The Effectiveness of Russian Public Health Recommendations for Sanogennykh Behavior in the Heatwave

Смирнова, М Д; Svirida, O N; Vicenya, M.V. Vicenya; Михайлов, Г. В.; Агеев, Ф Т

doi:10.18565/cardio.2015.5.66-71

Cited by 3 publications

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“…Предложенные медико-санитарные рекомендации ВОЗ при всех их несомненных достоинствах сложны для восприятия, понимания и последующего самостоятельного использования пациентами без консультаций врача. Нами созданы и апробированы адаптированные рекомендации по саногенному поведению больных ССЗ во время волн жары [49]. Как показало исследование, эффективность адаптированных рекомендаций оказалась выше, что отразилось в меньшем количестве ССО во время волн жары у получивших их пациентов, главным образом за счет меньшего числа гипертонических кризов.…”

Section: «поддерживайте прохладную температуру воздуха дома»unclassified

Protective measures of patients with cardiovascular diseases from exposure to heat waves: medicated and non-medicated

Smirnova

Svirida

Агеев

2019

Terapevticheskii arkhiv

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In conditions of climate warming with an increase in heat waves associated with an increase in cardiovascular morbidity and mortality, the particular interest is the effect of cardiovascular drugs on adaptation to high temperatures. The review reflects the results of European and domestic studies on the safety of therapy during long and short heat waves. Recommendations for the correction of therapy during this period are given. Self-control of blood pressure (SCAD) is a mandatory component of the therapy of arterial hypertension during heat waves. With the development of clinically significant hypotension, a reduction in the dose of antihypertensive drugs is necessary. It is recommended to start with a dose reduction and/or withdrawal of diuretics and nitrates. Not recommended the complete abolition of antihypertensive therapy because of the risk of hypertensive crises, characteristic of abnormal heat, as well as due to the increase in blood pressure when the weather changes and the temperature drops. With increasing blood pressure during heat waves, it is recommended to give preference to calcium channel antagonists, angiotensin converting enzyme inhibitors (ACE inhibitors) and selective beta-blockers. It is necessary to inform patients about the additional protective effect of statins in order to increase adherence to therapy. Patients taking diuretics require individual daily monitoring of fluid intake and body weight. An overview of recommendations on sanogenic behavior during heat waves is given. Details are considered rules for the use of air conditioning, methods of diagnosis of dehydration and drinking mode

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Section: «поддерживайте прохладную температуру воздуха дома»unclassified

Protective measures of patients with cardiovascular diseases from exposure to heat waves: medicated and non-medicated

Smirnova

Svirida

Агеев

2019

Terapevticheskii arkhiv

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How much uncertainty does the choice of data transforming method brings to heat risk mapping? Evidence from China

2021

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Russian and International Experience in the Development of Action Plans for the Protection of Human Health From Climate Risks

Revich

Maleev

Smirnova

et al. 2020

HAS

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The Paris climate agreement confirmed that climate change continues to pose a global concern and required all Parties to put forward their best efforts to protect public health. In the conditions of global warming, climate-induced risks gained importance as a public health hazard and confirmed the need to develop national action plans. Such plans shall be developed locally, taking into account the requirements of the National Action Plan for adaptation to health risks induced by changing climate. This manuscript presents the data on climate-dependent mortality. The global annual burden of excess deaths attributed to climate change is over 150,000 cases, which leads to a loss of 5.5 million years of productive life per year. Early warning systems have been adopted in many countries, with the goal to prevent heat-related deaths. If such a system were implemented in Moscow, eleven thousand excess deaths could have been avoided during the extremely hot summer of 2010. Heat watch warning systems are based on scientific data on heat thresholds. On the days with temperatures above such thresholds, climate-dependent mortality increases. Such thresholds have been established in the environmental epidemiology studies conducted in Moscow, Northern and Southern cities, the cities with continental and monsoon climates. The experience of implementation of early warning systems during extreme weather events was analyzed. The relative powers of bioclimatic indices as predictors of daily mortality rates during extreme weather events were compared. To prevent complications of cardiovascular diseases, a set of protective measures was proposed which included cardiology medications, recommendations on personal behavior and drinking habits during extreme heat, and other measures. The risks and examples of occurrence and northward propagation of climate-dependent infectious diseases such as Siberian anthrax, West Nile fever, Crimean-Congo hemorrhagic fever, and dirofilariasis, were described.

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The Effectiveness of Russian Public Health Recommendations for Sanogennykh Behavior in the Heatwave

Cited by 3 publications

References 0 publications

Protective measures of patients with cardiovascular diseases from exposure to heat waves: medicated and non-medicated

Protective measures of patients with cardiovascular diseases from exposure to heat waves: medicated and non-medicated

How much uncertainty does the choice of data transforming method brings to heat risk mapping? Evidence from China

Russian and International Experience in the Development of Action Plans for the Protection of Human Health From Climate Risks

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