Stuks I Iu, Koniaeva E B, Zhukovskiĭ G S, Varlamova T A, Shal'nova S A
Ter Arkh. 1988;60(9):95-9.
A simultaneous comprehensive epidemiological survey of 1198 cattle-breeders was conducted in central and southern Tuva. CHD in men was diagnosed in 11.1%, in women in 24.0% (all of them aged 20 to 69). Changes in the end part of the ventricular complex were more common, particularly in women. Arrhythmia and angina of effort were very rare. Functional ECG tests (including propranolol, piridamole, bicycle ergometry) brought about negative results with relation to CHD. Positive correlation was shown between CHD prevalence and AH frequency, negative correlation--between CHD prevalence and smoking frequency. Rare excessive body mass and fat metabolic derangements probably accounted for the absence of correlation of these indices with CHD frequency. A high AH frequency was revealed in men (12.3%) and women (28.8%). Left ventricular hypertrophy was noted in 25.8% of men, of them raised BP was noted in 36.6% only; in women these figures were 12.7 and over 50%, respectively. Some peculiarities of the epidemiology of CHD and its risk factors in Tuva indicated a high frequency of noncoronarogenic myocardial pathology, rare occurrence of CHD, and low specificity of the Minnesota code criteria for the detection of this disease in the population under study.
在图瓦中部和南部对1198名养牛者进行了同步综合流行病学调查。男性冠心病诊断率为11.1%，女性为24.0%（年龄均在20至69岁之间）。心室复合波终末部分的变化更为常见，尤其是在女性中。心律失常和劳力性心绞痛非常罕见。功能性心电图检查（包括普萘洛尔、潘生丁、自行车测力计）对冠心病的检查结果为阴性。冠心病患病率与AH频率呈正相关，与吸烟频率呈负相关。罕见的超重和脂肪代谢紊乱可能是这些指标与冠心病频率缺乏相关性的原因。男性（12.3%）和女性（28.8%）的AH频率较高。25.8%的男性存在左心室肥厚，其中仅36.6%的人血压升高；女性的这两个数字分别为12.7%和超过50%。图瓦冠心病及其危险因素的流行病学一些特点表明，非冠状动脉性心肌病变发生率高，冠心病发生率低，明尼苏达编码标准在该研究人群中检测该病的特异性低。
