Abstract
Aim. To study the possibilities of using multi-channel volume sphygmography (MCVS) in prophylactic medical examination of the population. Material and methods. Simultaneous examination of 522 individuals older than 18 years was performed. Along with standard procedures provided by the prophylactic medical examination program synchronous registration of blood pressure (BP) on four extremities by MCVS was performed. At that a difference in systolic BP between arms (ΔSBParm) and legs (ΔSBPleg) and ankle-brachial index (ABI) were automatically calculated. Values of │ΔSBParm│ or │ΔSBPleg│≥15 mm Hg or ABI≤0.9 were considered as markers of atherosclerotic vascular disease. Results. Signs of peripheral arterial atherosclerotic lesions among patients ≥40 years old were found in 14.7% of the cases (95% confidence interval [CI] 11.7-18.4). Relative risks of atherosclerotic lesions in arteries increase 1.71-fold (95% CI 1.06-2.74) in arterial hypertension, 1.70-fold (95% CI 1.08-2.68) – in obesity, 1.91 fold (95% CI 1.17-3.12) – in diabetes, as well as with the increasing levels of cardiovascular risk. In patients with ischemic heart disease and a history of cerebral stroke MCVS can detect signs of multifocal atherosclerosis in 21% (95% CI 14-32) and 22% (95% CI 9-46) of the cases, respectively. Conclusion. MCVS with the determination of ΔSBParm, ΔSBPleg and ABI may be regarded as the basis for low-cost and efficient system of cardioangiological screening.
Highlights
Relative risks of atherosclerotic lesions in arteries increase 1.71-fold in arterial hypertension, 1.70-fold – in obesity, 1.91 fold – in diabetes, as well as with the increasing levels of cardiovascular risk
In patients with ischemic heart disease and a history of cerebral stroke multi-channel volume sphygmography (MCVS) can detect signs of multifocal atherosclerosis in 21% and 22% of the cases, respectively
Weinberg I., et al The Systolic Blood Pressure Difference Between Arms and Cardiovascular Disease in the Framingham Heart Study
Summary
Областным кардиологическим диспансером Воронежской ОКБ No1 Остроушко Надежда Игоревна – к.м.н., начальник отдела скорой и первичной медико-санитарной помощи департамента здравоохранения Воронежской области Гайдашев Андрей Эдуардович – к.м.н., доцент кафедры функциональной диагностики РУДН Кирсанов Дмитрий Васильевич – руководитель Воронежского филиала АО Страховая компания «СОГАЗ-Мед» Ахмеджанов Надир Мигдатович – к.м.н., в.н.с. Первым этапом диспансеризации является скрининг населения, направленный на выявление признаков хронических неинфекционных заболеваний, факторов риска их развития, а также определения медицинских показаний к выполнению дополнительных обследований и осмотров врачами-специалистами для уточ-. Цель настоящего исследования заключалась в изучении возможностей применения метода многоканальной объемной сфигмографии (МОС) для раннего выявления признаков атеросклеротического поражения артерий при проведении скрининга взрослого населения в рамках существующей программы всеобщей диспансеризации
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