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一项预测心肌梗死潜在发生情况的项目的6年试验

[6-year trial of a program for predicting the potential occurrence of myocardial infarct].

作者信息

Khalfen E Sh, Shvarts I L

出版信息

Kardiologiia. 1987 Sep;27(9):43-7.

PMID:2961917
Abstract

A six-year prospective study of 3775 individuals, first examined in 1978, using an original mathematical program of myocardial infarction risk prognosis, is reported. The program is based on an integral assessment of 19 risk factors, each having 4 degrees of severity. The subjects were allocated to one of 3 groups, depending on the prognostic risk score. In the low coronary risk group (2068 people), there was 1 (0.048%) myocardial infarction over 6 years. There were 12 (0.76%) infarctions in the medium risk group (1569 people), and 62 (44.92%) infarctions in the high risk group (138 people). Therefore, the program is capable of identifying a limited (about 4%) population that is going to develop 80% of all myocardial infarctions within the next 5 or 6 years.

摘要

报告了一项对3775名个体进行的为期六年的前瞻性研究,这些个体于1978年首次接受检查,采用了心肌梗死风险预后的原始数学程序。该程序基于对19个风险因素的综合评估,每个因素有4个严重程度等级。根据预后风险评分,受试者被分为3组之一。在低冠状动脉风险组(2068人)中,6年期间有1例(0.048%)心肌梗死。中风险组(1569人)有12例(0.76%)梗死,高风险组(138人)有62例(44.92%)梗死。因此,该程序能够识别出有限的(约4%)人群,这些人将在未来5或6年内发生所有心肌梗死的80%。

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