The state of the problem and ways to reduce mortality from diseases of the circulatory system in Khabarovsk Krai

Introduction. In Khabarovsk Krai, diseases of the circulatory system are the main cause of mortality. Objective. To determine ways to reduce mortality from diseases of the circulatory system in the region. Material and methods. The work uses content analysis and comparative analysis by collecting information from various sources. The materials of the Board of the Ministry of Health of the Khabarovsk Krai dated May 29, 2025 "Results of the Healthcare System in the Khabarovsk Territory in 2024, Goals and Objectives for 2025. Implementation of National Projects", data from the State Healthcare Institution "Medical Information and Analytical Center" of the Ministry of Health of the Khabarovsk Krai, the Office of the Federal State Statistics Service for the Khabarovsk Territory, Magadan Region, Jewish Autonomous Region and Chukotka Autonomous Okrug, as well as the results of scientific research on the problem published in scientific journals and the Internet were used. Results and discussion. In the Khabarovsk Krai, during 2022–2024, an increase by 11.6 % in the number of patients with a newly diagnosed CSD was recorded. The mortality rate from coronary heart disease in 2024 was 639.5 per 100 thousand people (the target indicator is 554.5), which significantly exceeded the same indicator for 2023 in the Far Eastern Federal District and the Russian Federation – 563.5 and 556.7 cases, respectively. The structure of causes of death from coronary heart disease was dominated by ischemic heart disease (excluding myocardial infarction), cerebrovascular diseases (excluding stroke), and acute cerebrovascular accidents (CVA). Hospital mortality from AMI and stroke significantly exceeded the planned indicators – by 26.1 and 11.0 %, respectively. The organizational structure of the cardiology service of the region, its resource and technological support make it possible to solve the problems of reducing morbidity and mortality from cardiovascular diseases. Conclusion. The problem of reducing morbidity and mortality from coronary heart disease in the region lies mainly in the plane of organizational and managerial decisions and control over their implementation.