Patient after cardiac infarction: risk factors that can cause new cardiovascular disasters

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I.A. Novikova, L.A. Nekrutenko, T.M. Lebedeva, O.V. Kchlynova, E.A. Shishkina


E.A. Vagner's Perm State Medical University of the RF Public Healthcare Ministry, 26 Petropavlovsjaya Str., Perm, 614000, Russian Federation


Over recent years there has been a trend for a decrease in lethality during an acute cardiac infarction period; but at the same time there is a growth in a number of patients who run high risks of recurrent adverse cardiovascular events. Despite secondary prevention measures having been introduced, frequency of recurrent cardiac infarctions is still high, and most of them occur during the first year. Our research goal was to reveal basic risk factors that cause recurrent adverse cardiovascular events in patients during the first year after a cardiac infarction. We questioned 40 patients living in Perm who had had cardiac infractions from September 2017 to July 2018 and who were undergoing polyclinic rehabilitation. To perform this questioning, we applied an original questionnaire.

We revealed that men prevailed among patients with cardiac infarction. The first infarction usually occurs in early 60ties. Ischemic heart disease starts with cardiac infarction in 45% patients. We detected that at least one risk factor occurred for all the patients; the most widely spread risk factors in the given population were burdened heredity, low physical activity, overweight, uncontrolled arterial hypertension, and hypercholesterolemia. We also revealed in our research that less than 50 % patients were committed to treatment and it was primarily due to low awareness about the necessity to take medications and also due to these medications being hardly affordable for patients. Therefore, patients who suffered from cardiac infarction and are undergoing polyclinic rehabilitation run an elevated risk of recurrent cardiovascular events during the first year and it means that secondary prevention measures are not efficient. When treating patients with cardiac infarction, we should optimize interaction between a physician and a patient and pay greater attention to a patient being committed to treatment.

cardiac infarction, recurrent cardiac infarction, risk factors, revascularization, rehabilitation, commitment to treatment, secondary prevention
Novikova I.A., Nekrutenko L.A., Lebedeva T.M., Kchlynova O.V., Shishkina E.A. PATIENT After cardiac infarction: risk factors that can cause new cardiovascular disasters. Health Risk Analysis, 2019, no. 1, pp. 135–143. DOI: 10.21668/health.risk/2019.1.15.eng
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