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[基层医疗中的缺血性心脏病。一项描述性研究]

[Ischemic cardiopathy in primary care. A descriptive study].

作者信息

de la Figuera M, Bordas J M, Mata M, Ciurana R, Grifell E, Fernández R M, Aliaga F

机构信息

Centro de Asistencia Primaria La Mina, Unidad Docente de Medicina Familiar y Comunitaria de Barcelona, Sant Adriå del Besós.

出版信息

Aten Primaria. 1990 May;7 Spec No:29-30, 32-3.

PMID:2104169
Abstract

A descriptive study of ischemic heart disease in a primary care center is reported. From the recording systems 112 patients with IHD (9 of them dead) were identified. The calculated incidence and prevalence rates were 1.9/1000 and 10.9/1000, respectively. There were remarkably high rates of cardiovascular risk factors. The most common forms of presentation were myocardial infarction in males and angina in females. The physicians of the primary care center played a role in the diagnosis in 17% of patients. In addition, the disease was exclusively managed in the primary care center in 29% of patients, most of them over 65 years of age. The role of the primary care physician in the diagnosis and control of this condition is emphasized.

摘要

本文报道了在一家初级保健中心对缺血性心脏病的描述性研究。通过记录系统识别出112例缺血性心脏病患者(其中9例死亡)。计算得出的发病率和患病率分别为1.9/1000和10.9/1000。心血管危险因素的发生率非常高。最常见的表现形式在男性中为心肌梗死,在女性中为心绞痛。初级保健中心的医生对17%的患者进行了诊断。此外,29%的患者仅在初级保健中心接受治疗,其中大多数年龄超过65岁。强调了初级保健医生在这种疾病的诊断和控制中的作用。

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