OBJECTIVE
To conduct an analysis of the risk of cardiovascular complications developed in an unorganized population of men and women of working age in the Vladimir region.
MATERIAL AND METHODS
The cross-sectional population 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). Response to the study was 87%. In total, 1.174 persons completed the study, among them 424 (36.1%) were men and 750 (63.9%) were women. The risk of fatal cardiovascular complications development was assessed using the European SCORE scale in the absence of verified cardiovascular diseases. Depending on the scores, the risk was rated as follows: low risk is <1%, moderate risk is from 1% to 5%, high risk is from 5% to 9%, very high risk is from 10% to 14%.
RESULTS
The frequency of high and very high risk of cardiovascular complications on the European SCORE scale was 32% for men, and it was 2 times lower among women (15.5%) in the unorganized examined population. Thus, the majority of women had a low and moderate risk (66.3%), which was 1.5 times more frequent than in men (43.6%). At a comparable frequency of arterial hypertension (41.5% in men and 39.9% in women) and hypercholesterolemia (57.8% in men and 55.7% in women), male sex and smoking status (38.4% in men and 9.3% in women) contributed to the total cardiovascular risk values. The frequency of very high risk of cardiovascular complications in men in some cities in the Vladimir region was 2.5-4 times higher than in women.
CONCLUSION
One in three men of working age had high and very high cardiovascular risk in the Vladimir region, due to the prevalence of smoking, hypercholesterolemia and hypertension. The frequency of high and very high cardiovascular risk in women was 2 times lower (15.5%), and high rates of hypercholesterolemia and hypertension were also noticed. There is a variability of very high risk of cardiovascular complications among the population of different cities in the Vladimir region.