JUSTIFICATION OF TECHNOLOGIES FOR ORGANIZING MEDICAL CARE FOR PATIENTS WITH HIGH CARDIOVASCULAR RISK ON THE EXAMPLE OF THE BREST REGION (PART 1)

2021 ◽  
Vol 5 (1) ◽  
pp. 1234-1238
Author(s):  
N. Pabivantsava ◽  
Keyword(s):  
Cardiovascular Risk ◽  
Cardiovascular Diseases ◽  
Circulatory System ◽  
Risk Groups ◽  
High Tech ◽  
High Morbidity ◽  
High Cardiovascular Risk ◽  
Social Effect ◽  
Demographic Indicators ◽  
Multi Level

In order to substantiate organizational measures for early detection and tertiary prevention of cardiovascular diseases, the causal relationships of high morbidity, disability, and mortality due to cardiovascular diseases, coronary heart disease and its complications were studied in the population of the Brest region in the period from 2006 to 2010. Measures to improve the organization of preventive medical examination of patients from cardiovascular risk groups with prognostically unfavorable outcomes were suggested. Through the implementation of an organizational experiment in 2012-2017, it was possible to achieve a positive medical and social effect, expressed in increasing the availability of multi-level and high-tech care to patients in need, as well as in improving the medical and demographic indicators of the Brest region in general and in the diseases of the circulatory system in particular, which formed the basis of the second part of this article.

scholarly journals Modern content and improvement of high cardiovascular risk strategy in reducing mortality from cardiovascular diseases

2021 ◽  
Vol 93 (1) ◽  
pp. 4-6
Author(s):  
Sergey A. Boytsov ◽  
Oksana M. Drapkina
Keyword(s):  
Information System ◽  
Cardiovascular Risk ◽  
Cardiovascular Diseases ◽  
High Risk ◽  
Medical Information ◽  
Medical Information System ◽  
High Tech ◽  
High Cardiovascular Risk ◽  
Individual Level ◽  
Elective Surgical Procedures

The article describes the modern content of the high-risk strategy, which, along with the population strategy, forms the basis of a set of measures to reduce mortality from cardiovascular diseases. The high cardiovascular risk strategy is carried out at the individual level in outpatient structures as a part of primary and secondary prevention of cardiovascular diseases, and is also implemented in hospitals when performing elective surgical procedures, including high-tech interventions. Improving this strategy within the framework of primary health care involves the development of a system of high-risk offices, telemedicine consulting, remote monitoring of physiological parameters on the basis of a regional medical information system, and in the future, on the basis of a uniform vertically integrated medical information system. The development of the high-risk strategy as a part of inpatient practice occurs through the further replication of high technologies and the implementation of new types of them.

scholarly journals Cardiovascular risk factors in chronic renal failure patient at Soavinandriana Hospital Antananarivo

2020 ◽  
Vol 8 (7) ◽  
pp. 2622
Author(s):  
Lucas Z. Randimbinirina ◽  
Fanomezantsoa H. Randrianandrianina ◽  
Tsirimalala Rajaobelison ◽  
Jean Claude A. Rakotoarisoa ◽  
Agnes M. L. Ravalisoa
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Renal Failure ◽  
Risk Factor ◽  
Cardiovascular Risk ◽  
Chronic Renal Failure ◽  
Cardiovascular Diseases ◽  
Cardiovascular Risk Factors ◽  
Cardiovascular Risk Factor ◽  
High Cardiovascular Risk

Background: Cardiovascular disease (CVD) is the primary cause of morbidity and premature mortality in chronic kidney disease (CKD). The aim of this study was to assess the frequency of cardiovascular disease and cardiovascular risk in haemodialysis population for chronic kidney disease.Methods: This was a retrospective and descriptive study for a period of 4 years from January 2016 to December 2019, performed at hemodialysis unit in Soavinandriana Hospital Center Antananarivo, including all patients, following regular hemodialysis for chronic renal failure. Demographic data, cardiovascular disease, cardiovascular risk factors, aetiology of nephropathy, haemoglobin <11 g/dl, phosphocalcic metabolism disorders and uricemia were analyzed.Results: Seventy-six patients were recorded, including 46 males (60.52%) and were women (39.47%). The average age was 59.98 years old. The risk factors of cardiovascular disease were smoking (22.36%), diabetes mellitus (46.05%), high blood pressure (71.05%), dyslipidemia (47.36%) and obesity (11.84%). Fifty-eight patients (76.31%) had a high cardiovascular risk factor. Seventy patients (22.36%) had had a history of cardiovascular diseases. Fifty-nine patients had a haemoglobin concentration under 11 g/dl (77.63%). There were 23 cases of hypocalcemia (30.26%), 22 cases of hyperphosphatemia (28.94%) and 37 cases of hyperuricemia (48.68%).Conclusions: There was a high cardiovascular risk factor in this study population. Early detection of cardiovascular diseases should be done in patients who have a high-risk factor of cardiovascular disease to decrease the mortality rate in chronic kidney diseases population. The appropriate management of modifiable risk factors is important to improve the survival of this study patients.

scholarly journals Influenza vaccination and prognosis for patients with high cardiovascular risk

2021 ◽  
Vol 93 (9) ◽  
pp. 1100-1105
Author(s):  
Olga A. Dmitrieva ◽  
Olga Iu. Mironova ◽  
Victor V. Fomin
Keyword(s):  
Cardiovascular Risk ◽  
Cardiovascular Diseases ◽  
Influenza Vaccination ◽  
Respiratory Diseases ◽  
Prevention Measures ◽  
High Cardiovascular Risk ◽  
Coronary Syndrome ◽  
The World ◽  
Causes Of Mortality ◽  
Length Of Hospitalization

Cardiovascular and respiratory diseases have been one of the leading causes of mortality in the world for over 15 years. According to the results of various studies, a clear connection was revealed between the incidence of influenza and the decompensation of cardiovascular diseases, which leads to the development of acute coronary syndrome, acute heart failure and myocardial infarction. Also, the incidence of influenza is associated with an increase in the length of hospitalization, treatment costs and patient mortality. Influenza vaccination, especially in patients with high cardiovascular risk, is one of the most important secondary prevention measures. The article is dedicated to an overview of the problems of vaccination against influenza, the study of the prognosis of patients with high cardiovascular risk, as well as general points in the pathogenesis of influenza and cardiovascular diseases.

scholarly journals Clinical significance of increased arterial stiffness associated with atrial fibrillation, according to Framingham risk score

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Goh Eun Chung ◽  
Hyo Eun Park ◽  
Heesun Lee ◽  
Su-Yeon Choi
Keyword(s):  
Atrial Fibrillation ◽  
Cardiovascular Risk ◽  
High Risk ◽  
Arterial Stiffness ◽  
Risk Score ◽  
Framingham Risk Score ◽  
Risk Groups ◽  
The Elderly ◽  
High Cardiovascular Risk ◽  
Framingham Risk

AbstractAtrial fibrillation (AF) is the most common arrhythmia in the elderly. Arterial stiffness may predict the risk of AF, but this relationship has not been fully evaluated. We assessed the association between arterial stiffness and prevalent AF. All subjects who had electrocardiography performed and a cardio-ankle vascular index (CAVI) calculated during a screening examination between 2010 and 2019 were enrolled. To evaluate the association between increased arterial stiffness and AF, we divided the population according to their Framingham risk score (FRS) into low-, intermediate-, and high-risk groups. A total of 8048 subjects were evaluated. The multivariate analysis revealed that increased arterial stiffness was significantly associated with AF prevalence, even after adjusting cardiovascular risk factors [odds ratio (OR) 1.685, 95% confidence interval (CI) 1.908–2.588, p = 0.017]. When we subcategorized the subjects according to their FRS, increased arterial stiffness was significantly associated with AF in the intermediate- and high-risk groups (OR 3.062, 95% CI 1.39-6.740 and OR3.877, 95% CI 1.142-13.167, respectively, BMI adjusted. High arterial stiffness shows a significant association with AF in those with intermediate or high cardiovascular risk, and can be used for further risk stratification of patients.

scholarly journals The role of HIV-infection in the development risk factors of cardiovascular diseases in naive HIV-infected patients and HIV-infected patients on antiretroviral therapy

2014 ◽  
Vol 5 (2) ◽  
pp. 36-40
Author(s):  
I. I Chukayeva ◽  
I. V Komarova ◽  
A. V Kravchenko ◽  
T. E Kushakova
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Immune System ◽  
Cardiovascular Diseases ◽  
Modern World ◽  
System Function ◽  
High Cardiovascular Risk ◽  
Immune System Function ◽  
Development Risk

Cardiovascular diseases are one of the main reasons of death in the modern world. Risk factor conception is emphasized in theirs prophylaxis. Nowadays besides risk factors mark out so called «special» population groups in which prophylactic actions school be more aggressive because of high cardiovascular risk. One of such groups is HIV-infected patients. It well known that among them the prevalence of traditional and «new» risk factors is much higher. At the same time in spite of the fact that there are a lot of trials it is lack of evidence about cardiovascular risk factors in HIV-infected patients with the saved immune system function as in «naive», so in antiretroviral treated patients. The aim of our investigation was to evaluate range of express traditional and «new» risk factors in «naive» and antiretroviral treated HIV-infected patients with the saved immune system function.

scholarly journals Rationale of screening for early kidney damage in patients with high cardiovascular risk: nephrologist’s point of view

2013 ◽  
Vol 19 (1) ◽  
pp. 1-8
Author(s):  
Laurynas Rimševičius ◽  
Diana Aksionova ◽  
Marius Miglinas ◽  
Jolita Badarienė ◽  
Ligita Ryliškytė ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Glomerular Filtration Rate ◽  
Cardiovascular Risk ◽  
Kidney Disease ◽  
Glomerular Filtration ◽  
Filtration Rate ◽  
Risk Groups ◽  
Kidney Damage ◽  
High Cardiovascular Risk ◽  
Family History Of Diabetes

SummaryIncreased awareness of chronic kidney disease stimulates an interest towards early detection and prevention. The true prevalence of kidney injury varies from 10 to 40%, mostly depending on the methodology of the study and the population enrolled. A screening strategy targeting the highest risk groups, those with diabetes or hypertension, family history of diabetes, hypertension, or kidney disease, is likely to be most efficient and cost effective. Quantification for albuminuria should be performed using laboratorymethods or albumin to creatinine ratio and should be monitored at regular intervals. The most correct equations calculating glomerular filtration rate differ in separate populations, and the most accurate equations in patients with high cardiovascular risk are MDRD and CKD-EPI. Markers of early kidney damage have association with other target organs damage, even in subclinical or preclinical mode. Individuals at stage 4 and 5 chronic kidney disease, with higher levels of proteinuria, proteinuria together with haematuria, rapidly declining glomerular filtration rate, or poorly controlled hypertension should be referred to a nephrologist in order to identify the cause, provide recommendations, slow progression, or treat complications.

scholarly journals Current understanding of the role of age-related hypogonadism in the development of cardiovascular diseases

2021 ◽  
Vol 93 (1) ◽  
pp. 79-83
Author(s):  
Natalia B. Lebedeva ◽  
Vladimir V. Hoffman
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Insulin Resistance ◽  
Cardiovascular Risk ◽  
Cardiovascular Diseases ◽  
Vascular Tone ◽  
Hormone Replacement ◽  
Circulatory System ◽  
Age Related

The literature review presents novel data on the prevalence of age-related hypogonadism and its relationship with aging, its impact on the circulatory system and cardiovascular diseases. This review summarizes the methods for diagnosing age-related hypogonadism, its association with traditional cardiovascular risk factors such as dyslipidemia, insulin resistance and diabetes mellitus, obesity, arterial hypertension. The mechanisms of the possible direct effect of testosterone on endothelium and vascular tone, the role of hormone replacement therapy as a way of preventing cardiovascular diseases are discussed.

Prescription drug coverage in high cardiovascular risk patients as an important part of the national goals achievement

2019 ◽  
Vol 2019 (4) ◽  
pp. 20-27
Author(s):  
Анжела Соловьева ◽  
Anzhela Solov'eva ◽  
Алексей Яковлев ◽  
Aleksey Yakovlev ◽  
Светлана Виллевальде ◽  
...  
Keyword(s):  
Cardiovascular Risk ◽  
High Risk ◽  
Prescription Drug ◽  
Risk Groups ◽  
Drug Coverage ◽  
Prescription Drug Coverage ◽  
High Cardiovascular Risk ◽  
Economic Justification ◽  
Risk Patients ◽  
Overall Mortality

The manuscript represents perspectives and possible barriers on the way of implementation of prescription drug coverage programme. The greatest clinical efficacy and economic justification should be expected from, firstly, full coverage of drugs with proved evidence on outcomes improvement and, secondly, in high-risk groups mostly contributed to the overall mortality.

Team game – how the use of single pill combination or hybrid therapy may curb high cardiovascular risk

2020 ◽  
Vol 13 (4) ◽  
pp. 476-481
Author(s):  
Martyna Waliczek ◽  
Piotr Rozentryt
Keyword(s):  
Cardiovascular Risk ◽  
Cardiovascular Diseases ◽  
Secondary Prevention ◽  
Health Effects ◽  
Health Benefits ◽  
Prevention Strategies ◽  
High Cardiovascular Risk ◽  
Hybrid Therapy ◽  
Single Pill ◽  
Team Game

The health effects of both primary or secondary prevention strategies outperform any method used to treat any acute cardiovascular diseases. The paper highlights basic impediments associated with individual implementation of recommended health preserving behaviors and treatments. The most critical barriers limiting possible health benefits of prevention are discussed. The health benefits of the use and popularization among physicians of single pill combination and hybrid therapy are also brought into focus.

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