Ben Romdhane Habiba, Bougatef Souha, Skhiri Hajer, Gharbi Donia, Haouala Habib, Achour Noureddine
Laboratoire de recherche en épidémiologie et prévention des maladies cardiovasculaires en Tunisie, Institut National de Santé Publique.
Tunis Med. 2005 May;83 Suppl 5:14-8.
A cross-sectional population survey was carried out in the Ariana region in 2000-01. The aim of this study is to report the prevalence of CHD as indicated by ECG Minnesota coding.
A randomly selected sample included 1837 adults 40-70 years. Data on socio-economic status, demographic, medical history, health behaviour, clinical and biological investigations were recorded. Risk factors (hypertension, dyslipedemia, obesity, diabetes) are defined according to WHO criterias. Standard supine 12 lead ECGs were recorded. All ECGs are red and classified according to the Minnesota codes criteria on CHD probable, CHD possible and on Major abnormalities and minor abnormalities.
CHD prevalence was higher on women. Major abnormalities are more common on women (20.6% vs 13%), while minor abnormalities prevalence was higher on men (15.5% vs 7.5%) (p<0.0001). The prevalence increased with age in both genders.
This study tested how feasible is the population approach on CVDs surveillance. It highlighted the burden of cardiovascular diseases and support that women are at risk as men are. The value of ECG findings must be integrated in the cardiovascular diseases surveillance to identify high risk population.
2000 - 2001年在阿丽亚娜地区开展了一项横断面人群调查。本研究旨在报告明尼苏达心电图编码所示的冠心病患病率。
随机抽取的样本包括1837名40 - 70岁的成年人。记录了社会经济状况、人口统计学、病史、健康行为、临床和生物学检查等数据。危险因素（高血压、血脂异常、肥胖、糖尿病）根据世界卫生组织标准定义。记录标准仰卧位12导联心电图。所有心电图均由专人解读，并根据明尼苏达编码标准分为冠心病可能、冠心病可能以及主要异常和次要异常。
女性的冠心病患病率更高。主要异常在女性中更为常见（20.6%对13%），而次要异常的患病率在男性中更高（15.5%对7.5%）（p<0.0001）。患病率在两性中均随年龄增长而增加。
本研究检验了人群方法在心血管疾病监测中的可行性。它突出了心血管疾病的负担，并支持女性与男性一样面临风险。心电图检查结果的价值必须纳入心血管疾病监测，以识别高危人群。
