Opening Asia for Russia

Medsi hosted the first lecture as part of the Lipid School

21.10.2020 52 просмотров

Within the framework of the Lipid School, organized by the MEDSI Group of Companies, the first online lecture was held jointly with the Russian Society of Cardiology and the National Atherosclerosis Society (NOA). 

full cycle of lectures is devoted to the main aspects of lipidology and is aimed at general practitioners, cardiologists, endocrinologists, neurologists, and ophthalmologists. Taking into account the epidemic conditions associated with the outbreak of COVID-19, all lectures will be held online for participants, the safest for the health of participants and lecturers.

Lipid metabolism disorders leading to heart attacks and strokes, especially in people of working age age, are often not diagnosed in time. This was said in his opening speech by Gennady Alexandrovich Konovalov, Doctor of Medical Sciences, Professor, Scientific Director of the MEDSI Clinical and Diagnostic Center on Belorusskaya, Head of the Center for Diagnostics and Innovative Medical Technologies, member of the NOA, Chairman of the Academic Council of the MEDSI Group of Companies . He drew attention to the problem of insufficient diagnosis of lipid metabolism disorders: many doctors do not know about such a risk factor for cardiovascular accidents as an elevated level of lipoprotein (a), and, accordingly, they cannot diagnose and identify risk factors for hereditary dyslipidemia in time. These topics will be given special attention at the Lipid School, the professor noted. 

Another, no less acute and urgent problem is the correction of dyslipidemia in patients with coronavirus infection. As the professor added, COVID-19 is severe in such background pathologies as hereditary dyslipidemia, hyperviscosity, endothelial dysfunction. 
The series of lectures within the Lipid School will continue with practical exercises and will end with an internship for participants at the Clinic of Lipidology of KDSC. “But it will be closer to December, when the epidemic of coronavirus infection will subside. And today the Lipid School will open with the first and very important lecture on risk factors and primary prevention of cardiovascular accidents,” Gennady Alexandrovich concluded his speech and gave the floor to Igor Vladimirovich Sergienko, Doctor of Medical Sciences, Professor, Head of the Laboratory of Atherosclerosis Phenotypes, Institute of Clinical Cardiology n.a. AL Myasnikova Federal State Budgetary Institution National Medical Research Center of Cardiology of the Ministry of Health of the Russian Federation, Director of NOA.

In her report “IHD risk factors. Types of lipid metabolism disorders. Primary prevention of coronary artery disease” Igor Vladimirovich noted that among the main risk factors for all cardiovascular diseases, including coronary heart disease, hypertension, dyslipidemia, smoking, diabetes mellitus, obesity and stress are the most dangerous. “We can either completely eliminate all these factors, for example, stop smoking, or take control. And the sooner this happens, the better the prognosis for the patient, the professor said. - The fact is that an atherosclerotic plaque can form at different stages of the disease, but it does not happen that yesterday a person's arteries were clean, and today there is already atherosclerosis. This process proceeds smoothly, gradually and often asymptomatically.”

Such a gradual development of the disease leads to the fact that the doctor is forced to work with the end result, that is, with blockage of blood vessels, but it is necessary to work with the cause, added Igor Vladimirovich

He identified three main causes:
  • inflammation, which often occurs with obesity, diabetes, infections;
  • damage to the arteries, characteristic of smokers, patients with diabetes, as well as people living in a polluted environment, experiencing severe stress;
  • dyslipidemia, which can have both a family (hereditary) form and be concomitant pathology in diabetes mellitus, obesity, hypercholesterolemia.

The more of these pathologies a patient has, the higher the likelihood of developing cardiovascular complications. For example, diabetes mellitus increases the risk of cardiovascular events by 2 times. However, the highest risk of death occurs when the patient has diabetes, ischemia, and stroke. At the same time, people who considered themselves healthy often die from coronary heart disease. For example, in 2005, 35% of those who died from cardiovascular diseases were diagnosed posthumously.

 “Although the statistics are old, they are relevant to this day. That is why it is necessary to direct all efforts to the prevention of cardiovascular pathologies, and not to combat the consequences. The simplest prevention, whether it be lifestyle changes or drug therapy, is economically viable both for the population as a whole and for each individual,” the professor added. Accordingly, it is important to work in two directions: individual prevention and population prevention, when information about risk factors, the causes of cardiovascular accidents, and ways to prevent them is presented everywhere on posters, in the media, and on the Internet. “For population prevention, it is enough to spend $1 a year per person. Of course, if you multiply this number by the number of people, you get a decent amount. However, it was also calculated that reducing the population risk of cardiovascular diseases by only 1% prevents 25 thousand cases of cardiovascular death and saves about 40 million euros per year,” said Igor Vladimirovich. And these data are much more illustrative, given that, for example, in Russia, 39% of men do not live to be 60 years old precisely because of premature coronary death. A similar experience of population prevention was in Finland, where as a result of smoking cessation, control of blood pressure and low-density lipoprotein levels, mortality from coronary heart disease decreased by 80%.

In addition to weight control, smoking cessation is important in individual prevention. , to know your level of low-density lipoproteins, since they are all atherogenic, which means they can lead to vascular catastrophes associated with lipid metabolism disorders. In 2018 in Russia, 10% of hospitalized patients with acute coronary syndrome had severe hypercholesterolemia (LDL-C ≥ 5 mmol/l). At the same time, in most cases, it was possible to avoid such consequences only by correcting the lifestyle.

Screening should play a special role. It is indicated for patients with cardiovascular disease with an unfavorable family history, patients with peripheral arterial disease, as well as people with various risk factors, men over 40 years of age and women over 50 years of age. Both men and women should be screened for diabetes from the age of 20.

At the end of the lecture, Igor Vladimirovich explained in more detail the rules of healthy eating as another way to prevent various diseases of the cardiovascular system. He noted that the inclusion of cereals, legumes, vegetables, fruits, fish, steamed, boiled or baked in the menu will help maintain a healthy lifestyle and reduce the likelihood of developing vascular and heart diseases, as well as other diseases.

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