emcardioНеотложная кардиология и кардиоваскулярные рискиEmergency Cardiology and Cardiovascular Risks journal2616-633XБелорусский государственный медицинский университет10.51922/2616-633X.2022.6.1.1454emcardio-102Research ArticleОригинальные научные публикацииOriginal Scientific ResearchНекоторые аспекты относительного риска смерти от инфаркта миокарда женского населения Республики ДагестанSome aspects of the relative risk of death from myocardial infarction of the female population of the Republic of DagestanДалгатоваА. А.DalgatovaA. A.asera.dalgatova@mail.ruМагомедоваА. М.MagomedovaA. M.РабадановаШ. Р.RabadanovaSh. R.АшурбековаМ. А.AshurbekovaM. A.ГаджиеваБ. М.GadzhievaB. M.ИрисхановаЗ. А.IriskhanovaZ. A.ФБГОУ ВО «Дагестанский государственный медицинский университет» МЗ РФ“Dagestan State Medical University” Ministry of Health of the Russian Federation2022270620256114541458Copyright © Далгатова А.А., Магомедова А.М., Рабаданова Ш.Р., Ашурбекова М.А., Гаджиева Б.М., Ирисханова З.А., 20252025Далгатова А.А., Магомедова А.М., Рабаданова Ш.Р., Ашурбекова М.А., Гаджиева Б.М., Ирисханова З.А.Dalgatova A.A., Magomedova A.M., Rabadanova S.R., Ashurbekova M.A., Gadzhieva B.M., Iriskhanova Z.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://emcardio.bsmu.by/jour/article/view/102

В статье проведен анализ относительного риска (ОР) смерти от инфаркта миокарда (ИМ) женщин в экологических зонах Республики Дагестан (РД). Эпидемиологическое исследование всех случаев смерти от ИМ женщин РД за 2011–2020 гг. проводилось с учетом их проживания в городах и сельской местности различных экологических зон. Выявлено, что анализ ОР смертности по высотным поясам свидетельствует о том, что предгорье и горы РД являются территориями повышенного риска смерти от ИМ женского населения, вместе с тем на равнине аналогичный показатель незначимо ниже. Наибольшая смертность от ИМ женщин зарегистрирована на юге горной экологической зоны (8,1 случая на 100 000 женского населения) с ОР 1,3.Цель: анализ относительного риска (ОР) смерти от инфаркта миокарда (ИМ) женщин в экологических зонах Республики Дагестан (РД).Материал и методы. Эпидемиологическое исследование всех случаев смерти от инфаркта миокарда женщин Республики Дагестан за 2002–2011 гг. проводилось с учетом их проживания в городах и сельской местности различных экологических зон.Результаты. Анализ относительного риска смертности по высотным поясам свидетельствует о том, что предгорье и горы Республики Дагестан являются территориями повышенного риска смерти от инфаркта миокарда женского населения, вместе с тем на равнине аналогичный показатель незначимо ниже. Наибольшая смертность от инфаркта миокарда женщин зарегистрирована на юге горной экологической зоны (9,1 случая на 100 000 женского населения) с относительным риском 1,4. Приведенные данные можно рассматривать как свидетельство влияния на риск смерти от инфаркта миокарда женского населения резко континентального климата на юге гор, влияющего на процессы кислородного обеспечения миокарда.Заключение. К территориям повышенного относительного риска смерти от инфаркта миокарда женского населения сельской местности относятся высокогорные районы юга гор Республики Дагестан.

The article analyzes the relative risk (RR) of death from myocardial infarction (MI) in women in the ecological zones of the Republic of Dagestan (RD). An epidemiological study of all female deaths from MI in RD in 2011–2020 was carried out taking into account their residence in cities and rural areas of various ecological zones. The analysis of the RR of mortality by altitude belts indicates that the foothills and mountains of RD are areas of increased risk of death from MI for the female population, while on the plains the same indicator is insignificantly lower. The highest mortality rate from MI among women was recorded in the south of the mountainous ecological zone (8.1 cases per 100,000 female population) with an RR of 1.3.Aim: analysis of the relative risk (RR) of death from myocardial infarction (MI) among women of ecological zones of the Republic of Dagestan (RD).Materials and methods: An epidemiological study of all female deaths from MI in RD in 2011–2020 was carried out taking into account their residence in cities and rural areas of various ecological zones.Results: An analysis of the RR of mortality in the high-altitude zones indicates that the foothills and mountains of the Republic of Dagestan are areas of increased risk of death from MI among female population. However, in the plain the same indicator is insignificantly lower. The highest mortality rate from MI among women was registered in the south of the mountain ecological zone (EZ) (9.1 cases per 100,000 female population) with RR 1.4. These data can be considered evidence of the effect on the risk of death from myocardial infarction among the female population from the southern mountainous areas with a sharply continental climate, characterized by high-altitude hypoxia, affecting the oxygen supply processes in the myocardium.Conclusion: The areas of increased RR of mortality from myocardial infarction among the female population of rural areas include the high-mountainous regions of the southern mountains of the Republic of Dagestan.

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The authors declare that there are no conflicts of interest present.