FIRST RESULTS OF THE REGISTER OF THE OUTPATIENTS WITH CHRONIC CORONARY HEART DISEASE, ARTERIAL HYPERTENSION AND CHRONIC HEART FAILURE IN ZABAYKALSKY KRAI
The aim of the research. To assess the first results of the register of the outpatients with chronic coronary heart disease, arterial hypertension and chronic heart failure inZabaykalsky Krai. Materials and methods. The methodological basis of this study is the Register of the patients with chronic coronary heart disease, arterial hypertension and chronic heart failure, which was opened in 2018 on the basis of the State Health-care Establishment (GUZ) "Regional Cardiological Centre". Data of patients over 18 years old with at least one of the established diagnoses: hypertension, coronary heart disease, chronic heart failure, who has received specialized cardiological treatment on a basis of outpatient conditions in the State Health-care Establishment (GUZ) “Regional Cardiological Centre" - were entered into the Register. Descriptive statistics methods were used for statistical data processing. Results. According to the first results of the Register, among patients with cardiovascular diseases, men of employment age prevail. Nearly half of the patients had a history of myocardial infarction. Blood pressure control of patients with outpatient care is achieved only in a third of cases. In health care, which is provided to outpatients by cardiologists, there is no sufficient attention to risk factors such as smoking and physical activity. Every third patient is overweight, and in 37% of patients high cholesterol is registered. Medical therapy was being implemented in accordance with recommendations and standards for the treatment and management of patients with investigated nosological forms of diseases. Conclusion. The introduction of a unified registration system for patients with coronary heart disease has permitted to assess the prevalence of major risk factors, that affect mortality level of patients with arterial hypertension, chronic forms of coronary heart disease, chronic heart failure. Received data may be used to develop a set of measures to eliminate existing weaknesses in the primary prevention of cardiovascular disease, as well as in providing medical treatment of the studied cohort of patients