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Abstract

Disorders of the heart and blood vessels are the leading cause of health problems and death. Early detection of them is extremely valuable as it can prevent serious incidents (e.g. heart attack, stroke) and associated complications. This requires extending the typical mobile monitoring methods (e.g. Holter ECG, tele-ECG) by introduction of integrated, multiparametric solutions for continuous monitoring of the cardiovascular system.

In this paper we propose the wearable system that integrates measurements of cardiac data with actual estimation of the cardiovascular risk level. It consists of two wirelessly connected devices, one designed in the form of a necklace, the another one in the form of a bracelet (wrist watch). These devices enable continuous measurement of electrocardiographic, plethysmographic (impedance-based and optical-based) and accelerometric signals. Collected signals and calculated parameters indicate the electrical and mechanical state of the heart and are processed to estimate a risk level. Depending on the risk level an appropriate alert is triggered and transmitted to predefined users (e.g. emergency departments, the family doctor, etc.).

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Authors and Affiliations

Jerzy Wtorek
Adam Bujnowski
Jacek Rumiński
Artur Poliński
Mariusz Kaczmarek
Antoni Nowakowski
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Abstract

Arterial stiffness is a characteristic of the arterial wall strongly associated with ageing and hypertension. It has been confirmed as a significant cardio-vascular risk factor. Despite available non- invasive measurement methods of central artery stiffening, it has not become a prevalent diagnostic marker in primary care so far. This article provides an overview of pathophysiology of arterial stiffness, possible diagnostic techniques, association with cardiovascular conditions and potential perspective of primary care to implement an additional distinctive parameter to evaluate cardiac risk.
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Authors and Affiliations

Anna Kamieńska
1
Sławomir Chlabicz
1

  1. Department of Family Medicine, Medical University of Białystok, Poland
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Abstract

Background: Cardiovascular diseases are the first cause of death globally. Hypercholester-olemia is the most important factor responsible for atherosclerotic plaque formation and increasing cardiovascular risk. Reduction of LDL-C level is the most relevant goal for reduction of cardiovascular risk.
Aims: Real life adherence to guidelines concerning statin therapy in one center study population. Methods: We analyzed data collected in the Department of Internal Diseases from September 2019 to February 2020, obtained from 238 patients hospitalized in this time period. We assessed application of the new 2019 ESC/EAS Guidelines for the Management of Dyslipidaemias in daily clinical practice and compared effectiveness of LLT according to 2016 and 2019 guidelines.
Results: Only 1 in 5 patients with dyslipideamia achieve the 2019 ESC/EAS guideline-recommended levels of LDL-C with relation to their TCVR. We noticed that 20 of patients who did not achieve proper 2019 LDL level, meet the therapy targets established in year 2016. We observed that higher patient TCVR resulted in better compliance with guidelines and ordination of proper LLT. Most patients were on monotherapy with statins.
Conclusions: It could be beneficial to start treatment with double or even triple therapy especially in group with the highest LDL-C levels.
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Authors and Affiliations

Patrycja Cecha
1
Anna Chromik
1
Ilona Piotrowska
1
Michał Zabojszcz
1
Magdalena Dolecka-Ślusarczyk
1
Zbigniew Siudak
1

  1. Collegium Medicum, Jan Kochanowski University, Kielce, Poland

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