McGraw Leigh K, Turner Barbara S, Stotts Nancy A, Dracup Kathleen A
Madigan Army Medical Center, Tacoma, Washington, USA.
J Am Acad Nurse Pract. 2011 Aug;23(8):427-33. doi: 10.1111/j.1745-7599.2011.00624.x. Epub 2011 Jun 9.
The purpose of this study was to describe the cardiovascular (CV) risk profile of deployed military men who experience acute coronary syndrome (ACS).
A retrospective record review of deployed military men who experienced ACS while deployed and were treated at an overseas military medical center between 2001 and 2007 was conducted to obtain the information for this descriptive study (N= 100).
Acute myocardial infarction was diagnosed in 82% of the sample, and 18% experienced unstable angina. Subjects' mean age was 44.7 years (SD± 7.6; range 29-60) and most were enlisted and reservists. Risk factors included a family history of premature coronary artery disease (41%) and smoking (47%) as well as a history of hyperlipidemia (48%), hypertension (28%), and glucose abnormalities (6%). The group was overweight (BMI 27.77 kg/m(2) ± 3.2) and low risk for CV events (Framingham risk score 7.8%[± 4.4]).
Young military men are regarded as the epitome of health and fitness; however, findings from this study suggest that this generally low-risk group do indeed have multiple CV risk factors and experience ACS. Early risk factor assessment and modification, including smoking cessation, weight management, and improving dyslipidemia, is essential.
本研究旨在描述经历急性冠状动脉综合征（ACS）的现役军人的心血管（CV）风险状况。
对2001年至2007年间在海外军事医疗中心接受治疗的现役ACS军人进行回顾性记录审查，以获取本描述性研究的信息（N = 100）。
样本中82%被诊断为急性心肌梗死，18%经历不稳定型心绞痛。研究对象的平均年龄为44.7岁（标准差±7.6；范围29 - 60岁），大多数是应征入伍者和预备役军人。风险因素包括早发冠状动脉疾病家族史（41%）、吸烟（47%）以及高脂血症病史（48%）、高血压（28%）和血糖异常（6%）。该组超重（体重指数27.77 kg/m²±3.2），心血管事件风险较低（弗明翰风险评分7.8%[±4.4]）。
年轻军人被视为健康和体能的典范；然而，本研究结果表明，这个通常低风险的群体确实存在多种心血管风险因素并经历ACS。早期风险因素评估和干预，包括戒烟、体重管理和改善血脂异常，至关重要。
