Вклад факторов риска в бремя смертности
Arterial hypertension
Smoking Low weight
Alcohol
Cholesterol Unsafe sex
Overweight
Непригодная для питья вода, санитарные условия, гигиена
Low consumption of fruits and vegetables
Задымленность помещений
Low physical activity
Developing
countries
Developed
countries
*на основании Отчета Всемирной организации здравоохранения 2003. Yach et al. JAMA. 2004;291:2616-2622.
Living in toxic environment
Does the fat distribution matter?
Abdominal obesity is especially unfavourable
Waist circumference
94 cm in males and
80 cm in females–
Risk of the disease
Chronological and vascular age are not always
identical
Vascular age conception
1.Assess CV risk
2.Determine the age of ideal patient without risk factors at the same risk
Male, 40 years
Smoking
TC 6,8 mmol/l
HDL 1,0 mmol/l
SBP 174 mmHg
Vascular age: 60 years
Principles of healthy lifestile
•Healthy diet
•Low daily salt intake
•Regular physical activity
•Moderate alcohol consumption
•Achievement and maintenance of ideal weight
•Ideal waist circumference
•Absence of smoking including passive
What will you learn today?
•How the medicine is changing at the turn of the century?
•What are the most common illnesses and why?
•Subject «propaedeutics of internal diseases»
•History of physical examination and main diagnostic methods
•Physical examination vs modern medical technologies
Definition
Internal medicine is the medical specialty dealing with etiology, pathogenesis and clinical symptoms of the
diseases of the organs, developing methods of diagnostics, treatment and prevention
S. Botkin – founder of Russian school of the internal medicine
The most important and essential tasks of practical medicine are the prevention of the disease, the treatment of the disease and the relief of suferings of a sick man