MORBIDITY AND MORTALITY FROM CARDIOVASCULAR DISEASES IN RYAZAN DISTRICT: 2014-2018

The article is devoted to analysis of morbidity and mortality from cardiovascular diseases in the Ryazan district in recent 5 years. Analysis of the morbidity pattern in 2018 showed that the contribution of diseases of the circulatory system (DCS) to the total and primary morbidity was 28.2 and 8.77%, respectively. Most commonly were recorded essential hypertension (EH), ischemic heart disease (IHD) and cerebrovascular disease (CVD). Their total contribution to the primary mortality with DCS made 90.7%. The share of acute DCS was significantly lower. In the region a rise in the primary morbidity with myocardial infarction, acute cerebrovascular diseases, cerebral infarction and transient ischemic attack was noted. Besides, there was an improvement in record and identification of chronic cardiovascular diseases. The top three leaders in the primary record in 2018 were EH (1405.0 per 100,000 of population), IHD (1256.0 per 100,000 of population) and CVD (1060.7 per 100,000 of population). The death rate from DCS in the region (602.6 per 100,000 of population) exceeded similar parameters in the Russian Federation (573.6 per 100,000 of population) and in the Central Federal District (591.7 per 100,000 of population). Nevertheless, at least throughout the last decade both the level of the total mortality rate and mortality rate from DCS are declining. The share of DCS in the mortality pattern continued to successively decline in 2018 (from 50.9 to 39.3%). In absolute figures the number of saved lives in 2018 was 76, and in case of DCS – 802. However, the level of mortality from all reasons, despite its decline, still remains high, which requires systematization of approaches and joining the efforts of all the specialists including the field of prophylaxis.