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Aim. To study the possibilities of using multi-channel volume sphygmography (MCVS) in prophylactic medical examination of the population.

Material and methods. Simultaneous examination of 522 individuals older than 18 years was performed. Along with standard procedures provided by the prophylactic medical examination program synchronous registration of blood pressure (BP) on four extremities by MCVS was performed. At that a difference in systolic BP between arms (ΔSBParm) and legs (ΔSBPleg) and ankle-brachial index (ABI) were automatically calculated. Values of │ΔSBParm│ or │ΔSBPleg│≥15 mm Hg or ABI≤0.9 were considered as markers of atherosclerotic vascular disease.

Results. Signs of peripheral arterial atherosclerotic lesions among patients ≥40 years old were found in 14.7% of the cases (95% confidence interval [CI] 11.7-18.4). Relative risks of atherosclerotic lesions in arteries increase 1.71-fold (95% CI 1.06-2.74) in arterial hypertension, 1.70-fold (95% CI 1.08-2.68) – in obesity, 1.91 fold (95% CI 1.17-3.12) – in diabetes, as well as with the increasing levels of cardiovascular risk. In patients with ischemic heart disease and a history of cerebral stroke MCVS can detect signs of multifocal atherosclerosis in 21% (95% CI 14-32) and 22% (95% CI 9-46) of the cases, respectively.

Conclusion. MCVS with the determination of ΔSBParm, ΔSBPleg and ABI may be regarded as the basis for low-cost and efficient system of cardioangiological screening.

About the Authors

R. A. Khokhlov
Voronezh Regional Clinical Hospital № 1
Russian Federation
Moskovsky Prospekt 151, Voronezh, 394082 Russia

N. I. Ostroushko
Voronezh Region Health Department
Russian Federation
Nikitinskaya ul. 5, Voronezh, 394036 Russia

A. E. Gaydashev
Peoples’ Friendship University of Russia
Russian Federation
Mikluho-Maklaya ul. 6, Moscow, 117198 Russia

D. V. Kirsanov
Voronezh Branch of JSC Insurance Company "SOGAZ-Med"
Russian Federation
Moskovskii prospect 4, Voronezh, 394026 Russia

N. M. Akhmedzhanov
State ResearchCenter for Preventive Medicine
Russian Federation
Petroverigsky per. 10, Moscow, 101990 Russia


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For citation:

Khokhlov R.A., Ostroushko N.I., Gaydashev A.E., Kirsanov D.V., Akhmedzhanov N.M. MULTI-CHANNEL VOLUME SPHYGMOGRAPHY IN CARDIOANGIOLOGICAL SCREENING OF THE ADULT POPULATION. Rational Pharmacotherapy in Cardiology. 2015;11(4):371-379. (In Russ.)

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