The manuscript represents perspectives and possible barriers on the way of implementation of prescription drug coverage programme. The greatest clinical efficacy and economic justification should be expected from, firstly, full coverage of drugs with proved evidence on outcomes improvement and, secondly, in high-risk groups mostly contributed to the overall mortality.
The prevalence of type 2 diabetes mellitus (DM) is progressively increasing nowadays, as well as of other diseases associated with obesity. Though the detectability of new DM cases is still low. The present study deals with type 2 DM prevalence assessment in Russian population and in hypertensive patients. Objective. To assess type 2 DM prevalence, including undiagnosed DM, in general population and in population of hypertensive patients according to ESSE RF (Cardiovascular disease epidemiology in Russian Federation regions) study results. Materials and methods. A random population sampling of men and women aged 25-64 years in 10 cities in Russia (n=16 936) was performed. Results. The prevalence of DM accounted for 5.2%, newly diagnosed (undiagnosed) DM was found in 3.5% respondents. Among hypertensive patients the prevalence of DM was higher and accounted for 8.6%. In 5.2% of the respondents the fasting glucose level was higher than 7 mmol/L with no DM in past medical history. The prevalence of DM in general population accounted for 8.6% and in hypertensive patients - 13.8%.
In this article are considered the etiology, the pathogenesis, the clinical соurse, the differential diagnostics and is demonstrated a successful treatment using psychotherapy and psychotropic drugs administration for psychogenic ventricular tachycardia on the background of spontaneous remission of alcoholic dependence in the young man with structurally normal heart.
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