Bovet P, Darioli R, Janin B, Rickenbach M, Gutzwiller F
Policlinique médicale universitaire, Lausanne.
Schweiz Med Wochenschr. 1988 Dec 3;118(48):1797-802.
A major reduction in ischemic cardiovascular diseases depends on prevention of risk factors (RF) for atherosclerosis. To assess how screening and treatment of these RF were undertaken in an outpatient setting, we reviewed 300 charts of Swiss men (age 17 to 86, mean 50) who were compliant with medical follow-up. We noticed that the six RF taken into account were insufficiently investigated among young people. Furthermore, hypercholesterolemia was largely underinvestigated, even in the presence of other RF for atherosclerosis. These findings indicate that both the importance of early detection and the clinical significance of dyslipidemia are underestimated by physicians. This situation would be improved by a health policy adapted to Swiss medical practice which defined rules of screening and treatment of RF for atherosclerosis.
缺血性心血管疾病的大幅减少依赖于对动脉粥样硬化危险因素（RF）的预防。为评估在门诊环境中对这些危险因素的筛查和治疗情况，我们查阅了300名瑞士男性（年龄17至86岁，平均50岁）的病历，这些男性均接受了定期医疗随访。我们注意到，所考虑的六个危险因素在年轻人中未得到充分调查。此外，即使存在其他动脉粥样硬化危险因素，高胆固醇血症也在很大程度上未得到充分调查。这些发现表明，医生低估了早期检测的重要性和血脂异常的临床意义。通过一项适应瑞士医疗实践的卫生政策来定义动脉粥样硬化危险因素的筛查和治疗规则，这种情况将会得到改善。
