Европейский Совет по кардиоваскулярным исследованиям в этом году собирается в Италии в октябре -
http://www.eccr.org/Там будут представлены три доклада с данными полученными, как в центрах здоровья, так и с использованием кардиовизора!
Пора, давно пора выходить на международный уровень!
PC.5
0012
Magnetocardiography in assessment of the electrophysiological impairment of the myocardium in hypertensive patients
Status: AcceptedPresentation type: Poster
Category: Cardiovascular Disease
Author's preference: Oral
Gennagy Ivanov1 ,5, Svetlana Kuznetsova2, Yuriy Maslennikov3, Mikhail Primin4, Ghazi Halabi6, Nataliya Bulanova1
1Sechenov First Moscow State Medical University, Moscow, Russia, 2Central clinic hospital of Russian Academy of Sciences, Moscow, Russia, 3CRYOTON Co. Ltd, Moscow, Russia, 4Glushkov Institute of Cybernetic of NAS of Ukraine, Kiev, Ukraine, 5Peoples' Friendship University of Russia, Moscow, Russia, 6Hospital “Medical 2000”, Beirut, Lebanon
Objective. To study diagnostic value of magnetocardiography for left ventricular hypertrophy detection in hypertensive patients in comparison with standard ECG and dispersion mapping method.
Design and methods. To assess and compare diagnostic value of ECG 12, dispersion mapping method and magnetocardiography in detecting left ventricular hypertrophy and electrophysiological remodeling we studied 89 patients with arterial hypertension and 73 controls.
Results. It has been shown that as criteria for left ventricular hypertrophy detection the following magnetocardiography indicators can be used: a) an indicator of the direction of the current density vector - DCDV <15.0; b) the topology of the distribution of current density vectors in QRS complex, option "entropy" - PE> 0.3; c) the parameter of synchrony and correlations of the MCG in all 36 points of the measurements on the ST-T interval, PSC > 0.15; d) the parameter of the average variability of the magnetic field (PAVMP) for the period of ventricular repolarization, sensitivity 75%, 88%, 88 %, 71% and specificity 90%, 56%, 87%, 87%, respectively. Integral use of four indicators with the help of the developed software increases the sensitivity and specificity of magnetocardiography to differentiate groups of healthy and hypertensive patients to 86% and 95% respectively. The dispersion mapping parameters are superior to those of ECG-12 in terms of their sensitivity and specificity, but inferior to the magnetocardiography method.
Conclusion. Magnetocardiography and dispersion mapping can be used for detection of left ventricular hypertrophy, impairment of electrophysiological properties of the myocardium and its electrical heterogeneity.
4.3
0017
Prevalence of cardiovascular disease risk factors among visitors of Health Centers in 2010-2015
Status: AcceptedPresentation type: Oral
Category: Clinical Science
Author's preference: Oral
Gennady Ivanov1 ,2, Ghazi Halabi6, Nataliya Bulanova1 ,5, Svetlana Schelykalina3 ,4, Dmitriy Nikolaev3
1Sechenov First Moscow State Medical University, Moscow, Russia, 2Peoples' Friendship University of Russia, Moscow, Russia, 3Federal Research Institute for Health organization and Informatics of Ministry of Health of the Russian Federation, Moscow, Russia, 4Pirogov Russian National Research Medical University, Moscow, Russia, 5Central State Medical Academy Management Department of the President of the Russian Federation, Moscow, Russia, 6Hospital “Medical 2000”, Beirut, Lebanon
Aim: to assess the prevalence of hypercholesterolemia (HH), hypertension and obesity as cardiovascular disease risk factors among visitors of Health Centers (HC) in Russia and its regions.
Methods: the data of 435299 men and women aged 25-64 years who visited HC in more than 20 regions of Russia from 2010 to 2015 were analyzed. Results: The prevalence of HH in men and women was 30,4% and 25,9% consecutively, obesity - 15,7% and 21,6%, hypertension - 19,3% and 15,1%. HH and obesity are found to be more common in women, hypertension - in men. Standardized evaluation of obesity prevalence varies depending on the region from 10,3% in Kurgan region to 48,5% in Belgorod region, hypertension - from 12,4% in Kurgan region to 55,0% in Bryansk region, HH - from 24,1% in Moscow to 60,9% in Saratov region. According to the standardized evaluation the prevalence of obesity, HH and hypertension in Moscow, Kurgan region and Chuvash republic is lower than in average in Russia. Obesity in Belgorod region (48,5%), hypertension in Bryansk region (55,0%) and HH in Saratov region (60,9%) are two times more prevalent than in average in Russia.
Conclusions: Analysis of the cardiovascular risk factors in visitors of the HC in Russia revealed a favorable situation in Moscow, Kurgan region and the Chuvash Republic. However, in most regions, the prevalence of obesity, hypertension and HH is quite high, suggesting the need to enhance measures for the prevention of cardiovascular diseases, changing lifestyle and food habits, correction of therapy.
PC.4
0019
Magnetocardiography and ECG dispersion mapping in diagnostics of atrial leasions
Status: AcceptedPresentation type: Poster
Category: Clinical Science
Author's preference: Poster
Gennagy Ivanov1 ,2, Nataliya Bulanova1, Vjacheslav Vostricov1, Nataliya Chuyko2, Yuriy Maslennikov3, Mikhail Primin4, Svetlana Kuznetsova5, Victoriya Gunaeva5, Ghazi Halabi6
1Sechenov First Moscow State Medical University, Moscow, Russia, 2Peoples' Friendship University of Russia, Moscow, Russia, 3CRYOTON Co. Ltd, Moscow, Russia, 4Glushkov Institute of Cybernetic of NAS of Ukraine, Kiev, Ukraine, 5Central clinic hospital of Russian Academy of Sciences, Moscow, Russia, 6Hospital “Medical 2000”, Beirut, Lebanon
Aim: to assess the value of magnetocardiographic and ECG dispersion mapping characteristics in detection of early electrophysiological changes in atrial myocardium in patients with chronic obstructive pulmonary disease (COPD) as a condition associated with atiral fibrillation (AFIb) and in patients with AFib.
Methods: Magnetocardiography and ECG dispersion mapping were conducted in 55 COPD patients, 30 AFib patients and 32 controls.
Results: The ratio of the positive to negative extremum (М+) / (М-) in COPD (0,53 ± 0,10) and Afib patients (0,69 ± 0,06) was decreased in comparison to controls (0,87 ± 0,11, P<0,05). In COPD and Afib patients there was a delay in positive extremum (M +) appearance from the beginning of the P wave (50,5 ±2,6 ms and 48,2 ± 3,6 ms) in relation to the controls (42,6 ± 2,9 ms, P<0,05).
Conclusions: The analysis of intra- and interatrial conduction time in patients with AF and COPD showed that in these groups there are similar changes in magnetocardiography parameters and microalternations of the P wave in comparison to controls. These changes can reflect the condition of the atrial myocardium, atrial vulnerability and susceptibility for the induction and maintenance of AFib.
