Risk factors such as blood pressure, serum cholesterol, and cigarette smoking were used in screening for developing coronary heart disease (CHD) events among 1,300 employees at an oilfield services company in Russia.

The research focuses on practical use of the Framingham Heart Study results and development of a program that enables determining overall cardiac risk for individual employees. It also considers various categories of company personnel, clearly identifying risk factors critical for the development of CHD events and recommending individual changes in lifestyle or medical treatment for employees with advanced atherosclerosis as well as tracking status changes over time.

In accordance with Russian legislation, employees undergo an annual physical examination that looks at various factors, including predictors for future CHD events. Ten-year CHD risk is estimated using Framingham equations. Results of medical examinations of both office and field personnel were processed by a local data application system, creating a cardiac risk profile for each employee. More than 4,700 physical examinations were entered into the system and were analyzed for the past 8 years. Special attention was paid to employees working at rig sites, offshore, and other remote locations. The results of 858 medical examinations over a one-year period have been analyzed. The analysis demonstrated that 40 field employees fall in the high cardiac risk zone. The company's cardiac risk reduction program is meant to cover 8,000 of the company's employees in Russia.

This approach both identified employee groups with the highest risk of development of CHD events and implemented an appropriate campaign within the company to reduce risk. This program intends to reduce CHD incidents company-wide as well as improve the success of cardiovascular campaigns.

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