Ведение больных, перенесших инфаркт миокарда, в амбулаторно-поликлиническом звене г. Новосибирска

Abstract

Introduction. Cardiovascular diseases have been the leading cause of death for many years in most developed countries, including the Russian Federation. Aim. Evaluation of the effectiveness of the outpatient follow-up of patients during the first year after myocardial infarction (MI) and compliance of care of these patients with the current guidelines for diagnosis and treatment. Materials and methods. Data from outpatient medical records of 96 patients (64 men and 32 women, mean age 61.6 years [43.1; 76.5]) who were followed up in 2021 in various outpatient clinics of Novosibirsk during the year after MI were analyzed. Results. As a result of the analysis of outpatient medical records, insufficient detection of such cardiovascular risk factors as arterial hypertension (AH) (42 (43.8%)) and statin use (14 (14.6%)), and insufficient compliance with guidelines for outpatient follow-up of patients after the event (frequency of administering the angiotensin-converting enzyme inhibitors/angiotensin II receptor blockers was 32 (33.3%), beta-blockers – 84 (87.5%), dual antithrombotic therapy – 59 (61.5%), statins – 88 (91.7%) with an average level of low-density lipoprotein cholesterol – 2.6 [2.4; 4.7] mmol/l) were revealed. Conclusion. Outpatient management of patients – residents of Novosibirsk within 12 months after MI gives grounds to speak about the insufficient frequency of detection and correction of the main cardiovascular risk factors in the period preceding MI and insufficient compliance with guidelines for outpatient follow-up of patients after the event.