Cardiovascular Diseases Registry (Recvaza): Diagnostics, Concomitant Cardiovascular Pathology, Comorbidities and Treatment in the Real Outpatient-Polyclinic Practice

Бойцов, С. А.; Лукьянов, М. М.; Якушин, С. С.; Марцевич, С. Ю.; Воробьев, А. Н.; Загребельный, А. В.; Переверзева, К. Г.; Правкина, Е. А.; Деев, А. Д.; Андреенко, Е. Ю.; Ершова, А. И.; Мешков, А. Н.; Мясников, Р. П.; Сердюк, С. С.; Харлап, М. С.; Базаева, Е. В.; Козьминский, А. Н.; Мосейчук, К. А.; Кудряшов, Е. Н.

doi:10.15829/1728-8800-2014-6-3-8

Cited by 40 publications

(17 citation statements)

References 7 publications

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“…Most of the generally recognized RFs of CVD are common for men and women; however, the accumulated scientific data to date indicate the presence of certain features of the manifestation of RF in the female population [14][15][16]. In our Figure 15.…”

Section: Comparative Analysis Of Clinical and Functional Parameters Dmentioning

confidence: 74%

Characteristics of Acute Myocardial Damage in Uzbekistan: Data Register “RACSMI-Uz”

Gulnora¹

2019

Cardiac Diseases and Interventions in 21st Century

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In 2015, a register of acute coronary events (acute coronary syndrome and acute myocardial infarction) was carried out in one of the districts of the city of Tashkent. The study included 782 patients, of which 491 (63.7%) were analyzed (hereinafter 100%) and the remaining 291 (36.3%) were dead (according to the civil registry office). The average age of patients was 58.3 AE 7.9 years. The features of the patient's nosological structures were established separately for men and women when admitted to hospital and discharged from hospital, which will make it possible to further adjust the tactics of management of these categories of patients, taking into account their gender and other uncompensated risk factors.

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Section: Comparative Analysis Of Clinical and Functional Parameters Dmentioning

confidence: 74%

Characteristics of Acute Myocardial Damage in Uzbekistan: Data Register “RACSMI-Uz”

Gulnora¹

2019

Cardiac Diseases and Interventions in 21st Century

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“…Частота повторного ОНМК в регистрах ОНМК-ЛД и ОНМК-ПО была достаточно высокой (14,1% и 17,5%), хотя и несколько меньше, чем в госпитальном регистре исследования РЕГИОН (26,7%) и в регистре ЛИС-2 (22,3%). Эти результаты в целом подтверждают данные ряда исследований о недостаточной эффективности вторичной профилактики ОНМК в различных регионах России [13][14][17][18][19][20].…”

Section: Discussionunclassified

“…Однако реальная клиническая практика лишь в малой степени соответствует тому, что сформулировано в клинических рекомендациях [10][11][12][13][14][15].…”

Section: Outpatient Registry Of Stroke Region амбулаторный регистр моunclassified

“…Несмотря на то, что в нашей стране был организован ряд исследований по изучению течения МИ [13][14][17][18], существует необходимость и актуальность изучения проблем, связанных с характеристикой этой группы больных, оценкой наличия у них сочетанной сердечно-сосудистой патологии, сопутствующих заболеваний, а также отдаленных исходов, качества медикаментозной терапии и вторичной профилактики ОНМК на амбулаторном этапе [19][20][21].…”

Section: Outpatient Registry Of Stroke Region амбулаторный регистр моunclassified

“…Медицинские регистры, которые становятся все более востребованными в самых различных областях, позволяют получить реальное представление о существующей медицинской практике, ее особенностях в различных регионах или медицинских учреждениях. Однако имеющихся данных отдельных регистров больных, перенесших ОНМК, недостаточно, особенно, в контексте оценки результатов отдаленного наблюдения данной категории больных в амбулаторно-поликлинической практике в Российской Федерации [13][14][17][18][19][20][21].…”

Section: Outpatient Registry Of Stroke Region амбулаторный регистр моunclassified

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Cardiovascular Diseases and Drug Treatment in Patients with the History of Cerebral Stroke: Data of the Outpatient Registry REGION

Loukianov

Yakushin

Martsevich

et al. 2019

Racionalʹnaâ farmakoterapiâ v kardiologii

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Aim. To evaluate the structure of combined cardiovascular diseases, drug treatment and observation of patients with a history of stroke in the framework of prospective outpatient registries. Material and methods. The study was conducted based on 3 outpatient clinics of Ryazan city. Patients with a history of acute cerebrovascular accident (ACVA) of any remoteness (AR) were included into ACVA-AR outpatient registry (n=511). Patients who had visited the outpatient clinics for the first time (FT) after cerebral stroke (n=475) were included into the ACVA-FT outpatient registry. The structure of the cardiovascular diseases (CVD), compliance with the clinical recommendations of the prescribed and received drug therapy were evaluated. The proportion of patients with dispensary observation for CVD, using preferential drug provision was determined. Results. A combination of 2 or more CVDs was found in 84.4% and 82.5% of cases, and severe cardiovascular multimorbidity (3-4 CVDs) – in 69% and 64% of cases, respectively, in ACVA-AR and ACVA-FT registers. Compliance with the clinical guidelines prescribed and received drug therapy was insufficient at the outpatient stage. Necessary prescription of drugs with a proven beneficial effect on the prognosis were observed significantly more frequent in the ACVA-FT registry, compared to the ACVA-AR registry at the enrolling stage of the study (p<0.05): statins for stroke – 50.1% vs 25.2%; statins for coronary heart disease (CHD) – 47.2% vs 27.9%; antiplatelet agents for CHD without atrial fibrillation – 65.6% vs 54.3%; anticoagulants for atrial fibrillation – 17.7% vs 9.3%; beta-blockers for heart failure 43.5% vs 33.1%, respectively. After 2-3 years of the follow-up frequency of prognostically significant prescriptions in patients of the compared registries were not significantly different, except prescriptions for statin therapy (47.6% vs 21.3%, respectively). The prognostically significant prescriptions during the enrolling stage in ACVA-AR and ACVA-FT registries occurred in 44.4% and 54% of the total number of proper prescriptions, and in the long-term follow-up period – in 55% and 57%, respectively; and the dispensary observation coverage was only 35.0% and 31.8%, respectively. According to patient contact only 21-24% of patients used the system of preferential drug provision at the stage of inclusion into the registers, and after 2-3 years of follow-up – 1.5-2 times less (12-14%). Conclusion The results of the study REGION found the presence of cardiovascular multimorbidity in 83% of patients with a history of stroke, insufficient quality of prescribed drug therapy in the out-patient clinic, especially in the ACVA-AR registry. The quality of medical treatment of patients improved within 2-3-year follow-up after the reference visit to out-patient clinic, but not sufficiently. Increase in dispensary observation coverage and optimization of the system of preferential drug provision are also important reserves for improving the quality of treatment of patients with a history of stroke, as well as prevention of cardiovascular complications.

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Structure Of Comorbidity In Urban Population With Essential Hypertension In The Clinical Practice Of A Local General Practitioner

et al. 2022

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Taking into account gender- and age-related features, to examine the structure of comorbidity in outpatients with essential hypertension residing in the city of Tambov. Material and Methods — This research was an observational cross-sectional study based on data extracted from 47,113 electronic medical records (EMRs) of patients 20-99 years of age residing in Tambov. The study included 29,282 (62.2%) women and 17831 (37.8%) men. Results — Essential hypertension is habitually associated with osteochondrosis (41.5% of patients with hypertension), cerebrovascular diseases (35.1%), arthrosis (28.3%), ischemic heart disease (IHD) (28.7%), menopausal disorders (17.5%), pancreatic diseases (15.4%), diabetes mellitus (14.7%), benign mammary dysplasia (14.2%), retinal diseases (12.9%), disorders of lipoprotein metabolism (12.4%), senile cataract (10.6%), gastritis and duodenitis (10.7%), varicose veins (10.1%), and thyroid diseases (10.0%). IHD is more common among men with hypertension, while other comorbidities are more characteristic for women. The most striking gender-related difference was associated with the finding that women with hypertension had varicose veins as a comorbidity (RR=1.398; 95% CI 1.376-1.422), while the smallest difference between genders related to retinal diseases (RR=1.065; 95% CI 1.038-1.092). IHD was strongly associated with the male gender (RR=1.101; 95% CI 1.056-1.148). Three diseases were more often associated with hypertension in the age range of 80-89 years (cerebrovascular disease, IHD, osteochondrosis); some of the diseases had the highest incidence in the age range of 60-69 years, and other disorders occurred in the age range of 40-59 years. Conclusion — The gender- and age-related features of comorbid pathology associated with essential hypertension among urban residents revealed in this study are extremely important in the clinical practice of a local general practitioner for developing optimal patient-oriented treatment plans.

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Cardiovascular Diseases Registry (Recvaza): Diagnostics, Concomitant Cardiovascular Pathology, Comorbidities and Treatment in the Real Outpatient-Polyclinic Practice

Cited by 40 publications

References 7 publications

Characteristics of Acute Myocardial Damage in Uzbekistan: Data Register “RACSMI-Uz”

Characteristics of Acute Myocardial Damage in Uzbekistan: Data Register “RACSMI-Uz”

Cardiovascular Diseases and Drug Treatment in Patients with the History of Cerebral Stroke: Data of the Outpatient Registry REGION

Structure Of Comorbidity In Urban Population With Essential Hypertension In The Clinical Practice Of A Local General Practitioner

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