Prevalence of cardiovascular diseases in organized groups of employees andresults of long-term multifactorial prevention

Aim. Evaluation of cardiovascular diseases (CVD) prevalence and their dynam ics after active prevention program. Materials and methods. 1382 male and 155 female volunteers were included in to the group of active prevention in their office. 1024 males and 776 femal es with natural history were compared as a control group. 5-year follow-up was performed in 543 males and 569 females in comparison with 97 males and 119 females. 10-year follow-up covered 82 males and 191 females from the ac tive prevention group and 178 males and 118 females from the referent group . Results. The risk factor correction has resulted in a significant decrease in both systolic and diastolic BP mean levels, prevalence of ECG abnormalit ies, smoking habits, overweight and combination of the risk factors, genera l mortality rate, CHD and stroke mortality, number of days of temporary dis ability. Conclusion. The primary and secondary "in office" prevention for 5 to 10 ye ars diminishes the prevalence of the risk factors. The temporary and primar y disability rates were connected with the presence of CVD. CVD, in line wi th other risk factors, significantly increased cardiovascular and general m ortality rates.