The Ministry of Health of the Russian Federation plans to update the procedure for conducting preventive medical examinations and medical examinations for adults, adding new tests and procedures, including ultrasound of the abdominal aorta.
As part of the clinical examination, an assessment of the lipid profile is introduced to determine the risk of developing cardiovascular diseases, as well as determining the level of lipoprotein (a) - a risk factor for atherosclerosis.
The criteria for referral to low-dose computed tomography of the lungs for early detection of cancer are being clarified and a new type of instrumental screening is being introduced - ultrasound examination of the abdominal aorta to detect its aneurysm.
MOSCOW, September 3 - RIA Novosti. The Ministry of Health of the Russian Federation plans to update the procedure for conducting preventive medical examinations and medical examinations for adults, it includes tests for the risk of developing cardiovascular diseases and atherosclerosis, and adds ultrasound of the abdominal aorta, the chief freelance specialist for medical prevention of the ministry, Lyubov Drozdova, told RIA Novosti.
“The Russian Ministry of Health has prepared a draft of a new procedure for conducting preventive medical examinations and medical examinations of the adult population. The proposed changes make medical examinations more personalized, expanding the range of studies for specific risk groups,” Drozdova said.
She clarified that guarantees have been expanded for combat veterans - participants in a special military operation.
“A consultation with a medical psychologist has become mandatory on the first day of medical examination, and if this is not possible, no later than three working days for those who live in the city, and no later than ten working days for those who live in rural areas or remote areas,” the expert explained.
In addition, as part of the medical examination, an assessment of the lipid profile is introduced - an analysis of the risk of developing cardiovascular diseases. According to the specialist, it is held every six years for citizens 18-39 years old and every three years for citizens 40 years old and older.
“In addition, each patient once in his life is determined by the level of lipoprotein (a) - an independent, genetically determined risk factor for atherosclerosis,” Drozdova said.
She clarified that the doctor takes these indicators into account when calculating cardiovascular risk and determining tactics for preventing heart attack and stroke.
In addition, the new procedure clarifies the criteria for referral to low-dose computed tomography of the lungs for early detection of cancer of this organ.
“Citizens 50 years of age and older with a smoking index of 20 pack-years or more are referred to it, as well as those whose smoking index is less than 20 pack-years, if a person continues to smoke and at the same time his close relatives, parents, brothers, sisters, children, had lung cancer,” Drozdova noted.
According to her, a new type of instrumental screening is also appearing at the second stage of medical examination - ultrasound examination of the abdominal aorta, which makes it possible to identify its aneurysm.
“It will be carried out on men 65-75 years old who smoke or have smoked, as well as people 65-75 years old whose close relatives had an abdominal aortic aneurysm,” the expert explained.
