Abstract

The aim of the study was to analyze the risk of cardiovascular complications development in the adult population in the Vladimir region of the Russian Federation.
Material and methods: The cross-sectional population-based study included 1,350 men and women aged 30-69 years from 5 cities in the Vladimir region (Vladimir, Kovrov, Murom, Yuryev-Polsky and Vyazniki). The response to the study was 87%. The study was completed with 1174 people (424 men -36.1% and 750 women -63.9%). The risk of the fatal cardiovascular complications was assessed using the classic European SCORE scale. Depending on the total score, the risk was assessed as follows: low risk <1%, moderate risk-from 1% to 5%, high risk - from 5% to 9% and very high risk-10-14%.
Results: In the surveyed unorganized population, the high and very high risk of cardiovascular complications among men was 32%, while in women the risk was 2 times lower (15.5%). Low and moderate risk was more prevalent in females (66.3%), being 1.5 times more common than in males (43.6%). With comparable rates of hypertension (41.5% in men and 39.9% in women) and hypercholesterolemia (57.8% in men and 55.7% in women), male gender and smoking status (38.4% in men and 9.3% in women) contributed to the total cardiovascular risk. The frequency of very high risk of cardiovascular complications among men in certain cities of the Vladimir region was 2.5-4 times higher compared to women.
Conclusion: In a single region in the central part of the Russian Federation, one in three men was at high and very high cardiovascular risk because of the high prevalence of smoking, hypercholesterolemia and hypertension. Among women, high and very high cardiovascular risk was 2 times lower (15.5%), while a high incidence of hypercholesterolemia and hypertension was also observed among them. There was a variability in the very high risk of cardiovascular complications in different cities of Vladimir region.

Keywords:Prevalence; Population; Cardiovascular risk; SCORE scale

Key Points:Every third man in the Vladimir region had a high and very high cardiovascular risk, which is due to the prevalence of smoking, hypercholesterolemia and hypertension. Among women, high and very high cardiovascular risk was 2 times lower (15.5%), while a high incidence of hypercholesterolemia and hypertension was also observed. There is variability in the very high risk of cardiovascular complications in different cities of the Vladimir region.

Abbreviations:AH: Arterial Hypertension; CHD: Coronary Heart Disease; CVD: Cardiovascular Diseases; NCD: Non-Communicable Chronic Diseases; ECG: Electrocardiogram