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[塔什干中年男性缺血性心脏病的人群研究]

[Population research on ischemic heart disease in middle-aged men in Tashkent].

作者信息

Makhmudov B Kh

出版信息

Ter Arkh. 1986;58(1):40-3.

PMID:2938291
Abstract

Prophylactic examination of a random representative sample of the male population aged 40-59 in one of the administrative districts of Tashkent using unified diagnostic methods showed a high CHD prevalence. During examination of 2405 persons (80% of those invited) CHD was revealed in 10.8% of the cases, 9.5% of this rate in the indigenous population. The history of myocardial infarction (MI) was noted in 1.5% of the examined persons, angina of effort (without MI) in 4.4%, a painless form of CHD (based on ECD changes) in 4.9%. A 4.6-year follow-up revealed high mortality among CHD patients diagnosed according to epidemiological criteria, particularly with the history of MI. Mortality rates from MI among males aged 40-59 were 4 per 1000 of population annually. The study showed a necessity to improve methods of secondary prevention of CHD under out-patient conditions.

摘要

在塔什干某行政区,采用统一诊断方法对40 - 59岁男性人群的随机代表性样本进行预防性检查,结果显示冠心病患病率很高。在检查的2405人(占受邀人数的80%)中,10.8%的人被查出患有冠心病,其中本地人口的患病率为9.5%。在受检者中,1.5%的人有心肌梗死病史,4.4%的人有劳力性心绞痛(无心肌梗死),4.9%的人有无痛型冠心病(基于心电图改变)。4.6年的随访显示,根据流行病学标准诊断出的冠心病患者死亡率很高,尤其是有心肌梗死病史的患者。40 - 59岁男性每年因心肌梗死的死亡率为每1000人中有4人。该研究表明有必要改进门诊条件下冠心病二级预防的方法。

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