Li Xinrui, Zhang Yuan, Wang Min, Lv Xiaofei, Su Dongfang, Li Zhongxia, Ding Ding, Xia Min, Qiu Jian, Hu Gang, Ling Wenhua
Department of Nutrition, School of Public Health, Sun Yat-sen University (Northern Campus), 74 Zhongshan Road 2, Guangzhou, Guangdong 510080, China.
ScientificWorldJournal. 2013 Oct 10;2013:416192. doi: 10.1155/2013/416192. eCollection 2013.
Cardiometabolic risk factors significantly accelerate the progression of coronary artery disease (CAD); however, whether CAD patients in South China are aware of the prevalence of these risk factors is not clear yet.
The study consisted of 2312 in-admission CAD patients from 2008 to 2011 in South China. Disease history including hypertension, dyslipidemia, and diabetes was relied on patients' self-reported records. Physical and clinical examinations were tested to assess the real prevalence of the cardiometabolic risk factors.
57.9% of CAD patients had more than 3 cardiometabolic risk factors in terms of the metabolic syndrome. The self-known and real prevalence of hypertension, diabetes, and dyslipidemia were 56.6%, 28.3%, and 25.1% and 91.3%, 40.9%, and 92.0%, respectively. The awareness rates were 64.4%, 66.3%, and 28.5% for hypertension, diabetes, and dyslipidemia. The prevalence of cardiometabolic risk factors was significantly different among gender and among disease status.
Most CAD patients in South China had more than three cardiometabolic risk factors. However, the awareness rate of cardiometabolic diseases was low, especially for dyslipidemia. Strategies of routine physical examination programs are needed for the early detection and treatment of cardiometabolic risk factors in order to prevent CAD progression and prognosis.
心脏代谢危险因素显著加速冠状动脉疾病（CAD）的进展；然而，中国南方的CAD患者是否知晓这些危险因素的患病率尚不清楚。
该研究纳入了2008年至2011年在中国南方住院的2312例CAD患者。疾病史包括高血压、血脂异常和糖尿病，依据患者的自我报告记录。通过体格检查和临床检查来评估心脏代谢危险因素的实际患病率。
就代谢综合征而言，57.9%的CAD患者有超过3种心脏代谢危险因素。高血压、糖尿病和血脂异常的自我知晓患病率和实际患病率分别为56.6%、28.3%、25.1%和91.3%、40.9%、92.0%。高血压、糖尿病和血脂异常的知晓率分别为64.4%、66.3%和28.5%。心脏代谢危险因素的患病率在性别和疾病状态之间存在显著差异。
中国南方大多数CAD患者有超过三种心脏代谢危险因素。然而，心脏代谢疾病的知晓率较低，尤其是血脂异常。需要通过常规体检项目策略来早期发现和治疗心脏代谢危险因素，以预防CAD的进展和改善预后。
