Cardiovascularis szűrőprogram a közép-magyarországi régióban.Budakalász Vizsgálat | Cardiovascular screening programme in the Central Hungarian region. The Budakalász Study

Bevezetes: Az egyes europai orszagokban a prevencios tevekenysegnek koszonhető morbiditascsokkenest Magyarorszagon meg nem sikerult elerni. A hatekony prevencio alapfeltetele a lakossag egeszsegi allapotanak, a kockazati tenyezők jelenletenek pontos ismerete. Celkitűzes: A szerzők celja volt, hogy egy kozep-magyarorszagi longitudinalis lakossagi vizsgalattal informaciot nyerjenek a magyar lakossag egeszsegi allapotarol, cardiovascularis kockazati statusarol, ami lehetőve teszi uj rizikobecslest befolyasolo tenyezők azonositasat. Modszer: A Budakalasz Vizsgalat a felnőtt lakossagot celzo (>20 ev, ~8000 fő), atfogo, onkentes alapu cardiovascularis szűrőprogram, amely egeszsegkerdőivből, noninvaziv tesztekből (antropometriai meresek, szivultrahang, carotisultrahang, vernyomasmeres, boka-kar index merese), illetve venas vervetelből es laborvizsgalatokbol all. Eredmenyek: 2014. januarig 2420 fő (a lakossag 30%-a, 41,2% ferfi, atlageletkor 54,8 ev) kerdőives, fizikalis vizsgalata es cardiovascularis kockazatbecslese tortent meg. A resztvevők cardiovascularis morbiditasa a korabbi orszagos felmereshez viszonyitva magasabb volt, illetve a cardiovascularis kockazati faktorok szama es a becsult 10 eves kockazat is emelkedettnek bizonyult a lakosok koreben. Kovetkeztetesek: Az eredmenyek felhivjak a figyelmet a szűresek es a hatekony terapia fontossagara.Orv. Hetil., 2014, 155(34), 1344–1352. | Introduction: The reduction in mortality due to prevention programmes observed in some European countries is not currently reached in Hungary. Effective prevention is based on the screening of risk factors and health state of the population. Aim: The goal of this study was to develop a longitudinal, population-based screening programme in the Central Hungarian region in order to collect information on the health state and cardiovascular risk profile of the citizens and discover new potential cardiovascular risk factors. Method: The Budakalasz Study is a self-voluntary programme involving the adult population (>20 yrs, approx. 8000 persons), and it consists of questionnaires, non-invasive tests (anthropometry, cardiac echo, carotid duplex scan, blood pressure measurement, ankle-brachial index), venous blood sample collection and laboratory tests. Results: Until January, 2014, 2420 persons (30% of the population, male: 41.2%, average age 54.8 years) participated in the programme. Cardiovascular morbidity was higher in contrast to a former national survey. The number of risk factors and, therefore, 10-year cardiovascular risk were also elevated in this population. Conclusions: These findings underline the importance of screening programmes and effective therapies. Orv. Hetil., 2014, 155(34), 1344–1352.