Diagnosis, treatment, and medical examination of military personnel with familial hypercholesterolemia
The probable number of military personnel of the Armed Forces with a heterozygous form of familial hypercholesterolemia is more than 2 thousand people. This pathology requires an interdisciplinary approach and the introduction of a universal algorithm of treatment and prophylactic measures for patients with familial hypercholesterolemia, taking into account the peculiarities of the activities of military medical organizations, as well as adapting the requirements of national recommendations for the diagnosis and treatment of familial hypercholesterolemia in military health practice. The basis of its successful treatment is the correction of atherosclerosis risk factors and lifestyle modification, categorical smoking cessation (both active and passive), elimination of excess body weight under the supervision of a specialist, blood pressure control, dosed and accessible physical activity (30-minute walk, cycling at least five times a week) under the control of heart rate and blood pressure and in the absence of contraindications. Survey of military personnel must be carried out, taking into account the severity of atherosclerotic lesions of the arteries and the functional state of the organs supplied to them by blood, compensation for impaired lipid metabolism with available lipid - lowering drugs. Expert opinion on the category of fitness for military service is made during the development of clinical manifestations of atherosclerosis.