Factors determining the severity of atherosclerosis of the coronary arteries in soldiers with myocardial infarction

The features of risk factors for cardiovascular diseases and their prognostic significance in male military personnel with myocardial infarction to clarify current prevention strategies were assessed. For this purpose, the results of treatment of 566 men younger than 60 years due to myocardial infarction have been studied. A comparative analysis of the prevalence of risk factors for cardiovascular diseases, comorbidity, clinical predictors of myocardial infarction in groups of military personnel and civilian patients, as well as survivors and deceased were performed. These data are compared with the results of coronary angiography. It was determined that the structure of risk factors for cardiovascular diseases in the group of military personnel corresponds to the general population but has some differences. The risk group with the highest probability of myocardial infarction is military personnel with a combination of dyslipidemia, moderate obesity, alcohol abuse with arterial hypertension and smoking. For the prevention of myocardial infarction in the group of military personnel, in addition to the correction of traditional risk factors for cardiovascular diseases, infections of the oral cavity (34%), psycho-emotional stress (49%) and participation in local military conflicts (5%) are also significant. The severity of coronary artery disease depends on the duration of coronary artery disease, the presence of arterial hypertension, dyslipidemia and renal dysfunction.

myocardial infarction, risk factors, prognosis, military personnel, young and middle age, renal dysfunction, evaluation of coronary arteries