Preventing the Next Pandemic: The Case for Investing in Circulatory Health – A Global Coalition for Circulatory Health Position Paper

Ferat, Leslie Rae; Forrest, Ryan; Sehmi, Kawaldip; Santos, Raul D.; Stewart, David; Boulton, Andrew J.M.; Jiménez, Beatriz Yáñez; Riley, Phil; Burger, Dylan; Jones, Erika; Tomaszewski, Maciej; Milanese, Maria Rita; Laffin, Paul; Jha, Vivekanand; Borisch, Bettina; Moore, Michael J.; Pinto, Fausto J.; Piñeiro, Daniel; Eiselé, Jean-Luc; Lackland, Daniel T.; Zhang, Xinhua; Stavdal, Anna; Li, Donald; Pandian, Jeyaraj Durai; Brainin, Michael; Feigin, Valery

doi:10.5334/gh.1077

Cited by 9 publications

(6 citation statements)

References 65 publications

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“…Карантинные меры, сокращение числа обращений, а также отмена визитов к врачу и выполнения лабораторных анализов и, как следствие, недостаточный контроль факторов риска сердечно-сосудистых осложнений были названы возможными причинами избыточной смертности, ассоциированной с COVID-19. Следовательно, отсутствие адекватного контроля факторов риска осложнений ССЗ и других ХНИЗ, а также растущие показатели малоподвижного образа жизни, увеличение числа пациентов с ожирением и СД 2 типа могут привести к повышенному риску развития ССЗ в среднесрочной перспективе [25].…”

Section: Discussionunclassified

Outpatient-Polyclinic Register of the Multidisciplinary Medical Center (TERRA): general characteristics and first results

Lukyanov¹,

Andreenkо²,

Smirnov³

et al. 2023

Cardiovasc Ther Prev

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Aim. To describe the experience of creating the Outpatient-Polyclinic Register of the Multi-specialty Medical Center (TERRA) and the first results of the study.Material and methods. The TERRA registry included 32264 patients (age 44,0±15,3 years; 32,2% men) who applied to the multidisciplinary medical center from January 1, 2018 to December 31, 2021. Information from electronic outpatient records was evaluated. The data of patients with/without cardiovascular diseases (CVDs) in those who applied to general practitioners, cardiologists and other specialists, those with and without coronavirus disease 2019 (COVID-19) were compared.Results. There were 26,8% of patients with CVDs, while with ≥2 CVD — 8,1%, with CVD and/or chronic non-cardiac disease — 54,1%, their combination — 26%. Among those who consulted cardiologists, general practitioners and doctors of other specialties, hypertension was most often recorded — 64,8; 34,9 and 18,6%, coronary artery disease — 15,1, 6,2 and 3,2%, while from chronic non-cardiac diseases — diseases of the digestive system (64,4; 58,0 and 33,7%), kidneys (29,8; 24,9 and 13,2%), respiratory organs (28,4; 23,8 and 12,6%). The proportion of COVID-19 survivors was 8.2%, in patients with and without CVD — 14,8 and 5,1%, respectively (p<0,001). The proportion of CVD cases among survivors and non-survivors of COVID-19 was 58,0% and 25,2%, respectively (p<0,001). In addition, 88% of patients with CVDs consulted a cardiologist or general practitioner, of which 42% were observed by them together.Conclusion. The majority of patients at the multidisciplinary medical center had CVDs and chronic non-cardiac diseases, and more than a quarter had a combination of both. Patients with CVDs were more likely to have chronic non-cardiac diseases (2,2 times) and a history of COVID-19 (2,9 times). Among patients with a history of COVID-19, there was a higher proportion of cases of CVDs (by 2,3 times) and chronic non-cardiac pathology (by 1,8 times). Almost half of patients with CVD were observed jointly by a cardiologist and a general practitioner.

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Section: Discussionunclassified

Outpatient-Polyclinic Register of the Multidisciplinary Medical Center (TERRA): general characteristics and first results

Lukyanov¹,

Andreenkо²,

Smirnov³

et al. 2023

Cardiovasc Ther Prev

View full text Add to dashboard Cite

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“…3 Embora seja improvável que haja um nexo causal entre hipertensão arterial e COVID-19, sua presença é o risco mais frequentemente associado à infeção pelo virus SARS-CoV-2 e à morte por COVID-19. 6 Cerca de 8% dos gastos de saúde da região estão relacionados à hipertensão arterial, o que vem a ser uma utilização sensata dos recursos, já que o controle da hipertensão reduz a morte e a incapacidade e tem uma relação custo-efetividade muito boa ou é até mesmo econômica na maioria dos contextos. 7 Por exemplo, um manejo efetivo dos riscos de DCV, que incluem hipertensão arterial, tem um retorno sobre o investimento estimado de 3:1 nos países de renda baixa e média (LMIC, na sigla em inglês).…”

Section: A Iniciativa Global Hearts E O Programa Hearts Nas Américas:...unclassified

Diretrizes de 2021 da Organização Mundial da Saúde sobre o tratamento medicamentoso da hipertensão arterial: repercussões para as políticas na Região das Américas

Campbell

Paccot

Angell

et al. 2022

Revista Panamericana De Salud Pública

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A doença cardiovascular (DCV) é a principal causa de morte nas Américas, e a pressão arterial elevada é responsável por mais de 50% dos casos de DCV. Nas Américas, mais de um quarto das mulheres adultas e quatro de cada dez homens adultos têm hipertensão arterial, sendo que diagnóstico, tratamento e controle estão abaixo do ideal. Em 2021, a Organização Mundial da Saúde (OMS) divulgou uma atualização das diretrizes para o tratamento medicamentoso da hipertensão arterial em adultos. Esta publicação ressalta o papel facilitador da iniciativa Global HEARTS da OMS e da iniciativa HEARTS nas Américas para catalisar a implementação dessas diretrizes, oferece recomendações específicas de políticas para sua implementação e enfatiza a necessidade de uma abordagem estratégica abrangente para o controle da hipertensão arterial. Os autores clamam para que tanto as pessoas que advogam pela Saúde, quanto as autoridades responsáveis, priorizem a prevenção e o controle da hipertensão arterial como forma de melhorar a saúde e o bem-estar das populações e reduzir as disparidades de saúde cardiovascular dentro das populações das Américas e entre elas.

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“…Humanity is facing one of its most important challenges, and as will become clear in this literature review, the requisite changes in human behavior must be rapid and global and include dietary changes, changes in our reliance on fossil fuels, and international cooperation in achieving climate change mitigation. A gradual global shift to a plant-based diet and the gradual global phaseout of industrialized animal agriculture also reduce the risk of zoonoses and future pandemics and should be part of an integrated global pandemic preparedness response [ [21] , [22] , [23] , [24] , [25] ].…”

Section: Introductionmentioning

confidence: 99%

Proposed solutions to anthropogenic climate change: A systematic literature review and a new way forward

Feigin,

Wiebers,

Lueddeke

et al. 2023

Heliyon

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Preventing the Next Pandemic: The Case for Investing in Circulatory Health – A Global Coalition for Circulatory Health Position Paper

Cited by 9 publications

References 65 publications

Outpatient-Polyclinic Register of the Multidisciplinary Medical Center (TERRA): general characteristics and first results

Outpatient-Polyclinic Register of the Multidisciplinary Medical Center (TERRA): general characteristics and first results

Diretrizes de 2021 da Organização Mundial da Saúde sobre o tratamento medicamentoso da hipertensão arterial: repercussões para as políticas na Região das Américas

Proposed solutions to anthropogenic climate change: A systematic literature review and a new way forward

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