Overall results of own clinical investigations of the achieving of the target levels of main risk factors of ischemic heart disease

Abstract

Object of investigation – patients with ischemic heart disease, who were upon family physician monitoring at primary level of medical care and patients with ischemic heart disease, who were upon monitoring at secondary level of medical care at therapeutic department.
 Оbjectives – to investigate the efficiency of the achieving of the target levels of main risk such factors as body mass index, body fat percentage, arterial pressure level, as well as low density lypoprotein cholesterol in the blood, changes of smoking rate during the treatment and changes of physical activity in patients with ischemic heart disease upon family physician monitoring and at secondary level of medical care.
 As a result it was found, that upon the family physician monitoring of the patients with ischemic heart disease such risk-factors as the BMI, body fat percentage, level of physical activity after 6 weeks were modified better, than at secondary level. Upon monitoring of the patients with ischemic heart disease at secondary level of medical care such factors as blood pressure, low density lypoprotein cholesterol after 6 weeks is better modifiable, than at primary level of medical care. Such factor as smoking rate is modifiable equally bad either at primary level of medical care, or secondary level of medical care.
 Conclusions. When monitoring patients with coronary heart disease, the family physician is advised to monitor more closely the achievement of target levels of blood pressure, LDL cholesterol and smoking cessation.