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Nonpharmacological treatment of the risk faktors of atherosclerosis
HARTOVÁ, Taťána
Cardiovascular diseases are the most frequent death causation in most advanced countries. The citizens of the Czech Republic are unambiguously considered a population with an increased risk profile of untimely atherosclerosis. The paper addresses quantification of common risk factors of cardiovascular diseases (arterial hypertension, diabetes, smoking, obesity), monitoring of the number of other residential treatments, other cardiovascular incidents and deaths and especially the depressive disorder of 200 patients (aged 36 {--} 86 years) of the Invasive Cardiology Department of Nemocnice Karlovy Vary, s. r. o. indicated to be subject to coronarographic examination. As concerns depressive patients, we encounter the cardiovascular disease and sudden cardiac death more often than with the non-depressive ones. This applies also in the event when risk factors of cardiovascular disorders in the anamnesis are excluded in both groups. A man with a cardiovascular illness experiences a significant break period. He is directly limited in terms of his health and endangered in terms of his existence, social life and often even his life itself. Psychic changes under those circumstances are almost regular, the depression development is assumable. As many as 13 % of the approached cardiac patients state the occurrence of typical problems accompanying the depression in the past 14 days, with 27 % of them, the problems lasted longer than a week. The whole-life prevalence of depression ranges between 5 and 16%, a higher occurrence of depressive patients among cardiac patients is hence apparent. The average BMI of monitored women is 29,12 {--} hence at the border of normal weight and overweight, the average BMI of monitored men amounts to 29,20 {--} which indicates their obesity. Hence one may confirm that as concerns the monitored persons, a higher body mass index (BMI) is confirmed with monitored persons. The average wasteline is 104,29 with monitored women and 104,83 with monitored men {--} i.e. the content of visceral fat is considerable. When monitoring other residential treatments within half a year, most patients were those with angina pectoris. Regardless of their diagnosis, only three patients died.
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