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  - 

 2     2 

MC   

    

     

   

  

     

    

    

  

    

   

   

    




 1

     


     - ,    , ,     XXI      ()        50%  .               ,          (.1).






.1.        2030  (WHO: The Atlas of Heart Disease and Stroke.mht)



   -     ,          . ,        2015   3440,    2850/,             : -  ()    2  ( 2 ). ,             ,         .                 :      ,         .    ,         . ,     ,    (MC),       (.2).






.2.         (  Lakka .. et al., 2002)



 ,  X      ,          ,         2 ,   ,     (),   (  ),  ,     (, 1998). MC    -   ,   -   .   XXI    MC  ,      . MC   10,6%    24%    ( ..,  .., 2004).



               1922 ,  ..           ,     .  30-      ..     , ,    -    .   ..       ,             .    ,  ,  ,   1965.    Avogaro     .  1966. J. Camus       , , .

 1988. G.M. Reaven     ջ,    , ,    , ,     (Reaven G.M., 1987).    1989. N.M. Kaplan    ,    ,    .  1991. arkolf Hanefeld  ,    ,  .


 MC (  , IDF, 2005):

?  .  :  > 94;  > 80;

?  > 1,7 / (150/);

?  :  < 1,0 / (40/);  < 1,3 / (50/);

?  > 130/85  . .;

?  > 5,6 / (100/)     2 .

    7593%   MC    ,            [1, 2].             ().

   ,  :

?       MC,        ;

?      2 :

?         /    .



      ,    ,   ,            [7, 8].      X.                 .       ,   ,     ,   ,  ,        .




 2

     


      90-  XX ,              - ,                 .

      .     2 ,                 . ,          , , , , , , , .        ,   ,            , ,     ,    -     (. 1).

   - :

?    76.0   ( 5%   )       .   ,        ,       ,        ;

?   () 75.8         ,       ;

?  14 /    74.6             [8,11,12,13].



 1

  [9,10]






           [1].    ,       2030%,       5-18%   (.3) [2].            .   20      6-11          7  13%,    1219   5  14% (, 2006).






.3.     [2]



      MC    ,      .           .  6075%        4050 .  ,        12%         3040% ,  .   ,    .      2          7093%,    18,5-26%,     9-10%  [3].

   , ,       58%    1240%   .           46%,      30%       .  1520%        ,        ( 15%         ) [6, 7, 8] (.4).






.4.  -   (  Bhatia L.5. et al., 2007) [7]



  ,        2     5075%,        >30    7090% [3, 15].       1826%,    2037%,    10%  [4, 8, 1115].     2     5669%,      3750% [3].           [4].

   ,  20072008  (DIREG 1)     80%     , 17%  , 3%  / .  20132014  (DIREG 2),      ,         24% [5] (.5).




  .


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