Analysis of structure and prevalences of cardiovascular diseases among children and adolescents is presented and recent trends of cardiovascular morbidity and mortality as well as regional differences in dynamics of these parameters in this age group are discussed. Current situation is characterized by pronounced lowering of age of onset of cardiovascular diseases previously considered as diseases of the adult. Clinical picture and prognosis of many pathological states also has been changed. Since the beginning of the nineties steep rise (more than 2 fold) of morbidity and total number of children with cardiovascular pathology has occurred. This is directly linked with improved diagnostics. While all cause and infant mortality becomes lower cardiovascular mortality remains stable and even has tendency to increase. Mortality from cardiac and vascular diseases is significantly lower in regions with higher prevalence of these states. Substantial effect on lowering of mortality produces intensity of work of specialized services providing timely diagnosis, treatment and rehabilitation of children with heart diseases. The authors suggest some parameters allowing to assess progressive or negative trends in development of specialized care of children with cardiovascular pathology.
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