Abstract

Title: Systematic monitoring of the cardiovascular risk in the primary care approved for the Slovak Republic

Systematic monitoring of the cardiovascular risk (CVR) is the standard program of the primary prevention approved for the Slovak republic by the minister of the health by July 2022.  It consists of the combination of the cardiovascular risk factors monitoring at the levels of GPs, health insurance companies and national registry, together with positive economic stimulation to decrease the risk factors levels in the population.  The aim is to reduce cardiovascular morbidity and mortality and prolong averaged value of healthy life.

In the program at the GPs level are included:

1. Men aged 40-65 years on the regular preventive examination every 2 years
2. Women aged 50-65 years on the regular preventive examination every 2 years
3. Patients less than 70years old with the chronic inflamatory diseases, erectile dysfunction or with  migrain accompanied by aura.

Basal parts of the program are:

• Physical examination, weight and height for the BMI calculation, waist circumference
• CVR calculation according to SCORE2
• Modelling of the possible risk factors changes and consequent SCORE2 values in the interaction with examined person
• Person assignment into the adequate CVR group
• Regular passing of the counted individual SCORE2 values into the health insurance companies together with values of BMI, waist circumference and odd parameters used for SCORE2 evaluation
• Regular passing of these parameters into the National centrum of health information.

Every health insurance company counts for the every GP on the 2 years intervals basis averaged values of the CVR, BMI, waist circumference measured from all the persons included in the program after adjusting on age, sex and life environment.

Award will be provided to

• Every person who was able to reduce CVR value at the next preventative examination after 2 years at least 2,5%
• Every person who has had waist circumference at the high metabolic risk level (more than 102 cm man resp. 88 cm women) and who was able to reduce these values into the level of increased metabolic risk (94-101 cm resp. 80-87)
• Every GP who has reached averaged values of the CVR, BMI, waist circumference measured from all the persons included in the program after 2 years at least 2,5% less than before
• Award form and maximal possible award value are determined by every health insurance company, minimal possible award value determines every year Ministry of Health both for persons on the regular preventative examination and GPs.

Biography

Stefan Farsky works at National European Cardiology Society, Slovakia.