The need to observe an individual approach when routing patients with atherosclerosis of the brachiocephalic arteries in the framework of the «Healthy Moscow» project.

Abstract

During the implementation of the program, up-to-date data were obtained on the state of the cardiovascular system, the main risk factors for stroke, especially among middle-aged able-bodied people who had a new coronavirus infection COVID‑19. An assessment was made of the dynamics of populations undergoing preventive examinations in the format of field medical care, the most common diseases, including pathologies of the BCA. A database has been created for long-term monitoring of the incidence of cardiovascular diseases in the population and the prevention of BCA pathologies and stroke. The routing of patients with BCA pathologies was developed based on the analysis of many years of practical experience in providing specialized medical care to patients with pathology of the precerebral arteries in medical organizations of the Moscow public health system. Routing of patients within the framework of this project, based on a specially developed methodology, an integrated approach to treatment with preliminary training of medical personnel in the ultrasound technique for measuring carotid artery stenosis according to the European ECST scale, a clear algorithm and mechanisms for working with patients within the framework of intersectoral activities, allows to reduce the incidence of stroke and mortality. Successful strategies to expand screening of patients with BCA pathology implemented in the «Healthy Moscow» project require further study to evaluate the effectiveness of specific stroke prevention mechanisms.