DYNAMICS OF THE PREVALENCE BY VISIT OF ARTERIAL HYPERTENSION, CORONARY HEART DISEASE AND COMPLICATIONS DURING 6 YEARS IN RURAL AREAS INHABITANTS

Aim. Assessment of the dynamics of arterial hypertension (AH), coronary heart disease (CHD), postinfarction cardiosclerosis (PICS), stroke, cardiovascular risk factors prevalence by visit, during 6 years in the inhabitants of rural areas. Assessment of the impact of prevention events on the revealing rate of cardiovascular diseases.

Material and methods. In the years 2015-17, a retrospective analysis was done, of the database on 2202 adults (≥18 y.o.) in Mokshinskaya rural outpatient facility. Of those 970 (44,1%) males and 1232 (55,9%) females. Study object — the reports for 2011-2016. For statistics, the IBM SPSS 21.0 was used, together with WinPEPI 10.49. Precise Fisher test applied and chi-square by Pearson. Statistics borderline set to 5%.

Results. In 2016г the prevalence of AH — 9,54% (of all adult population), CHD — 2,00%, PICS — 0,59%, stroke — 0,27%. Prevalence increase by: AH — 32,5%, diabetes — 30,6%, obesity — 52,4%. There was tendency to decline of all CHD cases number: from 3039,8 by 100 thousand persons to 1998,2 by 100 thsd. PICS values did not change significantly. Cardiovascular mortality in the studied population was slightly higher — 7,3 promille in 2016, than cardiovascular mortality by Rosstat data — 6,2 promille and correlates strongly negatively with prevention events that have been performed.

Conclusion. During a 6 year period there is significant increase of AH, diabetes, obesity prevalence that correlates significantly with prevention events. Nevertheless, the data on 2016 remains below mean statistics for entire country, except on obesity. Increase of the number of obesity persons by 52,4% is a serious medical and social problem of the studied population. It is a risk factor sreiously influencing cardiovascular morbidity and mortality.

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8. Global, regional, and national burden of neurological disorders during 1990-2015: A systematic analysis for the Global Burden of Disease Study 2015 Article (PDF Available) in The Lancet Neurology 16 (11): 877-97. November 2017 with 944 Reads. DOI: 10.1016/S1474-4422(17)30299-5.