EFFECT OF MULTIFACTORIAL PREVENTION OF CA RDIOVASCULAR-DISEASE ON LIFETIME PREDICTION - A 10-YEAR FOLLOW-UP

Aim. Assessment of the probability of decreasing cardiovascular mortal ity by detecting and treating coronary patients and patients with arte rial hypertension and correcting the risk factors. Materials and Metho ds. A prospective ten-year registration of the mortality of the male p opulation aged 40 to 59 years was carried out at a Moscow territory wi th two health centers. The subjects were routinely screened for corona ry disease, arterial hypertension, hypercholesterolemia, excess body w eight, tobacco smoking, insufficient exercise. During the first five y ears of the follow-up they were involved in treatment and prophylaxis measures varying in activity and direction (the two health centers wer e specialized in prevention and common treatment). Conclusion. Multifa ctorial prophylactic intervention helped delay untimely death in all t he population examined, mainly due to detection of cardiovascular dise ases. The life prognosis was improved most appreciably in the cases wh en the levels of risk factors were decreased due to multifactorial pre vention in comparison with the life prognosis for subjects with a simi lar decrease of risk factors but without prophylactic intervention.