Rywik S, Wagrowska H, Broda G, Kuzminska A, Polakowska M, Kulesza W, Kupsc W, Kurjata P
Department of Cardiovascular Epidemiology and Prevention National Institute of Cardiology, Warsaw, Poland.
Int J Epidemiol. 1989;18(3 Suppl 1):S129-36.
In the Warsaw Pol-MONICA area, which is inhabited by 274,000 people of ages 25-64, trends in total mortality showed increases similar to those for the whole of Poland. In Warsaw, mortality from cardiovascular disease in men and from ischaemic heart disease (IHD), myocardial infarction (MI), and cerebrovascular disease in both sexes decreased from 1976 to 1986, whereas trends for these diseases were increasing for the whole of Poland. Within the last 11 years, the MI attack rate and case-fatality rate increased in Warsaw. In the Warsaw male population, an increase in the majority of CHD risk factors was also observed. Age-adjusted mortality rates, MI attack and incidence rates, and stroke attack rates in Warsaw were all higher in men than in women. The mean values of HDL cholesterol and LDL cholesterol, Quetelet's index, and prevalence of hypercholesterolaemia in Warsaw were higher in women than in men, whereas the mean values of triglycerides, diastolic blood pressure, and number of cigarettes smoked as well as prevalence of hypertriglyceridaemia, hypertension, and smoking were higher in men.
在华沙的波兰莫妮卡地区，居住着27.4万名25至64岁的居民，总死亡率趋势与整个波兰的趋势相似，呈上升态势。在华沙，1976年至1986年期间，男性心血管疾病死亡率以及男女两性的缺血性心脏病（IHD）、心肌梗死（MI）和脑血管疾病死亡率均有所下降，而整个波兰这些疾病的死亡率趋势却在上升。在过去11年里，华沙的心肌梗死发病率和病死率均有所上升。在华沙男性人群中，还观察到大多数冠心病危险因素有所增加。华沙男性的年龄调整死亡率、心肌梗死发病率和卒中发病率均高于女性。华沙女性的高密度脂蛋白胆固醇和低密度脂蛋白胆固醇平均值、克托莱指数以及高胆固醇血症患病率均高于男性，而男性的甘油三酯平均值、舒张压、吸烟数量以及高甘油三酯血症、高血压和吸烟的患病率均高于女性。
