Need for preventive measures in patients with cardiovascular diseases undergoing follow-up monitoring

Abstract

Aim. To evaluate the preventive measures regulated within the followup monitoring program of patients with cardiovascular diseases based on medical records. Material and methods. This retrospective analysis of data from form № 131/u for 2023-2024 was conducted in patients with hypertension and/or coronary artery disease under follow-up monitoring from a general practitioner within the Voronezh City Polyclinic № 10 and had registered behavioral risk factors (BRFs) and/or excess body weight. Compliance with the preventive route was assessed during the first outpatient visit of the year. The analysis included 178 forms № 131/u — 87 for 2023 and 91 for 2024; an additional cohort of patients with data for both years was identified (n=64). Descriptive statistics were used. Results. Referral to the second stage of the outpatient examination was recorded in 91,6% of forms № 131/u. In-depth preventive counseling and follow-up appointments with a local general practitioner were performed in 90,8%. Incomplete completion of the preventive route was 9,2%. Excess body weight was recorded in 87,6% of forms № 131/u. In more than half of these forms it was combined with BRFs. The proportion of registered BRFs was unhealthy diet (46,1%), low physical activity (50,0%), tobacco smoking (3,4%); the risk of harmful alcohol consumption was not registered. In patients with data for both years, Me of individual differences in body weight, body mass index, systolic and diastolic blood pressure was 0,0; a decrease in body weight was recorded in 9,4%. The number of registered BRFs in 2024 was lower than in 2023 — Me Δ =-1,0 [-2,0; 0,0]. Conclusion. Form № 131/u can be used to assess the need for multifactorial preventive counseling and the implementation of preventive measures in cases of noncommunicable diseases, subject to monitoring the completeness and quality of the documentation.