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[列宁格勒80岁以上男性的缺血性心脏病、动脉血压与血液脂质成分(流行病学调查数据)]

[Ischemic heart disease, arterial pressure and the lipid composition of the blood in men over 80 in Leningrad (epidemiological survey data)].

作者信息

Mirer G I, Lipovetskiĭ B M, Triufanov V F

出版信息

Ter Arkh. 1985;57(11):52-5.

PMID:2934848
Abstract

A total of 96 males aged 80 to 92 (98% of the persons of this age and sex residing in October 1, 1983, in one of the administrative districts in Leningrad) were examined at home by standardized methods. Arterial pressure (AP) was measured and ECG at rest was recorded; 73 persons living an active life were interviewed using a WHO questionnaire with regard to angina pectoris of effort. The blood lipid composition was studied in 54 persons. Systolic arterial hypertension (AP greater than or equal to 160 mm) was found in 65.6%, AP greater than or equal to 190 mm in 21.9%, isolated diastolic arterial hypertension was not detected, together with systolic hypertension it was observed in 10.4%. The blood lipid composition in males over 80 was characterized by rather low total cholesterol and triglyceride levels and quite a low atherogeneity rate (3.3 +/- 0.26 U). Epidemiological CHD diagnosis was established in 45.7% of the persons examined including myocardial infarction in the anamnesis in 16.7%. The results obtained indicate to more frequent associations of CHD with a high AP and tendencies to an atherogenic shift of the blood lipid fractions.

摘要

共有96名年龄在80至92岁之间的男性(占1983年10月1日居住在列宁格勒某一行政区的该年龄和性别人群的98%)接受了标准化方法的家庭检查。测量了动脉压(AP)并记录了静息心电图;对73名生活活跃的人使用世界卫生组织问卷就劳力性心绞痛进行了访谈。对54人进行了血脂成分研究。发现65.6%的人患有收缩期动脉高血压(AP大于或等于160毫米),21.9%的人AP大于或等于190毫米,未检测到单纯舒张期动脉高血压,10.4%的人同时患有收缩期高血压。80岁以上男性的血脂成分特点是总胆固醇和甘油三酯水平相当低,动脉粥样硬化率也很低(3.3±0.26单位)。在45.7%的受检者中确立了冠心病的流行病学诊断,其中16.7%的人有心肌梗死病史。所获得的结果表明冠心病与高AP的关联更为频繁,且血脂成分有向动脉粥样硬化转变的趋势。

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