Risk factor management: opportunity or necessity?
https://doi.org/10.47093/2713-069X.2022.3.3.12-19
Abstract
The article is devoted to topical issues of reducing mortality from cardiovascular diseases and the role of behavioral risk factors on the example of the Ryazan region. There is a high contribution of acute and chronic forms of coronary heart disease (IHD) to mortality from diseases of the circulatory system and, in general, to mortality from all causes. The main risk factors contributing to the development of stroke, myocardial infarction, percutaneous coronary interventions and all-cause mortality are dyslipidemias, high SCORE risk, high blood pressure, excessive alcohol consumption and coronary heart disease, stroke, a history of myocardial infarction, the need for exposure becomes obvious. on these factors and factors associated with a high risk of fatal and non-fatal events. Correction of risk factors is possible only through the implementation of integrated prevention programs. Preliminary results from the Healthy Heart 2021 project demonstrated the potential for improved control of risk factors at the population level and the need to continue the project at the regional level. In addition, it seems necessary to expand it with the formation of subprograms in the framework of reducing mortality from other chronic non-communicable diseases.
About the Authors
G. B. ArtemievaRussian Federation
Galina B. Artemieva – Dr. of Sci. (Medicine), Professor, Department of Economics, Law and Health Management
Vysokovoltnaya str., 9, Ryazan, 390026
R. E. Kalinin
Russian Federation
Roman E. Kalinin – Dr. of Sci. (Medicine), Professor, Head of the Department of Cardiovascular, Endovascular, Operative Surgery and Topographic Anatomy
Vysokovoltnaya str., 9, Ryazan, 390026
E. V. Filippov
Russian Federation
Evgenii V. Filippov – Dr. of Sci. (Medicine), Professor, Head of the Department of Polyclinic Therapy, Preventive Medicine and General Medical Practice
Vysokovoltnaya str., 9, Ryazan, 390026
V. V. Khominets
Russian Federation
Vladimir V. Khominets – Acting Minister of Health of the Ryazan Region
Svobody str., 32, Ryazan, 390006
References
1. Drapkina O.M., Bubnova M.G., Samorodskaya I.V., et al. Changes in mortality rates from acute types of coronary artery disease in Russia for the period from 2015 to 2019. Russian Journal of Cardiology. 2021; 26(5): 4441 (In Russian). https://doi.org/10.15829/1560-4071-2021-4441
2. Filippov E.V., Vorobyev A.N., Dobrynina N.V., et al. Adverse cardiovascular outcomes and their relationship with risk factors according to the prospective study MERIDIANRO. Russian Journal of Cardiology. 2019; 24(6): 42–48 (In Russian). https://doi.org/10.15829/1560-4071-2019-6-42-48
3. Danilov A.V., Kobzar I.I., Nagibin O.A., et al. Morbidity and mortality from cardiovascular diseases in the Ryazan region: 2014–2018. Science of the Young (EruditioJuvenium). 2019; 7(3): 439–449 (In Russian). https://doi.org/10.23888/HMJ201973439-449
4. Yakushin S.S., Filippov E.V. Risk factors for cardiovascular diseases in the Ryazan region (according to the MERIDIAN-RO study). Science of the Young (EruditioJuvenium). 2013; 4: 89–103 (In Russian).
5. Boytsov S.A., Filippov E.V., Shalnova S.A., et al. Risk factors for non-communicable diseases of the population of the Ryazan region (according to the MERIDIAN-RO study as a pilot project of the ESSE-RF study). Preventive medicine. 2013; 16(6): 48–54 (In Russian).
6. Viktorova I.A., Shirlina N.G., Stasenko V.L., et al. The prevalence of traditional risk factors for cardiovascular disease in the Omsk region: data of the ESSE-RF2 study. Russian Journal of Cardiology. 2020; 25(6): 3815 (In Russian). https://doi.org/10.15829/15604071-2020-3815
7. Dobrynina N.V., Moseychuk K.A., Nikulina N.N., et al. Management of epidemiological research in a particular region (based on ESSE-RF2 in the Ryazan region). Russian Journal of Cardiology. 2019; 24(6): 131–134 (In Russian). https://doi.org/10.15829/15604071-2019-6-131-134
8. Filippov E.V., Yakushin S.S. Prevalence and peculiarities of management of patients with arterial hypertension with different risk of cardiovascular complications (according to the MERIDIAN-RO study). Medical advice. 2013; 9: 65–69 (In Russian).
9. Filippov E.V., Zaikina E.V., Nikulina N.N. Clinically significant anxiety and depression as a new risk factor for chronic noncommunicable diseases? Science of the Young (Eruditio Juvenium). 2019; 7(1): 28–37 (In Russian). https://doi.org/10.23888/HMJ20197128-37
Review
For citations:
Artemieva G.B., Kalinin R.E., Filippov E.V., Khominets V.V. Risk factor management: opportunity or necessity? National Health Care (Russia). 2022;3(3):12-19. (In Russ.) https://doi.org/10.47093/2713-069X.2022.3.3.12-19