Giampaoli S, Menotti A, Righetti G, Verdecchia A
Istituto Superiore di Sanità, Laboratorio di Epidemiologia e Biostatistica, Roma.
G Ital Cardiol. 1990 Mar;20(3):267-71.
The paper reports data collected during the first three years (1983-1985) of the MONICA Project--Monitoring of Cardiovascular Diseases--in the Area Latina. The age adjusted attack rates for coronary heart disease, averaged over a three year period, were 328 per 100,000 per year in males and 101 in females. The correspondent rates for cerebrovascular diseases were 247 and 161 per 100,000 respectively. The fatality rates for coronary events were 8.3% for males and 8.6% for females within the first hour. They rose to around 30% for both sexes within 24 hours and to 56% in males and 73% in females within 28 days. The fatality rates for cerebrovascular diseases during the first day were 25.3% in males and 27.8% in females, while within 28 days they reached 44.2% and 51.0% respectively. A large proportion of fatal events (about 50% for coronary cases and almost one third for cerebrovascular cases) occurred at home without any health care assistance.
该论文报告了拉丁美洲地区莫尼卡项目（心血管疾病监测项目）头三年（1983 - 1985年）收集的数据。经年龄调整后的冠心病发病率，在三年期间平均每年男性为每10万人328例，女性为101例。脑血管疾病的相应发病率分别为每10万人247例和161例。冠心病事件的死亡率在男性中为8.3%，女性为8.6%，在发病后第一小时内。在24小时内男女死亡率均升至约30%，在28天内男性升至56%，女性升至73%。脑血管疾病在第一天的死亡率男性为25.3%，女性为27.8%，而在28天内分别达到44.2%和51.0%。很大一部分致命事件（冠心病病例约50%，脑血管病例近三分之一）发生在家中，没有任何医疗救助。
