Aim.To study the prevalence of coronary artery calcifcation in residents of Western Siberia.Methods.Residents of Western Siberia who underwent a regular medical examination within a multicentre observational epidemiological study "Epidemiology of cardiovascular diseases and their risk factors in the Russian Federation" (ESSE-RF) in the period from 2012 to 2013 were included in the study. A total of 1628 subjects aged 25 to 64 years were recruited. All the participants were divided into 3 groups according to their gender and standard age groups based on the World Health Organization: Group 1, n = 663 (40.7%) ‒ young adults (22–44 years); group 2, n = 776 (47.7%) – middleaged adults (45–60 years); group 3, n = 189 (11.6%) – older adults (61–75 years).Results.33.9% of the subjects included in the study had coronary artery calcifcation. Importantly, the prevalence of coronary artery calcifcation was higher in men than in women in the total cohort (35.1% vs. 32.8%, respectively, p = 0.64)Conclusion. A random sample of Kemerovo residents, as inhabitants of Western Siberia, allowed us to determine the prevalence of pathological coronary artery calcifcation (33.9%). This tendency towards higher prevalence of coronary artery calcifcation was recruited, we were limited to obtain the data on the pronounced prevalence of in men is confrmed by the evidences of higher detection rate of severe calcifcation in them. Since a random sample of subjects with a large proportion of young adults coronary artery calcifcation.
Aim. To determine the clinical profile of a patient with stable coronary artery disease (CAD) and impaired muscle status.Material and methods. The study included 387 patients with stable CAD who had indications for open myocardial revascularization. Quantification of muscle tissue was carried out using computed tomography. Comparative analysis of clinical and anamnestic characteristics of groups of patients with sarcopenia (n=152) and those with normal muscle status (n=235) was performed.Results. Signs of sarcopenia were found in 39,3% of patients with stable CAD. In the group of sarcopenia and the group with normal muscle status, there was a predominance of males — 86,2 and 64,7% (p=0,01), the presence of hypercholesterolemia — 51,3 and 31,1% (p=0,02), type 2 diabetes — 21,1 and 28,1% (p=0,06), multivessel CAD — 25,6 and 17,8% of cases (p=0,018), respectively. In sarcopenia, a 4 times longer history of diabetes was noted (p=0,01) and a 2,3 times longer duration of CAD (p=0,03). The prevalence of obesity in sarcopenia was 3,4 times less (p=0,003). Correlation analysis showed the relationship of muscle status with age (r=-0,674; p=0,002), duration of CAD history (r=-0,582; p=0,001) and diabetes (r=-0,748; p<0,001).Conclusion. The clinical and anamnestic profile of a patient with stable CAD and sarcopenia is characterized by an association of decreased muscle mass with male sex, hypercholesterolemia, multivessel coronary CAD, a long-term history of type 2 diabetes and angina.
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