Cardiovascular risk factors determined via the Internet in 2 periods of time: 2004–2009 and 2010–2015 in Poland

Abstract

Objectives: Web information systems may serve as a diagnostic tool for the Internet users and they also support the epidemiological work of doctors and health care providers. As part of this study, a system has been created for detecting and calculating cardiovascular risk. The aim of this study has been the comparison of cardiovascular risk factors and calculated fatal cardiovascular risk in 2 periods of time: 2004-2009 and 2010-2015 in Poland, as determined via the Internet. Material and Methods: The "Ryzyko program" ("Risk program") is available on the website of the Medical University of Gdańsk. To assess the cardiovascular death risk in a 10-year period, the algorithm of the SCORE (Systematic Coronary Risk Evaluation) project was used and 30 402 results of the algorithm have been analyzed. Results: Over 30 402 webpage visitors entered the required data and received the outcome. More than 78% of the Internet users who had entered the data, received a recommendation for medical check-up. Significant differences between the data collected in 2004-2009 and 2010-2015 were noticed. Hypercholesterolemia prevalence (67.3% vs. 70.8%; p < 0.001), mean total cholesterol concentration in blood (5.60±1.65 mml/l vs. 5.66±1.35 mml/l; p < 0.001), prevalence of hypertension (36.6% vs. 35.3%; p = 0.039), mean systolic blood pressure (131.5±20.3 mm Hg vs. 132.6±18.0 mm Hg; p < 0.001), prevalence of declared smoking (30.7% vs. 26.5%; p < 0.001), declared diabetes mellitus (DM) (6.4% vs. 9.7%; p < 0.001), and declared coronary artery disease (CAD) (7.2% vs. 14.1%; p < 0.001), respectively. Conclusions: The prevalence of cardiovascular risk factors has changed during the observed period of time. Online automatic gathering of new data by "Ryzyko program" provides up-to-date observations. Int J Occup Med Environ Health 2017;30(3):499-510

Mortality due to acute myocardial infarction in the Silesian Voivodship (Poland) in 2009–2014

“…According to the American Heart Association, cardiovascular diseases result in every third death in the USA, and the financial outlays related to therapy are estimated at 17% of the national healthcare expenditures [8,9]. A similar situation is observed in Western Europe, including Poland, where cardiovascular diseases are the main reason for death, constituting about 40% of all cases [10][11][12].…”

“…The literature data show an increase in the risk of morbidity or mortality due to cardiovascular diseases with the patient's age. A study based on the "Ryzyko program" ("Risk program") algorithm emphasizes that in patients aged >70 years, the risk of occurrence of cardiovascular diseases is over 20% higher than in those aged 60 years [12].…”

Trimethylamine N-Oxide, a Gut Microbiota-Derived Metabolite, Is Associated with Cardiovascular Risk in Psoriasis: A Cross-Sectional Pilot Study

“…Various validated cardiovascular risk scores were calculated, such as Framingham Risk Score (FRAM) [ 19 ], QRISK2 [ 20 ], Atherosclerotic Cardiovascular Disease 2013 Risk Calculator from AHA/ACC (American Heart Association/American College of Cardiology) [ 21 ] Systematic COronary Risk Evaluation (SCORE) [ 22 ], and Reynolds Risk Score (RRS) [ 23 ].…”

Circunferência da cintura como preditor de risco cardiovascular em adolescentes: Estudo Erica no Município de Porto Velho (RO)

“…A CC é uma medida de obesidade abdominal associada à gordura visceral, estimulada pela atividade lipogênica que tende a se acumular em outros compartimentos corporais. Com isso, propicia o fluxo de substâncias liberadas pelo tecido adiposo visceral para o fígado acarretando um rápido aumento da gliconeogênese e da secreção de VLDL-c, numa diminuição da depuração hepática de insulina e da RI (7,13) .…”

“…Oliveira e Guedes (5) encontraram alta correlação entre o IMC, CC e a RCQ e fatores de risco cardiovascular, especialmente, a dislipidemia. Os adolescentes representam um público cujo estilo de vida sedentário vem aumentando nas últimas décadas, influenciado pela compulsão do uso abusivo da internet na busca por jogos eletrônicos e redes sociais, as consequências são surgimentos de doenças relacionadas à síndrome metabólica, como o risco cardiovascular substituir por surgimento de doenças relacionadas à síndrome metabólica que contribuem para o aumento do risco cardiovascular (7) .…”