Aten Primaria. 2001 Jan;27(1):29-32. doi: 10.1016/S0212-6567(01)78769-0.
To find the degree of recording and control of cardiovascular risk factors among patients with chronic ischaemic cardiopathy and the use of drug therapies of proven efficacy on these patients.
Descriptive cross-sectional study.
Two teaching health districts in Girona (one urban and one urban-rural).
There was an exhaustive sampling of the histories of all patients diagnosed with chronic ischaemic cardiopathy (n = 183).
50% of the patients did not smoke, 58% did not consume alcohol and 45% took physical exercise. For 25%, 30% and 38%, respectively, these activities had not been recorded over the previous year. In 17% of cases blood pressure had not been recorded in the previous year; 61% had diastolic pressures < 90 mmHg, and 40% had systolic pressure < 140 mmHg. Total cholesterol determination was lacking in 28% of cases. 22% of patients had LDL-cholesterol levels below 130 mg/dl. 50% of patients had anti-aggregate or anti-coagulation treatment and 22% received beta-blocker treatment.
There is deficient recording of cardiovascular risk factors in patients with chronic coronary ischaemia and low prescription of those drugs that reduce morbidity and mortality. An improvement plan is needed in order to achieve better monitoring of these patients.
了解慢性缺血性心脏病患者心血管危险因素的记录与控制程度，以及对这些患者使用经证实有效的药物治疗情况。
描述性横断面研究。
赫罗纳的两个教学健康区（一个城市区和一个城乡结合区）。
对所有诊断为慢性缺血性心脏病的患者（n = 183）的病史进行了详尽抽样。
50%的患者不吸烟，58%的患者不饮酒，45%的患者进行体育锻炼。分别有25%、30%和38%的患者在过去一年中这些活动未被记录。在17%的病例中，上一年未记录血压；61%的患者舒张压<90 mmHg，40%的患者收缩压<140 mmHg。28%的病例未进行总胆固醇测定。22%的患者低密度脂蛋白胆固醇水平低于130 mg/dl。50%的患者接受抗聚集或抗凝治疗，22%的患者接受β受体阻滞剂治疗。
慢性冠状动脉缺血患者心血管危险因素的记录不足，降低发病率和死亡率的药物处方率较低。需要制定一个改进计划，以便更好地监测这些患者。
