PROBLEMS OF CARDIOVASCULAR RISK FACTORS DETECTION AND PATIENT MANAGEMENT
AT ADULT HEALTH CENTERS (REPORT 1) 

Maksikova Tat'yana Mikhaylovna, Candidate of medical sciences, sub-department of internal diseases propaedeutics, Irkutsk State Medical University (1 Krasnogo Vosstania street, Irkutsk, Russia), akalagin@mail.ru
Kalyagin Aleksey Nikolaevich, Doctor of medical sciences, professor, head of sub-department of internal diseases propaedeutics, Irkutsk State Medical University (1 Krasnogo Vosstania street, Irkutsk, Russia), akalagin@mail.ru

616.379-008.64:616-06

10.21685/2072-3032-2017-2-14

The article discusses the global damage from chronic noncommunicable diseases, and places a special emphasis on a particular group of them – cardiovascular diseases. The authors analyze in details key risk factors excessive cardiovascular mortality: hypertension, dyslipidemia, hyperglycemia and malnutrition, lack of exercise, overweight and obesity, smoking, excessive alcohol consumption, psychosocial factors, and new risk factors – sinus tachycardia of rest, rigidity heart rate and heart rate variability violation. The paper considers different approaches to the risk management. Particular attention is paid to health centers as key healthcare organizations or their structural units engaged in identification and correction of risk factors of cardiovascular diseases. The researchers analyze in detail the advantages and disadvantages of methodological approaches to identification of risk factors, which are used in health centers, and provide recommendations for their correction in accordance with the current guidelines.

cardiovascular mortality, dyslipidemia, smoking, physical inactivity, obesity, alcohol abuse, hypertension, sinus tachycardia, heart rate rigidity, disturbance of heart rate variability, health centers

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