Analiza specifičnosti standardnih faktora rizika za nastanak koronarne bolesti na populaciji od 30008 stanovnika opštine Laktaši (Republika Srpska)

Abstract

Introduction Epidemiology studies indicated that smoking, hypercholesterolemia and hypertension are very strong risks factors for developing coronary condition. Prevalence analysis the above mentioned factors in rural and urban area would establish health condition Laktasi Municipality population. Methods Study group was formed of individuals older than 20 years of age, all together 30008, 15263 males, and 14745 females. Hypertension has been defined by the WHO Rules as: systolic blood pressure 140 and diastolic 90 mm Hg and over. Definition of hypertension is set according several blood measurements under the specific norms by mercury manometer with existing anamnesis, clinic and ECG tests. Every person who smokes a pack of cigarettes daily continually is considered as smoker. Hypercholestrolamamia is considered as level of cholesterol over 6,2mmol/l. General Practice MD, Health Centre Laktasi has undertaken tests. Together with general clinical tests as blood pressure, blood sugar, level of cholesterol, high and weight of individuals was also measured. Results are noted within data base of the Health Centre. Results Higher blood pressure was noted with 2126 individuals (7,08%). There were 845 man (5,53%) cases of hypertension, and higher number of women 1281 (8,68%). Man smokers were 1874 (12,2%), women less - 1620 (10,9%). There were 845 hypertonic men (5,53%), and much more women 1281 (8,68%). There were 1874 men smokers (12,2%), and slightly less women 1620 (10,9%). We noted 3494 (11,6%) of smokers. Men with high cholesterol were 382 (2,5%) and women slightly more 604 (4,1%). All together 987 (3,29%) cases with hypercholesterolemia. Frequency of smoking among citizens of the Laktasi Municipality (11,64%) is reasonable, since most of similar surveys around the world presented a significantly higher rate. In this survey we noted slightly higher number or women smokers (13% women - men 12,2%). In this region having mixed rural and city population hypertension is more common among women, especially at senior stage. High Cholesterol in our study is also higher among women (4,1%), and men (2,5%) which corresponds to the outcome regarding smoking habits hypertension rate. Conclusions Following a joined risk factor gave us wide picture of problems - risks of coronary dieses. It is notable that persons have more joint risk factors and having that in mind in greater danger of sudden death and final stage of coronary dieses. Educational programs, prevention and proper patient care are the most important measures which must be undertaken by health workers in order to prevent mortality and morbidity of cardiovascular diseases.