PECULIARITIES OF CARDIOVASCULAR RISK FACTORS IN MEN UNDER 60 YEARS OLD WITH MYOCARDIAL INFARCTION AND CHRONIC INFLAMMATORY DISEASES OF THE LUNGS

Abstract

An important direction in improving the prevention of internal diseases in recent years is the reviewing of comorbidity for individualization of therapy. At the same time, data on the prevalence of risk factors for myocardial infarction (MI) in young and middle-aged men suffering from chronic lung diseases (CLD) are contradictory. The aim of the study was to assess risk factors for cardiovascular diseases (CVD) in men under the age of 60 with MI and CLD. It includes men from 18 to 60 years old with type I IM who, in the first 48 hours [8] and at the end of the third week of the disease [1], performed the standard diagnostic algorithm. Patients were divided into two age-comparable groups: I - with chronic lung disease (chronic bronchitis (136 patients) and bronchial asthma (6 patients)); II - without lung diseases - 424 patients as a control group. It has been established that the prevalence of CLD among men with MI younger than 60 years is 25.1% (bronchial asthma - 1.1%, chronic bronchitis - 24.0%). The predominant risk factors for MI in men younger than 60 years old with CLD are smoking (95.1%), atherogenic dyslipidemia (92.0%), chronic foci of infections of the internal organs (75.4%), hereditary burden of hypertension (54.2 %) and ischemic heart disease (40.8%), winter season (40.8%), non-ulcer pathology of the digestive system (26.1%), frequent colds (24.6%) and extrasystole (19.7%) history. The selection of risk groups among men under 60 years of age with this combination with the correction of modifiable risk factors will improve the results of prophylaxis and prognosis in such patients.