Currently, the Russian Federation, as compared to other economically developed countries tend to have higher levels. Mortality from diseases of the circulatory system. Thus, the age-standardized mortality rates from diseases of the circulatory system (European standard) for both sexes in Russia up to 790.1 1OOOOO population (in 1995), while in the United States – 307.2 (1994) in Sweden – 295.9 (1995) in the UK – 317.2 per 100,000 population (1995).
According to preliminary estimates by WHO, half of all deaths each year caused by cardiovascular disease, can be prevented. Strategy for the prevention of cardiovascular disease can be divided into the program of work with the general population and clinical interventions, which focus on high-risk groups. WHO has stressed that both the developed and developing countries, the most practical and least expensive way of prevention – it is not medicine, and a healthy lifestyle. Among the lifestyle changes that help in the prevention of major diseases of the circulatory system are the following:
- Coronary heart disease – smoking cessation, low salt content in the diet, low fat diet, exercise, weight control;
- Stroke – smoking cessation, low salt content in the diet, controlling body weight;
- High blood pressure – low salt content in the diet, exercise, weight control, limited reception of alcohol.
In many countries, such recommendations are taken very carefully. For example, in Finland since the end of 1994, many have switched to the bakery pastry bakery with almost twice less salt – 0.7 g per kilogram of bread, instead of the previous 1.2 g This measure would, according to preliminary estimates, a reduction of deaths from stroke and 2,000 cases of myocardial infarction – 1,600 cases per year.
Accordingly decline by $ 100 million a year cost of treatment and at least $ 40 million – for the purchase of medicines.
In the organization of medical care to patients with cardiovascular disease, a combination of preventive and curative measures. Well this requirement meets the dispensary method. In 1977, in our country, it was decided: in each regional center open a cardiology clinic, whose task would include the organization of the entire dispensary work with patients in the field of cardiology. However, by 1991. in the Russian Federation was held only about 30 cardiology clinics. Therefore, without denying the importance of cardiology clinics, and given the large number of patients with such a profile, it is necessary to recognize that the main role in the provision of ambulatory cardiac patients play doctors clinics. In large urban clinics operate cardiology offices. The objectives of cardiologists include:
1. Providing advice to the district medical practitioners to identify and treat patients with cardiovascular diseases.
2. Clinical supervision the most difficult patients.
3. Monitoring and analysis of patients with cardiovascular disease.