ОЖИРЕНИЕ ВО ВЗАИМОСВЯЗИ С РАЗЛИЧНЫМИ ФОРМАМИ ИНФАРКТА МИОКАРДА (предварительные данные регистра по острому инфаркту миокарда)

In today’s world, the growth of technical progress has provided an increase in the number of people with obesity, which is one of the main risk factors for the development of acute myocardial infarction (AMI). Material and methods: A special questionnaire – a «registry card» was developed for monitoring patients with AMI and collecting the necessary and complete information from employees of the CVD Prevention Department. The presented article describes the data of a preliminary analysis of patients with AMI treated in the clinic. Of the 202 people, 191 (94.6 %) had a BMI calculated. Depending on the level of BMI, three groups were selected: 1g. (BMI<25 kg/m2) – 36 (18.8 % of 191) patients with AMI with normal weight (control group); 2 g. (BMI = 25–30 kg/m2) – 84 (44.0 % from 191) overweight people; 3 g. (BMI> 30 kg/m2) – 71 (37.2 % of 191) people with obesity. Differences were considered significant at p < 0,05. Results: Despite the fact that AMI developed in women 2.6 times less frequently and 8.7 years later in age than in men, nevertheless, obesity in women was recorded more often, while in men overweight prevailed. In AMI between the age of the respondents and the presence of increased weight, an inverse relationship was revealed (p > 0.05), i.e., as the weight category increased, the age of the patients decreased. In patients with AMI, as the weight increased, there was an increase in comorbid pathology, especially associated with impaired carbohydrate metabolism (p<0.0001). A more severe form of AMI (AMI with Q) was more often recorded in persons with a BMI > 25 kg/m2, while the front wall was the most vulnerable to the development of AMI, regardless of the weight category of patients. The back wall was involved in the pathological process both in individuals with overweight and in patients with obesity. The apical segment in the largest number of cases was only affected in people with obesity. Conclusion: Obesity is a kind of epidemic of modern society. Its effects on the quality of life, prognosis and effectiveness of conservative or minimally invasive treatment methods in patients with acute cardiovascular catastrophes, such as AMI, are still a very controversial issue that requires further more in-depth study and analysis