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Coronary heart disease mortality among young adults in the U.S. from 1980 through 2002: concealed leveling of mortality rates.1980年至2002年美国年轻成年人中的冠心病死亡率:死亡率的隐性平稳状态。
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4
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Am J Cardiol. 2007 Dec 1;100(11):1654-8. doi: 10.1016/j.amjcard.2007.06.073.
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Coronary heart disease trends in England and Wales from 1984 to 2004: concealed levelling of mortality rates among young adults.1984年至2004年英格兰和威尔士的冠心病趋势:年轻成年人死亡率的隐性平稳状态。
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香港普通人群的十年心血管疾病风险。

Ten-year cardiovascular risk in the general public of Hong Kong.

作者信息

Lee Vivian W Y, Law Sally L T

机构信息

School of Pharmacy, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong.

出版信息

Heart Asia. 2011 Jan 1;3(1):111-4. doi: 10.1136/heartasia-2011-010032. eCollection 2011.

DOI:10.1136/heartasia-2011-010032
PMID:27326006
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4898571/
Abstract

BACKGROUND

Coronary heart disease (CHD) is a major health issue in Hong Kong and has become the second leading cause of death since the 1960s. The prevalence of CHD and its mortality in Hong Kong are approaching a level that requires focused attention. Unfortunately, CHD could be a silent disease until the manifestations occur. Early detection and control of cardiovascular risk factors including cholesterol and blood pressure are vital.

OBJECTIVE

The current project aimed to investigate the 10-year cardiovascular risk in the general public of Hong Kong.

DESIGN

A 12-month prospective cross-sectional study.

SETTING AND PATIENTS

General public of Hong Kong between April 2007 and April 2008.

INTERVENTION

Public screening of lipid panels and blood pressure.

MAIN OUTCOME MEASUREMENT

Estimation of 10-year cardiovascular risk.

RESULTS

During this period, a total of 2607 patients were recruited with a mean age of 46.4±11.1 years (51.3% male), and 8.1% of subjects were active smokers. Among all of the subjects, the mean total cholesterol was 5.42±1.28 mmol/l, and the mean high density cholesterol was 1.59±0.75 mmol/l. The mean systolic blood pressure was 121.7±19.5 mm Hg. The assessment of the 10-year cardiovascular risk showed that 13.8% of the subjects were moderately high to high-risk patients.

CONCLUSION

The general public in Hong Kong had a relatively high total cholesterol and normal-high systolic blood pressure. Almost two in every 10 Hong Kong citizens may have a 10-20% or more than 20% risk of developing CHD in the next 10 years.

摘要

背景

冠心病(CHD)是香港的一个主要健康问题,自20世纪60年代以来已成为第二大死因。香港冠心病的患病率及其死亡率正接近需要重点关注的水平。不幸的是,冠心病在症状出现之前可能是一种隐匿性疾病。早期发现和控制包括胆固醇和血压在内的心血管危险因素至关重要。

目的

当前项目旨在调查香港普通人群的10年心血管风险。

设计

一项为期12个月的前瞻性横断面研究。

地点和患者

2007年4月至2008年4月期间的香港普通人群。

干预

对血脂指标和血压进行公众筛查。

主要观察指标

评估10年心血管风险。

结果

在此期间,共招募了2607名患者,平均年龄为46.4±11.1岁(男性占51.3%),8.1%的受试者为现吸烟者。在所有受试者中,平均总胆固醇为5.42±1.28 mmol/l,平均高密度胆固醇为1.59±0.75 mmol/l。平均收缩压为121.7±19.5 mmHg。对10年心血管风险的评估显示,13.8%的受试者为中度高危至高风险患者。

结论

香港普通人群的总胆固醇相对较高,收缩压处于正常偏高水平。每10名香港市民中几乎有两人在未来10年患冠心病的风险可能为10%-20%或超过20%。