Risk Factors of Ischaemic Heart Disease in 419 385 Outpatients: a Long-term Comparative Study.

IF 0.5 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Kardiologiya Pub Date : 2024-01-31 DOI:10.18087/cardio.2024.1.n2600

A S Galyavych, R N Khairullin, L V Baleeva, A A Sabirzyanova, M Sluter, S V Akimova, A F Galimzyanov, A S Volsky

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Abstract

Aim: To determine the incidence rate of risk factors in patients who visited polyclinics at their place of residence.

Material and methods: The study included 419,385 patients who visited polyclinics in 2018-2023, in whom the most easily measurable risk factors for ischemic heart disease (IHD) were identified: arterial hypertension, total cholesterol (TC) and blood plasma glucose.

Results: During 4 years of follow-up, the proportion of patients with blood pressure (BP) higher than 140/90 mm Hg decreased (35.9%). The proportion of patients with blood glucose higher than 6.1 mmol/l (4.2%) also significantly decreased. The proportion of patients with a TC level higher than 5.2 mmol/l as well as of patients with a body mass index higher than 30 kg/m2 did not significantly change (67.4% and 23.9%, respectively). An analysis of 274 deaths during the follow-up period showed that the main causes for death in patients with arterial hypertension were IHD (69.6%) and cerebrovascular diseases (30.3%).

Conclusion: People who visited polyclinics at their place of residence retained a high incidence of easily measurable risk factors for IHD, including arterial hypertension, high TC and blood glucose. The proportion of patients with blood pressure higher than 140 and 90 mm Hg was 49.7%, the proportion of patients with TC higher than 5.2 mmol/l was 63.1%, and the proportion of patients with blood glucose higher than 6.1 mmol/l exceeded 10%.

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419 385 名门诊患者患缺血性心脏病的风险因素：一项长期比较研究。

目的：确定在居住地综合医院就诊的患者的危险因素发生率：研究纳入了2018-2023年在综合医院就诊的419385名患者，在这些患者中确定了最易测量的缺血性心脏病（IHD）危险因素：动脉高血压、总胆固醇（TC）和血浆葡萄糖：在 4 年的随访中，血压高于 140/90 mm Hg 的患者比例有所下降（35.9%）。血糖高于 6.1 毫摩尔/升的患者比例也明显下降（4.2%）。TC 水平高于 5.2 毫摩尔/升的患者比例和体重指数高于 30 千克/平方米的患者比例没有明显变化（分别为 67.4% 和 23.9%）。对随访期间 274 例死亡病例的分析表明，动脉高血压患者的主要死因是高血压（69.6%）和脑血管疾病（30.3%）：结论：在居住地的综合医院就诊的人群中，动脉高血压、高 TC 和高血糖等易测量的心肌缺血风险因素的发生率较高。血压高于 140 和 90 mm Hg 的患者比例为 49.7%，TC 高于 5.2 mmol/l 的患者比例为 63.1%，血糖高于 6.1 mmol/l 的患者比例超过 10%。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Kardiologiya 医学-心血管系统

CiteScore

1.70

自引率

20.00%

发文量

审稿时长

3-8 weeks

期刊介绍： “Kardiologiya” (Cardiology) is a monthly scientific, peer-reviewed journal committed to both basic cardiovascular medicine and practical aspects of cardiology. As the leader in its field, “Kardiologiya” provides original coverage of recent progress in cardiovascular medicine. We publish state-of-the-art articles integrating clinical and research activities in the fields of basic cardiovascular science and clinical cardiology, with a focus on emerging issues in cardiovascular disease. Our target audience spans a diversity of health care professionals and medical researchers working in cardiovascular medicine and related fields. The principal language of the Journal is Russian, an additional language – English (title, authors’ information, abstract, keywords). “Kardiologiya” is a peer-reviewed scientific journal. All articles are reviewed by scientists, who gained high international prestige in cardiovascular science and clinical cardiology. The Journal is currently cited and indexed in major Abstracting & Indexing databases: Web of Science, Medline and Scopus. The Journal''s primary objectives Contribute to raising the professional level of medical researchers, physicians and academic teachers. Present the results of current research and clinical observations, explore the effectiveness of drug and non-drug treatments of heart disease, inform about new diagnostic techniques; discuss current trends and new advancements in clinical cardiology, contribute to continuing medical education, inform readers about results of Russian and international scientific forums; Further improve the general quality of reviewing and editing of manuscripts submitted for publication; Provide the widest possible dissemination of the published articles, among the global scientific community; Extend distribution and indexing of scientific publications in major Abstracting & Indexing databases.