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2000年至2006年在扎博克综合医院内科接受治疗的克罗地亚扎戈列县患者心血管疾病危险因素的患病率。

The prevalence of cardiovascular disease risk factors in patients from Croatian Zagorje County treated at Department of Medicine, Zabok General Hospital from 2000 to 2006.

作者信息

Pesek Ksenija, Pesek Tomislav, Rados Marko, Buković Damir, Fures Rajko, Cuk Viseslav

机构信息

Department of Internal Medicine, General Hospital "Zabok", Zabok, Croatia.

出版信息

Coll Antropol. 2007 Sep;31(3):709-15.

Abstract

The aim of the study was to assess the prevalence of risk factors for cardiovascular disease in patients treated for coronary heart disease (CHD) at Department of Medicine, Zabok General Hospital during the 2000-2006 period. Cardiovascular diseases are a group of diseases that occur due to arterial. The risk factors that lead to the development and occurrence of cardiovascular disease are hypertension, cigarette smoking, hyperholesterolemia, hypertriglyceridemia, diabetes mellitus and positive family history. Additional factors favoring the occurrence of cardiovascular disease include overweight, inadequate physical activity, and emotional stress. Data on all patients hospitalized and diagnosed with CHD at Department of Medicine, Zabok General Hospital during the 2000-2006 period were analyzed for the prevalence of risk factors for CHD, i.e. hypertension, cigarette smoking, hypercholesterolemia, hypertriglyceridemia, diabetes mellitus and positive family history of cardiovascular disease. Hypercholesterolemia was defined by a cholesterol level higher than 5.1 mmol/L, hypertension from history data and blood pressure measurement on admission greater than 140/90 mmHg, diabetes mellitus from history data, and hypertriglyceridemia by a triglyceride level greater than 1.7 mmol/L. Information on heredity and cigarette smoking was collected from history and a questionnaire filled out on admission. All laboratory values were determined on patient admission to the hospital. Analysis of the risk factors for CHD recorded in patients from Zagorje County during the 2000-2006 period revealed hypertension to be the most common risk factor in our patients. According to sex, CHD was found to show a male preponderance. According to age at admission, CHD predominated in the > 70 age group, which accounted for one third of all patients, followed by a comparable proportion of the 50-60 and 60-70 age groups, i.e. still active population groups. As CHD is one of the leading health threats worldwide, estimated to remain so at least by 2020, it is fully justified to invest all efforts in the study of cardiovascular disease. New research projects should be focused on the prevention and early detection of the disease, improvement of diagnosis procedures, introduction of novel therapeutic options, use of new concepts, and due survey of the measures taken. CHD poses great socioeconomic burden upon every community in industrialized societies because of the ever younger age at onset. Actions should be taken to improve awareness of the CHD risks and morbidity in the population at large, stimulating favorable lifestyle and dietary modifications, and one's own health awareness, in order to upgrade the control of risk factors for and morbidity of cardiovascular disease.

摘要

本研究的目的是评估2000 - 2006年期间扎博克综合医院内科治疗的冠心病(CHD)患者心血管疾病危险因素的患病率。心血管疾病是一组由于动脉问题而发生的疾病。导致心血管疾病发生和发展的危险因素有高血压、吸烟、高胆固醇血症、高甘油三酯血症、糖尿病和阳性家族史。其他促进心血管疾病发生的因素包括超重、体育活动不足和情绪压力。对2000 - 2006年期间在扎博克综合医院内科住院并被诊断为CHD的所有患者的数据进行分析,以确定CHD危险因素的患病率,即高血压、吸烟、高胆固醇血症、高甘油三酯血症、糖尿病和心血管疾病阳性家族史。高胆固醇血症定义为胆固醇水平高于5.1 mmol/L,高血压根据病史数据和入院时血压测量值高于140/90 mmHg确定,糖尿病根据病史数据确定,高甘油三酯血症定义为甘油三酯水平高于1.7 mmol/L。遗传和吸烟信息通过病史收集以及入院时填写的问卷获得。所有实验室值均在患者入院时测定。对2000 - 2006年期间扎戈尔耶县患者记录的CHD危险因素分析显示,高血压是我们患者中最常见的危险因素。按性别来看,发现CHD以男性居多。按入院年龄来看,CHD在70岁以上年龄组中占主导,该组占所有患者的三分之一,其次是50 - 60岁和60 - 70岁年龄组,比例相当,即仍为活跃人群组。由于CHD是全球主要的健康威胁之一,预计至少到2020年仍将如此,因此全力投入心血管疾病研究是完全合理的。新的研究项目应侧重于疾病的预防和早期检测、诊断程序的改进、引入新的治疗选择、运用新的概念以及对所采取措施进行适当调查。由于CHD发病年龄越来越小,它给工业化社会的每个社区都带来了巨大的社会经济负担。应采取行动提高广大民众对CHD风险和发病率的认识,促进有利的生活方式和饮食改变,以及提高个人健康意识,以便加强对心血管疾病危险因素和发病率的控制。

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