Guidelines for the Diagnosis and Management of Chronic Coronary Syndromes in Primary Health Care – the Issue of Acceptability for the Russian Federation

Drapkina, О. М.; Samorodskaya, I. V.; Ларина, В. Н.

doi:10.18087/cardio.2020.4.n1000

Cited by 7 publications

(5 citation statements)

References 21 publications

(24 reference statements)

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“…Вероятно, именно неопределенность критериев играет даже большую роль в определении в качестве ППС хронических форм ИБС. Наше исследование, так же как исследование, проведенное в Новой Зеландии [11], показало, что значительная вариабельность доли смертей от ИБС, вероятно, связана именно с критериями диагностики хронических форм ИБС и подходами к определению ППС [12]. В настоящее время нет критериев (в России и других странах, на уровне ВОЗ) установления в качестве ППС атеросклероза или атеросклеротической сердечнососудистой болезни (с разными вариациями в терминологии).…”

Section: Discussionunclassified

Dynamics of Regional Mortality Rates From Cardiac Causes in Russia 2019–2020

Драпкина

Samorodskaya

2022

Kardiologiia

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Aim To analyze the dynamics of standardized mortality ratios (SMR) (2019–2020) for the cardiological causes indicated as the primary (original) cause of death, in regions of the Russian Federation, based on the RF State Statistics Service Brief Nomenclature of Causes of Death (RFSSS BNCD). Reports have indicated substantial changes in the indexes and structure of mortality since the beginning of the COVID-19 pandemic in many countries.Material and methods RFSSS data on numbers of deaths were analyzed according to BNCD and mid-year population in single year of age groups in 2019 and 2020. SMRs were determined for 23 cardiological causes of death listed in the BNSD in a separate line; the average regional SMR value and the standard deviation were provided; and SMRs were compared both among 4 groups (with a previously described method) and by 23 RFSSS BNCD causes using the Wilcoxon test.Results In 2020 vs. 2019, the mean regional SMR for cardiological causes increased by 12.07±9.86 % (from 301.02±77.67 to 336.15±84.5 %; р<0.0001). Decreases in SMR were found in 9 of 82 regions; however, only in two of them (the Republic of Ingushetia and the Sakhalin Region), SMR was decreased for all 4 groups of causes. In both 2019 and 2020 (60.9±13.8 and 62.5±12.8 %, respectively), the highest proportion of deaths was related with the 1st group of causes (chronic ischemic heart disease, IHD), with an increase in SMR of 18.66±33.28 % (р<0.0001). Increases in SMR were found in 75 regions while in the other regions, decreases in SMRs were observed. For the 2nd group of causes (myocardial infarction, other acute forms of IHD, sudden cardiac death), the mean regional SMR increased in 2020 by 3.2±18.1 % (р=0.3). Increased SMRs were noted in 54 regions. The proportion of the 2nd group in cardiological mortality was 17.3±9.7 % in 2019 and 16.1±9.6 % in 2020. The mean regional SNR for the 3rd group of causes (heart defects, myocardial diseases, etc.) increased in 2020 by 11.6±23.1 % (р=0.006). The mean regional proportion of causes for this group did not significantly changed compared to 2019 (17.5±8.2 and 17.1±7.3 %, respectively); however, the contribution of this group was greater than the contribution of the 2nd group. Increases in SMR were observed in 65 regions, while the contribution of causes related with arterial hypertension did not significantly change. Significant mid-regional differences in SMR values, dynamics of SMRs for different causes, and increases in the coefficient of variation were noted for almost all causes of death. Significant differences between 2019 and 2020 were found for 3 of 23 causes: other forms of chronic IHD (decreased SMRs in 15 regions and increased SMRs in the others), atherosclerotic heart disease (decreased SMRs in 38 regions), and alcoholic cardiomyopathy (decreased SMRs in 28 regions).Conclusion During the COVID-19 pandemic, the SMR for cardiological causes was increased. Considerable regional differences in values and dynamics of SMR for individual causes call for attention to the unification of the criteria for clinical diagnosis.

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Section: Discussionunclassified

Dynamics of Regional Mortality Rates From Cardiac Causes in Russia 2019–2020

Драпкина

Samorodskaya

2022

Kardiologiia

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“…Любое недавнее ухудшение или развитие новых ишемических симптомов, несмотря на соблюдение режима приема лекарств, должно служить основанием для дальнейшей кардиологической диагностики, и любые планы поездок должны быть приостановлены до тех пор, пока пациент не будет должным образом обследован [27].…”

Section: противопоказания для пользования воздушным транспортомunclassified

Assessment of medical risks in airline passengers with recent acute and chronic coronary syndromes

Posokhov,

Praskurnichiy

2024

Cardiovasc Ther Prev

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“…В то же время, до сих пор не существует единого определения ИБС, а также критериев диагностики ее отдельных форм. В ряде публикаций в качестве аналога термина ИБС используется термин "коронарная болезнь сердца", в других к ИБС также отнесена ишемия, обусловленная нарушениями микроциркуляторного русла и спазмом коронарных артерий [6]. В рекомендациях Российского общества патологоанатомов отмечается, что ИБС -это группа заболеваний, приводящих к острой или хронической дисфункции сердца, возникающих вследствие относительного или абсолютного уменьшения снабжения миокарда артериальной кровью 1 Обращает на себя внимание, что СКС от трех форм ИБС среди мужчин выше, чем среди женщин более чем в 2 раза.…”

Section: Introductionunclassified

“…2,5 , Какорина Е. П. 1,6 , Драпкина О. М. 2,5 1 ГБУЗ МО "Московский областной научно-исследовательский клинический институт им.…”

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“…на фоне мультиморбидной патологии. Общественное здоровье, организация и социология здравоохранения, медико-социальная экспертиза Regional variability of male and female mortality from three types of coronary artery disease: comparison of two periods 2017-2019 and 2020-2022 Samorodskaya I. V. 1,2 , Klyuchnikov I. V. 3,4 , Shepel R. N. 2,5 , Kakorina E. P. 1,6 , Drapkina O. M.…”

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Regional variability of male and female mortality from three types of coronary artery disease: comparison of two periods 2017-2019 and 2020-2022

Samorodskaya,

Klyuchnikov,

Shepel

et al. 2024

Cardiovasc Ther Prev

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Aim. To assess regional variability of standardized mortality rates (SMRs) for men and women from three types of coronary artery disease (CAD) for 2 periods (2017-2019 and 2020-2022).Material and methods. Rosstat data on the average annual population and the number of deaths in one-year age groups for 82 constituent Russian entities were used. SMRs was calculated using software (state registration number 216661114) and the European Standard Population by the direct standardization per 100 thousand population. The average regional SMRs were calculated for 2017-2019 and 20202022 as follows: (I21-I22) myocardial infarction (MI); (I20, I24.1-9) other acute coronary artery disease types; (I25.0-9) chronic coronary syndromes; all 3 groups of CAD.Results. We found that the regional average CAD SMR among men (343,0±98,3 and 364,2±105,7 per 100 thousand population) is >2 times than among women (163,3±55,7 and 179, 5±61,2 per 100 thousand population), but men and women did not differ in the average regional proportion of CAD in the structure of all-cause mortality. In 5 regions, a simultaneous decrease in SMR from three CAD types and their total indicator was registered in both men and women; in 8, an increase in SMR was registered for each of the three forms and their sum, and in the remaining regions, multidirectional dynamics were noted. The coefficient of variation of regional MI SMR changes for men was 830%, for women — 322%; for other acute CAD — 7145% and 2523%, respectively. In general, the increase in CAD SMR occurred mainly due to an increase in SMR from chronic CAD against the background of a decrease in MI SMR. The proportion of chronic CAD in the structure of all CAD types is higher in women (80,1±11,9 and 82,9±10,3%) than in men (75,5±14 and 77,6±13%). The proportion of MI among men is 14,8±6,1 and 13,5±6,6%, among women — 7,1±10,9 and 6,2±8,7%.Conclusion. The pronounced variability of regional SMRs and their changes over time, differences in mortality structure between men and women indicate a number of unresolved statistical issues related to determining the initial cause of death from CAD and its individual types, including with multimorbid pathology.

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Guidelines for the Diagnosis and Management of Chronic Coronary Syndromes in Primary Health Care – the Issue of Acceptability for the Russian Federation

Cited by 7 publications

References 21 publications

Dynamics of Regional Mortality Rates From Cardiac Causes in Russia 2019–2020

Dynamics of Regional Mortality Rates From Cardiac Causes in Russia 2019–2020

Assessment of medical risks in airline passengers with recent acute and chronic coronary syndromes

Regional variability of male and female mortality from three types of coronary artery disease: comparison of two periods 2017-2019 and 2020-2022

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