Importance of Check Up Evaluation in Clinically Healthy 40-65 Age Group, in Albania

Introduction. Assessment of glycaemia, lipid profile and status of stress-anxiety-depression in clinically healthy individuals, through the foregoing examination, is very important for preventive medical decision and slowing down atherosclerotic and cardiovascular events. Aim. Importance of atherosclerotic risk, Framingham score, evaluation of stress-anxiety-depression, glycaemia, in clinical healthy age group 40-65 year old. Material and Methods. Were analysed data of 100 individuals of Health Center Nr 4, Tirana, Albania, who had been subjects of the programmed preceding control. We analysed variation of values of glycaemic, lipids profile, measured by end point method, and stress-anxiety-depression status according to DHQ 9 questionnaire in these patients. Weve calculated risk for atherosclerosis and likelihood for cardiovascular events during the next 10 years according to the Framingham criteria. Weve calculate percentage of suggested diabetic and metabolic syndrome cases. Results. Weve seen these variation of values glycaemia (GLU) = 96.2 37.8mg/dl, cholesterolemia (Chol) = 215 35.7mg/dl, HDL-cholesterolemia (HDL-ch) = 43.3 14.7mg/dl, LDL-cholesterolemia (LDL-ch) = 131 32.8mg/dl, the level of stress = 6.76 5.92, the atherosclerotic risk (AR) men = 6.93 2.47 and (AR) woman 5.08 1.25 (p = 0.0003), Framingham scoring ( %) Male (M) = 12.8 749, Female (F) = 259 201 (p = 0.0001) Conclusions. Statistical significant difference of AR (p = 0.0003) or scoring Framingham (p = 0.0001), between genders, in our age group is consistent with literature data, where to be female agedgreater than 55 years old is considered a major factor risk for cardiovascular events, whereas for men this age is greater than 45 years old. Although early new markers are very important and promising, assessment of glycaemic, lipid profile or anxiety-depression stress status, are determinant nowadays for the best medical decision to slow down atherosclerosis progress in this age group.