SYSTEM FOR THE NEAREST CARDIOVASCULAR RISK ASSESSMENT IN SECOND TYPE DIABETES PATIENTS

Abstract

All recently known scores are applicable for long-term cardiovascular prognosis (CVP) for ≥10 years, and do underestimate the risk cardiovascular diseases (CVD) in persons with second type diabetes (DM). For the real clinical practice there is demand for CVD prediction in the nearest future.Aim. To develop a system for the nearest risk assessment for stroke and myocardial infarction (MI) in DM patients on the ground of clinical risk factors.Material and methods. Patients with DM from the Altai Region registry were selected to 2 groups: non-stroke and non-MI (1st group) and those after stroke and MI in the year 2014 (2nd group, comparison).Results. Mono- and multifactorial analysis was done for the association of stroke and MI with cardiometabolic risk factors (RF). Among RF, that were statistically significantly related to the complications studied, we selected only clinical RF. Each of those included was marked as a point: if it is present in this patient, than 1, if not, than 0. Then for each of 71602 patients with DM we calculated total points. For each point we calculated odds ratio (OR) for stroke and MI, 95% CI and statistical significance coefficient. The risk for stroke and MI significantly increased beginning at 5 points.Conclusion. The proposed point system of the nearest risk of stroke and MI in DM patients is based upon the usage of clinical risk factors. Pointed riscometer is easy to use, available at any level of medical care, that will promote the concentration of efforts for target CVD levels achievement in DM patients.

Keywords

• diabetes mellitus 2 type
• stroke
• myocardial infarction
• cardiovascular risk
• risk factors