽  
Favorable Period ◽  
The Relationship ◽  
The City

Angina pectoris is a chronic disabling heart disease that leads to myocardial infarction and death without proper treatment. Aim - to study the dynamics of frequency of ambulance сalls for patients with stable angina in different seasons of the year, depending on the current meteorological factors.Materials and methods. 1034 cases of calls of the emergency medical service in the city of Vladikavkaz to the patients with angina attack were analyzed. Based on the seasonal ranking of the ambulance frequency calls and the corresponding base of meteorological parameters, a correlation analysis of the relationship between these indicators was made. Results. It has been established that the seasonality factor influences the frequency of calls to the ambulance (2=9.12; KW-H=8.92). Correlations between the frequency of calls to the ambulance and meteorological factors are seasonally specific and vary with respect to annual coefficients. The most significant contribution to the increase in the incidence of angina attacks is made by the factors: average daily air temperature, inter - day variability of atmospheric pressure, relative humidity, cloudiness, pathogen indices of these factors, as well as a general index of weather pathogenicity.Conclusion. In winter, due to the negative impact of low temperatures and sharp variations in the whole complex of meteorological factors, the maximum number of ambulance calls to patients with angina is recorded. The most favorable period for patients suffering from angina pectoris is the summer season, during which emergency medical care is minimal.

ASSESSMENT OF THE TREATMENT OF PATIENTS WITH DISEASES OF THE CARDIOVASCULAR SYSTEM FOR MEDICAL CARE IN UNFAVORABLE WEATHER FACTORS DAYS

2021 ◽  
pp. 117-123
Author(s):  
Kolyagina N.M. ◽  
Berezhnova T.A. ◽  
Kulintsova Ya.V. ◽  
Elistratova O.S. ◽  
Drapalyuk M.A.
Keyword(s):  
Heart Failure ◽  
Cardiovascular Diseases ◽  
Medical Care ◽  
Atmospheric Pressure ◽  
Daily Maximum ◽  
Hypertensive Disease ◽  
Weather Factors ◽  
Atmospheric Air ◽  
Air Temperatures ◽  
Unfavorable Weather

Relevance. The impact of weather factors on the occurrence of exacerbations of diseases in weather-dependent people is currently one of the actively studied problems of medicine. A number of authors draw attention to the need to correct the functional status of weather-dependent patients with cardiovascular diseases in unfavorable weather conditions. Aim: to assess the possible relationship between the manifestations of exacerbations of cardiovascular pathology and adverse weather factors. Material and methods. The materials of the regional center for Hydrometeorology and environmental monitoring were used, and a database was formed that includes information on the average daily, maximum and minimum atmospheric air temperatures, and atmospheric pressure for each day of 2018. Results. Meteorological risk factors for exacerbation of cardiovascular diseases in the Central European part of Russia include uncharacteristic heat (above +30 0C) or severe frost (below -20 0C), sudden changes in air temperature (by 8 0C or more, both in the direction of its increase and decrease), atmospheric pressure drops of more than 6 mm Hg during the day. It is established that the range of changes in meteorological indicators during the annual cycle is quite wide. Conclusions. Evaluation of the relationship between the treatment of patients with leading forms of cardiovascular diseases for medical care and meteorological indicators (average daily, maximum and minimum atmospheric air temperatures, atmospheric pressure) showed that with the advance of the case of the disease by 1 day (hypertensive disease without heart failure, brain vascular lesions, cerebrovascular disease, hypertensive disease with heart failure, angina pectoris), statistically significant links of weak and moderate strength were revealed.

scholarly journals Association between Residence Location and Pre-Hospital Delay in Patients with Heart Failure

2021 ◽  
Vol 18 (12) ◽  
pp. 6679
Author(s):  
Kyoung Suk Lee ◽  
Hyeongsuk Lee ◽  
Jae-Hyeong Park
Keyword(s):  
Heart Failure ◽  
Medical Care ◽  
Rural Areas ◽  
Urban Areas ◽  
Linear Regression Analysis ◽  
Academic Medical Center ◽  
Multivariate Linear Regression Analysis ◽  
Rural Residents ◽  
Residence Location ◽  
The Relationship

Rural residents with heart failure (HF) face more challenges than their urban counterparts in taking action when their symptoms worsen due to limited healthcare resources in rural areas. This may contribute to rural residents’ pre-hospital delay in seeking medical care. However, few studies have investigated the relationship between residence locations and pre-hospital delay among patients with HF. Therefore, this study determined whether living in rural areas is associated with pre-hospital delay in patients with HF. A retrospective electronic medical record review was conducted using the data of patients discharged with worsening HF from an academic medical center. Data on postal codes of the patients’ residences and their experiences before seeking medical care were obtained. Pre-hospital delay was calculated from the onset of HF symptoms to hospital arrival. A multivariate linear regression analysis was performed to determine the relationship between residence location and pre-hospital delay. The median pre-hospital delay time of all patients was 72 h (N = 253). About half of the patients did nothing to relieve their symptoms before seeking medical care. Living in urban areas was associated with a shorter pre-hospital delay. Patients with HF waited several days after first experiencing worsening of symptoms before getting admitted to a hospital, which may be related to inappropriate interpretation and responses to the worsening of symptoms. Furthermore, we found that rural residents were more vulnerable to pre-hospital delay than their urban counterparts.

ERECTILE DYSFUNCTION AS A PREDICTOR AND A COMPANION OF CARDIOVASCULAR DISEASE

2021 ◽  
pp. 178-182
Author(s):  
Анна Сергеевна Смольянникова ◽  
Ирина Сергеевна Добрынина ◽  
Анна Александровна Зуйкова ◽  
Елена Анатольевна Ханина ◽  
Марина Николаевна Муравицкая
Keyword(s):  
Blood Pressure ◽  
Erectile Dysfunction ◽  
Cardiovascular Diseases ◽  
High Strength ◽  
Vascular Lesions ◽  
Control Group ◽  
Endocrine Disorders ◽  
Cardiovascular Pathology ◽  
Relationship Of ◽  
The Relationship

Эректильная дисфункция - патология, связанная не только с наличием у больного урологических, психических или эндокринных нарушений. Нарушению эректильной функции способствуют многочисленные факторы, в том числе кардиоваскулярные заболевания, к которым в частности относится атеросклеротическое поражение сосудов на фоне дислипидемии. Эректильная дисфункция часто является первым симптомом системного атеросклероза. Целью исследования является изучение связи эректильной дисфункции и уровня тестостерона крови с дислипидемией и частными проявлениями сердечно-сосудистой патологии для своевременного выявления и начала лечения латентных форм кардиоваскулярных заболеваний. Была проведена оценка соответствующих показателей у выделенных групп исследуемых: основная группа - больные, обратившиеся за помощью по поводу эректильной дисфункции, контрольная группа - относительно здоровые исследуемые, не предъявляющие жалоб на эректильную функцию. В результате оценки полученных данных между количеством баллов, набранных по тесту-опроснику МИЭФ-5, уровнем тестостерона и показателями сАД, дАД, SCORE, общего холестерина и коэффициентом атерогенности выявлены связи умеренной и высокой силы. Пациенты, обратившиеся за амбулаторной помощью по поводу эректильной дисфункции, имели высокие показатели коэффициента атерогенности, что свидетельствует о высокой вероятности атеросклеротического поражения сосудов и в дальнейшем развития сердечно-сосудистой патологии Erectile dysfunction is a pathology associated not only with the presence of urological, mental or endocrine disorders in the patient. Numerous factors contribute to the development of erectile dysfunction, including cardiovascular diseases, which in particular include atherosclerotic vascular damage on the background of dyslipidemia. Erectile dysfunction caused by arteriosclerosis of the penile arteries is often the first symptom of systemic arteriosclerosis. The aim of this research is to study the relationship of erectile dysfunction and blood testosterone levels with dyslipidemia and particular manifestations of cardiovascular pathology for the timely detection and initiation of treatment of latent forms of cardiovascular diseases. To do this, the corresponding indicators were evaluated in the selected groups of subjects: the main group - patients who sought help for erectile dysfunction, the control group-relatively healthy subjects who did not complain about their erectile function. As a result of evaluating the data obtained between the number of points scored according to the MIEF-5 test-questionnaire, the level of testosterone and indicators of systolic blood pressure, diastolic blood pressure, SCORE, total cholesterol and the coefficient of atherogenicity, moderate and high strength relationships were revealed. Patients seeking outpatient care for erectile dysfunction had high rates of atherogenic coefficient, which indicates a high probability of atherosclerotic vascular lesions and further development of cardiovascular pathology

scholarly journals Patient satisfaction of a city multi-disciplinary hospital with medical care

2018 ◽  
Vol 5 (4) ◽  
pp. 118-125 ◽  
Author(s):  
S. A. Suslin ◽  
A. V. Vavilov ◽  
R. I. Ginnyatulina
Keyword(s):  
Patient Satisfaction ◽  
Medical Care ◽  
Large City ◽  
Medical Personnel ◽  
Sociological Study ◽  
Patients Satisfaction ◽  
High Degree ◽  
The Relationship ◽  
The City

Aim. Medico-sociological study of patients' satisfaction with the activity of a large city multi-profile N. Pirogov Samara hospital.Materials and methods. The results of the study of patients' satisfaction with a large multidisciplinary hospital in the city of Samara on the activities of the hospital in modern conditions are presented. During the medical and sociological survey, 474 patients were medically screened, the median age of which was 40 years. The sample size of the respondents was 50% of the patients in the hospital. The sample was randomly generated.Results. In the age structure of the respondents (hospitalized patients), persons aged 30-45 and 18-29, who account for 30.4% and 29.5%, respectively, are predominant. Patients of the age category 46-59 years are slightly less — 21.5%, at the age of 60 and older — even less (18.6%). Two-thirds of the respondents (66.7%) indicate a satisfactory assessment of their financial situation, 43.9% of respondents indicate a satisfactory level of health status. Most patients (63.1%) are generally satisfied with the provision of medical care. A fairly low proportion of patients (less than 10%) who spent personal funds during inpatient treatment was noted. Against the background of a relatively high degree (more than 70%) of patients' satisfaction with the processes of diagnosis and treatment, there is a low satisfaction with the sanitary and hygienic conditions of inpatient stay (46.4%). Patients are more satisfied with the relationship with the average medical personnel (75.9%) than with the doctors (63.5%). The average assessment of the quality of the organization of medical care in the hospital was 3.88 on a five-point scale.Conclusion. The main shortcomings in the quality of the organization of medical care were the low material and technical base of the hospital (according to 14.1% of patients), sanitary and hygienic problems (9.7%), claims to food quality (6.8%), shortages of medicines and consumables materials (5.7%). The results of the study of patients' satisfaction with the quality of the services provided reveal the factors that reduce patient satisfaction with medical care and highlight the main directions for its optimization.

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