Annals of the Russian academy of medical sciencesAnnals of the Russian academy of medical sciences0869-60472414-3545"Paediatrician" Publishers LLC32710.15690/vramn.v67i3.180PROBLEMS IN MEDICAL CARE FOR PATIENTS WITH CARDIOVASCULAR DISEASESMaximovaT. M.tmaximova@mail.ruLushkinaN. P.institute@mail.ruOgryzkoE. V.ogrev@mail.ruNational Research Institute of Public Health RAMSCentral Research Institute for Health Care Organization and Informatization Minis-try of Health and social development of Russia23032012673152207082015Copyright © 2012, "Paediatrician" Publishers LLC2012<p><em>Despite showing that cardiovascular disease mortality in Russia is declining evaluation of medical care for cardiovascular patients, using different information sources, revealed a lot of problems in this field need its solving. Together with modernization of medical services it is urgently necessary to transform the medical education, including post graduate, information support for medical professionals in field of modern medical technologies, using in countries with low mortality rates, creation the conditions for regular updating professional knowledge . It is necessary to reconsider formal criteria for medical care evaluation, especially taking into account co morbidity of cardiovascular diseases. Our data illustrate that social disparities influence on outcomes of diseases and so for further decreasing mortality rates and increasing the life expectancy adequate treatment must be provide for all patients independently of their material wellbeing.</em></p><p> </p>mortalitycardiovascular diseasesmedical aidsocial gradientсмертностькардиоваскулярные заболеваниямедицинская помощьсоциальный градиент[1. Antonova O.I., Maksimova T.M., Ogryzko E.V. Voprosy statistiki = Problems of statistics. 2008; 12: 17−21.][2. Oganov R.G. Kardiologicheskii vestnik = Cardiological bulletin. 2007; 2: 80.][3. Maksimova T.M., Lushkina N.P., Barabanova N.A. Demograficheskie issledovaniya = Demographic research. 2007; 13: 272−279.][4. Ford E.S., Ajani U.A., Croft J.B., Critchley J.A. et al. Explaining the decreal in us death from coronary disease. NEJM. 2007; 356: 2388−2398.][5. Maksimova T.M., Belov V.B., Gavrilova N.N. et al. Byulleten' NNII obshchestvennogo zdorov'ya RAMN = Bulletin of RI for Public Health of RAMS. 2005; 1.][6. Demograficheskii ezhegodnik, 2009. Statisticheskii sbornik [Demographic Annual, 2009. Statistic Collection]. Moscow, 2009. p. 358.][7. Andreev E.M., Vishnevskii A.G. Narodonaselenie = Population. 2004; 3: 75−84.][8. Chazov E.I., Boitsov S.A. Kardiologicheskii vestnik = Cardiological bulletin. 2009; 1: 5−10.][9. Maksimova T.M., Lushkina N.P. Demograficheskii ezhenedel'nik «Demoskop Weekly». Elektronnaya versiya byulletenya «Naselenie i obshchestvo» – Demographic weekly «Demoscope Weekly». The electronic version of the newsletter "Population and society". 2009: 369−370.][10. Campbell-Scherer D. Multimorbidity: a challenge for evidence-based medicine. Evid Based Med. 2010; 15: 165−166.][11. Caughey G.E., Ramsay E.N., Vitry A.I. et al. Comorbid chronic diseases, discordant impact on mortality in older people: a 14-year longitudinal population study. J. Epidemiol Community Health. 2010; 64: 1036−1042.][12. Mudrov M.Ya. Izbrannye proizvedeniya [Selected Works]. Moscow, USSR RMS Publishers, 1949. p. 220.][13. Erlikh A.D., Gratsianskii N.A. Kardiologiya = Cardiology. 2010; 7: 8−14.][14. Nesterov Yu. L. et al. Kardiovaskulyarnaya terapiya i profilaktika = Cardiovascular therapy and prevention. 2010; 5: 12−17.][15. Chazov E.I. Kardiologicheskii vestnik = Cardiological bulletin. 2007; 2: 80.][16. Chazova I.E. Kardiologicheskii vestnik = Cardiological bulletin. 2007; 2: 81.][17. Maksimova T.M., Lushkina N.P. Problemy sotsial'noi gigieny, zdravookhraneniya i istorii meditsiny = Problems of social hygiene, health and medical history. 2009; 3: 3−5.][18. Syrkin A.L., Novikova N.A., Terekhin S.A. Ostryi koronarnyi sindrom [Acute Coronary Syndrome]. Moscow, 2010.]