FEATURES OF SEASONAL CARDIOVASCULAR MORTALITY IN WINTER IN RUSSIAN REGIONS WITH DIFFERENT CLIMATIC AND GEOGRAPHICAL CHARACTERISTICS

• Main Authors: S. A. Boytsov, M. M. Lukyanov, A. V. Kontsevaya, A. D. Deev, Yu. A. Balanova, A. V. Kapustina, V. G. Klyashtorny, M. B. Hudyakov
• Format: Article in Journal/Newspaper
• Language: English; Russian
• Published: Столичная издательская компания 2015
• Subjects: смертность; болезни системы кровообращения; сезонные изменения; зимний период; климат; погода; регионы России; Therapeutics. Pharmacology; RM1-950; Diseases of the circulatory (Cardiovascular) system; RC666-701; Arkhangelsk
• Online Access: https://doi.org/10.1234/1819-6446-2013-6-627-632; https://doaj.org/article/38b2a385f39b4c51bb39b94bf6717b62

Aim. To study seasonal changes in cardiovascular mortality in winter in Arkhangelsk, Ivanovo and Saratov regions – Russian regions with different climatic and geographical characteristics. Material and methods. Comparison of mortality in Arkhangelsk, Ivanovo and Saratov regions in 2007-2012 in January-March, December and April-November was performed by multivariate analysis of variance. Significance of differences was assessed by t-test of analysis of variance using programme GLM of SAS system. Results. Significantly higher cardiovascular mortality in population of Arkhangelsk (by 12.0%), Ivanovo (by 13.4%) and Saratov (by 11.5%) regions, as well as higher overall death-rate, during January-March, December, compared with April-November (p<0.0001) were found. Cardiovascular mortality decreased from 2007 to 2012 by 32.4% and by 32.9% per year and per January-March, December, respectively (p<0.0001). Higher cardiovascular mortality in the cold months of the year persisted in 2007-2012 and was higher than mortality per whole year by 8-14%. This difference in mortality did not decrease significantly (p>0.05). Conclusion. These findings point out the necessity of elaboration and implementation of the measures to prevent a winter increase in mortality, including the prevention of negative impact on the population of lowtemperature air, seasonal prophylaxis of acute respiratory viral infection, influenza and its complications, pharmacologic and non-pharmacologic prevention of cardio-vascular complications.