PURPOSE: To estimate the prevalence of cardiovascular risk factors and associated clinical conditions in hospitalized Russian asthma patients.
METHODS: 168 hospitalized patients with asthma were studied. The mean age of the patients was 48.8±15.4 years (26.8% were men and 73.2% were women). All the patients underwent repeated blood pressure measurements, anthropometric measurements, laboratory investigations (LDL-cholesterol, whole capillary blood glucose) and instrumental investigations (echocardiography and duplex ultrasound).
RESULTS: The arterial hypertension was detected in 61.9% of cases (104 patients): grade 2 hypertension - in 76% (79 patients), grade 3 hypertension - in 24% (25 patients). Only 4.8% of cases (8 patients) were cigarette smokers. Dyslipidaemia (LDL-cholesterol > 4.0 mmol/l) was detected in 29.8% (50 patients). Abdominal obesity was revealed in 33.3% of cases (56 patients) and overweight - in 16.1% of cases (27 patients). Associated clinical conditions such as a history of myocardial infarction and angina were revealed in 6.5% of cases (11 patients). Supraventricular arrhythmias (atrial fibrillation and atrial premature complexes) were revealed in 6.5% of cases (11 patients). Peripheral vascular disease was detected in 5.4% of cases (9 patients). Diabetes mellitus was detected in 6.5% of cases (11 patients).
CONCLUSIONS: The main cardiovascular risk factors in Russian asthma patients were arterial hypertension, abdominal obesity and dyslipidaemia.
CLINICAL IMPLICATIONS: Cardiovascular risk factors in Russian asthma patients increase risk of cardiovascular events. Detecting of these comorbid conditions helps improve management in this group of patients.
DISCLOSURE: The following authors have nothing to disclose: Vasily Pyankov
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