Prevalence of ischemic heart disease. Its relation with main risk factors and efficiency of long-term multifactorial prevention in organized groups of employees

Aim. To study the prevalence of ischemic heart disease (IHD) and its various clinical forms depending on both sexes, age, profession, risk factors and efficiency of active prevention programs. Material and methods. 1848 males and 1643 females were inspected as a control group. 8326 males and 13116 females volunteers were included into the groups of active prevention and observation. Results. Risk factor correction produced a significant decrease in both systolic and diastolic BP mean levels, prevalence of ECG abnormalities together with smoking habits occurrence, overweight and their combination. The general mortality rate, IHD and stroke mortality were significantly less in the group of prevention as well as the number of days of temporary disability. Conclusion. Primary and secondary "in office" prevention for 5 to 10 years diminished the prevalence of risk factors and events of IHD. The presence of IHD, risk factors increased general mortality rates and cardiovascular mortality rates in both groups. The multifactorial prevention of IHD contributed to a decline in general mortality rates and cardiovascular mortality rate.