[Experience and results with an approach to preventing ischemic heart disease in a region]. / Opyt i rezul'taty podkhoda k profilaktike ishemicheskoi bolezni serdtsa v raione.

The program of coronary heart disease prevention among the population of the administrative district of Minsk was implemented over three years through the managerial, administrative and medical structures. The task team performed the organizational and methodological work and carried out the monitoring of the epidemiological situation with regard to coronary heart disease. 1537 persons underwent primary screening and 1112 were examined after three years. A statistically significant increase in the awareness of the population and doctors of the problems of a healthy lifestyle, improved indices of arterial hypertension control, a tendency toward decrease in the prevalence of arterial hypertension were recorded during the observation period. The behavioral risk factors could not be influenced.

[The prognostic value of cardiology screening data in relation to the development of myocardial infarct in the next 7 years]. / Prognosticheskaia znachimost' dannykh kardiologicheskogo skrininga v otnoshenii razvitiia infarkta miokarda v blizhaishie 7 let.

A prospective follow-up within 7 years was performed for 4148 males aged 40-59 from an open population of Minsk who had been subjected to cardiological screening. The frequency of myocardial infarction (MI) in patients with coronary heart disease (CHD) established at screening exceeded that of CHD-free subjects 4.1 times. For separate forms of CHD a relative risk for patients with MI history, angina pectoris of effort (by Roze questionnaire) and isolated ischemic changes on ECG at rest amounted to 8.6, 4.0 and 2.3, respectively. MI was associated with blood pressure, cholesterol levels. A multivariate analysis revealed a significant independent contribution of hypertension, hypercholesterolemia, smoking and age to the risk of MI development in subjects free of CHD at screening. Concrete values of beta-coefficients of the logistic function prognosticating the risk of MI development in the population studied have been determined.

[Risk factors in chronic noncommunicable diseases]. / Faktory riska khronicheskikh neinfektsionnykh zabolevanii.

As a result of an epidemiological survey of able-bodied population aged 20-64, serviced by the territorial polyclinic of Minsk with the help of standard methods and standardized procedures, the data on the prevalence of some chronic non-communicable diseases and their risk factors were obtained. The high incidence of ischemic heart disease, arterial hypertension, such risk factors as hypercholesteremia, excess body weight, smoking and lack of exercise, and also their increase with age, suggested the necessity to intensify preventive activities among population. A study was made of the able-bodied population awareness regarding healthy lifestyle and also of the extent to which outpatient physicians fulfil the non-drug therapy recommendations. The data obtained were needed for planning curative and preventive activities with due regard for age-and-sex peculiarities in the distribution of characteristics studied.