Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

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ESTIMATION OF POSSIBILITY OF APPLICATION OF THE SCALE SCORE IN THE PREDICTION OF CARDIOVASCULAR EVENTS IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Dolgopolova D.A. 1 Popova M.A. 1 Vedenkina I.V. 1, 2
1 Surgut State University Khanty-Mansiysk-Ugra
2 Surgut District Hospital
Purpose: to determine the total cardiovascular risk and coronary risk in patients with chronic obstructive pulmonary disease on a scale SCORE and risk of cardiovascular events with low, moderate, high and very high risk according to the five-year prospective study. Approach.The study included 976 chronic obstructive pulmonary disease patients without coronary heart disease. Necessary to determine the coronary and total cardiovascular risk on a scale SCORE data contained in medical records (sex, age, level systolic blood pressure, total cholesterol, smoking), in chronic obstructive pulmonary disease patients without clinical manifestations of coronary heart disease at the age from 41 to 81 determined the frequency of low, moderate, high and very high cardiovascular and coronary risk, and the risk of cardiovascular events over a five year period. Findings: Low cardiovascular risk in chronic obstructive pulmonary disease patients is determined by 6.1 %, 33.6 % of moderate risk, and high risk (12.7 %), 47,6 % – a very high cardiovascular risk. In chronic obstructive pulmonary disease patients low coronary risk not detected in any case, moderate coronary risk with 10.7 % of the patients, high coronary risk – 17.6 % of the patients, a very high coronary risk – 71.7 % of patients. In the structure of chronic obstructive pulmonary disease patients prevail patients with very high cardiovascular risk and the coronary risk. The frequency of cardiovascular events for the next five years of follow-up was significantly higher in patients with chronic obstructive pulmonary disease with a very high cardiovascular risk and the coronary risk.