Assessment of the risk of cardiovascular complications in an unorganized adult population in the central region of Russia

Title : Assessment of the risk of cardiovascular complications in an unorganized adult population in the central region of Russia

Abstract:

Aim: The aim of the study is to analyze the risk of cardiovascular complications (CVC) in an unorganized population of men and women of working age in the Vladimir region.

Material and methods: The cross-sectional population-based study included 1,350 men and women aged 30-69 years from 5 cities of the Vladimir region (Vladimir, Kovrov, Murom, Yuryev-Polsky and Vyazniki). The response to the study was 87%. In total, 1174 people completed the study. Of these, 424 were men (36.1%) and 750 women (63.9%). The risk of developing fatal cardiovascular complications was assessed using the European SCORE scale (in the absence of verified CVD). Depending on the total score, the risk was assessed as follows: low risk <1%, moderate risk - from 1% to 5%, high risk - from 5% to 9% and very high risk - 10-14%.

Results: In the examined unorganized population, the high and very high risk of cardiovascular complications according to the European SCORE scale among men was 32%, among women this figure was 2 times lower (15.5%). Thus, the majority of women had low and moderate risk (66.3%), which is 1.5 times more likely than men (43.6%). With comparable rates of hypertension (41.5% in men and 39.9% in women) and hypercholesterolemia (57.8% in men and 55.7% in women), male gender and smoking status (38.4% in men and 9.3% in women) contributed to the total cardiovascular risk values. The frequency of very high risk of cardiovascular complications among men in certain cities of the Vladimir region was 2.5-4 times higher compared to women.

Conclusion: Thus, in 5 cities of the Vladimir region, every third man of working age had a high and very high cardiovascular risk, which is due to the prevalence of smoking, hypercholesterolemia and hypertension. Among women, high and very high cardiovascular risk was 2 times lower (15.5%), while a high incidence of hypercholesterolemia and hypertension was also observed. There is variability in the very high risk of cardiovascular complications in different cities of the Vladimir region.

Key words: Prevalence, Population, Cardiovascular risk, SCORE scale.

Biography:

Dr. Mamedov was born on January 10, 1970, in Sheki, Azerbaijan, and is a distinguished Azerbaijani cardiologist based in Moscow, Russia. He completed his medical education at the Moscow Medical Academy named after I.M. Sechenov, followed by postgraduate and doctoral studies in cardiology at the National Research Center for Preventive Medicine. Since 2002, Dr. Mamedov has led the Department of Secondary Prevention of Chronic Non-infectious Diseases at the National Research Center for Therapy and Preventive Medicine. His research focuses on cardiovascular disease epidemiology, risk factors, and pharmacotherapy. Dr. Mamedov has authored 468 articles, 13 monographs, and holds a Hirsch index of 40. He serves as the President of the Cardioprogress Foundation, is on the board of the Russian Society of Cardiology, and is Editor-in-Chief of the International Journal of Heart and Vascular Diseases.