SYSTEM FOR THE NEAREST CARDIOVASCULAR RISK ASSESSMENT IN SECOND TYPE DIABETES PATIENTS
All recently known scores are applicable for long-term cardiovascular prognosis (CVP) for ≥10 years, and do underestimate the risk cardiovascular diseases (CVD) in persons with second type diabetes (DM). For the real clinical practice there is demand for CVD prediction in the nearest future.Aim. To...
| Main Authors: | , |
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| Format: | Article |
| Language: | Russian |
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«FIRMA «SILICEA» LLC
2016-04-01
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| Series: | Российский кардиологический журнал |
| Subjects: | |
| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/707 |
| _version_ | 1797856945904812032 |
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| author | N. V. Leonova S. V. Pushkareva |
| author_facet | N. V. Leonova S. V. Pushkareva |
| author_sort | N. V. Leonova |
| collection | DOAJ |
| description | All recently known scores are applicable for long-term cardiovascular prognosis (CVP) for ≥10 years, and do underestimate the risk cardiovascular diseases (CVD) in persons with second type diabetes (DM). For the real clinical practice there is demand for CVD prediction in the nearest future.Aim. To develop a system for the nearest risk assessment for stroke and myocardial infarction (MI) in DM patients on the ground of clinical risk factors.Material and methods. Patients with DM from the Altai Region registry were selected to 2 groups: non-stroke and non-MI (1st group) and those after stroke and MI in the year 2014 (2nd group, comparison).Results. Mono- and multifactorial analysis was done for the association of stroke and MI with cardiometabolic risk factors (RF). Among RF, that were statistically significantly related to the complications studied, we selected only clinical RF. Each of those included was marked as a point: if it is present in this patient, than 1, if not, than 0. Then for each of 71602 patients with DM we calculated total points. For each point we calculated odds ratio (OR) for stroke and MI, 95% CI and statistical significance coefficient. The risk for stroke and MI significantly increased beginning at 5 points.Conclusion. The proposed point system of the nearest risk of stroke and MI in DM patients is based upon the usage of clinical risk factors. Pointed riscometer is easy to use, available at any level of medical care, that will promote the concentration of efforts for target CVD levels achievement in DM patients. |
| first_indexed | 2024-04-09T20:48:46Z |
| format | Article |
| id | doaj.art-59fbe772733943aa80c2fef53f89452c |
| institution | Directory Open Access Journal |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| last_indexed | 2024-04-09T20:48:46Z |
| publishDate | 2016-04-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj.art-59fbe772733943aa80c2fef53f89452c2023-03-29T21:23:26Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202016-04-0104303410.15829/1560-4071-2016-4-30-34624SYSTEM FOR THE NEAREST CARDIOVASCULAR RISK ASSESSMENT IN SECOND TYPE DIABETES PATIENTSN. V. Leonova0S. V. Pushkareva1LLC “Anturium”Regional Clinical HospitalAll recently known scores are applicable for long-term cardiovascular prognosis (CVP) for ≥10 years, and do underestimate the risk cardiovascular diseases (CVD) in persons with second type diabetes (DM). For the real clinical practice there is demand for CVD prediction in the nearest future.Aim. To develop a system for the nearest risk assessment for stroke and myocardial infarction (MI) in DM patients on the ground of clinical risk factors.Material and methods. Patients with DM from the Altai Region registry were selected to 2 groups: non-stroke and non-MI (1st group) and those after stroke and MI in the year 2014 (2nd group, comparison).Results. Mono- and multifactorial analysis was done for the association of stroke and MI with cardiometabolic risk factors (RF). Among RF, that were statistically significantly related to the complications studied, we selected only clinical RF. Each of those included was marked as a point: if it is present in this patient, than 1, if not, than 0. Then for each of 71602 patients with DM we calculated total points. For each point we calculated odds ratio (OR) for stroke and MI, 95% CI and statistical significance coefficient. The risk for stroke and MI significantly increased beginning at 5 points.Conclusion. The proposed point system of the nearest risk of stroke and MI in DM patients is based upon the usage of clinical risk factors. Pointed riscometer is easy to use, available at any level of medical care, that will promote the concentration of efforts for target CVD levels achievement in DM patients.https://russjcardiol.elpub.ru/jour/article/view/707diabetes mellitus 2 typestrokemyocardial infarctioncardiovascular riskrisk factors |
| spellingShingle | N. V. Leonova S. V. Pushkareva SYSTEM FOR THE NEAREST CARDIOVASCULAR RISK ASSESSMENT IN SECOND TYPE DIABETES PATIENTS Российский кардиологический журнал diabetes mellitus 2 type stroke myocardial infarction cardiovascular risk risk factors |
| title | SYSTEM FOR THE NEAREST CARDIOVASCULAR RISK ASSESSMENT IN SECOND TYPE DIABETES PATIENTS |
| title_full | SYSTEM FOR THE NEAREST CARDIOVASCULAR RISK ASSESSMENT IN SECOND TYPE DIABETES PATIENTS |
| title_fullStr | SYSTEM FOR THE NEAREST CARDIOVASCULAR RISK ASSESSMENT IN SECOND TYPE DIABETES PATIENTS |
| title_full_unstemmed | SYSTEM FOR THE NEAREST CARDIOVASCULAR RISK ASSESSMENT IN SECOND TYPE DIABETES PATIENTS |
| title_short | SYSTEM FOR THE NEAREST CARDIOVASCULAR RISK ASSESSMENT IN SECOND TYPE DIABETES PATIENTS |
| title_sort | system for the nearest cardiovascular risk assessment in second type diabetes patients |
| topic | diabetes mellitus 2 type stroke myocardial infarction cardiovascular risk risk factors |
| url | https://russjcardiol.elpub.ru/jour/article/view/707 |
| work_keys_str_mv | AT nvleonova systemforthenearestcardiovascularriskassessmentinsecondtypediabetespatients AT svpushkareva systemforthenearestcardiovascularriskassessmentinsecondtypediabetespatients |