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黑人的冠状动脉疾病:危险因素

Coronary artery disease in blacks: risk factors.

作者信息

Curry C L, Oliver J, Mumtaz F B

出版信息

Am Heart J. 1984 Sep;108(3 Pt 2):653-7. doi: 10.1016/0002-8703(84)90650-1.

DOI:10.1016/0002-8703(84)90650-1
PMID:6475736
Abstract

The current literature indicates that of the major risk factors for coronary artery disease (CAD), United States blacks and whites have similar rates for cigarette smoking and cholesterol levels. The prevalence of diabetes mellitus is higher in black females than white females. Both black males and females have higher prevalence rates for hypertension. These differences in risk factors between blacks and whites in spite of similar degrees of CAD suggest that the relative importance of specific risk factors might differ between the two racial groups. Research is needed to determine if there are protective factors in blacks (e.g., high-density lipoprotein cholesterol) and/or previously unrecognized risk factors (e.g., diuretic-induced lipid abnormalities) that may be playing a major role in the epidemiology of CAD in the black population.

摘要

当前文献表明,在冠状动脉疾病(CAD)的主要危险因素方面,美国黑人和白人在吸烟率和胆固醇水平上相近。糖尿病在黑人女性中的患病率高于白人女性。黑人男性和女性的高血压患病率均较高。尽管CAD程度相似,但黑人和白人在危险因素上存在这些差异,这表明特定危险因素的相对重要性在这两个种族群体中可能有所不同。需要开展研究以确定黑人中是否存在保护因素(例如高密度脂蛋白胆固醇)和/或先前未被认识到的危险因素(例如利尿剂引起的脂质异常),这些因素可能在黑人人群CAD的流行病学中起主要作用。

相似文献

1
Coronary artery disease in blacks: risk factors.黑人的冠状动脉疾病:危险因素
Am Heart J. 1984 Sep;108(3 Pt 2):653-7. doi: 10.1016/0002-8703(84)90650-1.
2
Determinants of high-density lipoprotein cholesterol in blacks and whites: the second National Health and Nutrition Examination Survey.黑人和白人中高密度脂蛋白胆固醇的决定因素:第二次全国健康与营养检查调查
Am Heart J. 1984 Sep;108(3 Pt 2):641-53. doi: 10.1016/0002-8703(84)90649-5.
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Responses of black and white males to the special intervention program of the Multiple Risk Factor Intervention Trial.黑人和白人男性对多重危险因素干预试验特殊干预项目的反应。
Am Heart J. 1984 Sep;108(3 Pt 2):839-48. doi: 10.1016/0002-8703(84)90680-x.
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High-density lipoprotein cholesterol in blacks and whites: potential ramifications for coronary heart disease.黑人和白人中的高密度脂蛋白胆固醇:对冠心病的潜在影响。
Am Heart J. 1984 Sep;108(3 Pt 2):815-26. doi: 10.1016/0002-8703(84)90677-x.
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Black/white differences in risk factors for arteriographically documented coronary artery disease in men.男性中经血管造影证实的冠状动脉疾病危险因素的黑白差异。
Am J Cardiol. 1988 Aug 1;62(4):214-9. doi: 10.1016/0002-9149(88)90214-7.
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Comparison of plasma lipid and lipoprotein profiles in hypertensive black versus white men. Department of Veterans Affairs Cooperative Study Group on Antihypertensive Agents.高血压黑人男性与白人男性血浆脂质和脂蛋白谱的比较。退伍军人事务部抗高血压药物合作研究组。
Am J Cardiol. 1996 Dec 1;78(11):1236-41. doi: 10.1016/s0002-9149(96)00602-9.
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Black-white differences in plasma levels of apolipoproteins: the Evans County Heart Study.载脂蛋白血浆水平的黑白差异:埃文斯县心脏研究
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Hypertension as a cause of lower than expected death rates from coronary artery disease among blacks.高血压是黑人冠状动脉疾病死亡率低于预期的一个原因。
Clin Cardiol. 1989 Dec;12(12 Suppl 4):IV9-12. doi: 10.1002/clc.4960121304.
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Distribution and correlates of lipoproteins and their subclasses in black and white young adults. The Bogalusa Heart Study.黑人和白人青年成人中脂蛋白及其亚类的分布与相关因素。博加卢萨心脏研究。
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Serum high density lipoprotein cholesterol levels in Chinese healthy subjects and patients with certain diseases.中国健康受试者和某些疾病患者的血清高密度脂蛋白胆固醇水平
Atherosclerosis. 1982 Jun;43(2-3):197-207. doi: 10.1016/0021-9150(82)90022-3.

引用本文的文献

1
Race and hypertension. What is clinically relevant?种族与高血压。临床上有何关联?
Drugs. 1994 Jun;47(6):914-32. doi: 10.2165/00003495-199447060-00005.
2
Coronary artery bypass grafting in a predominately black group of patients.在以黑人为主的患者群体中进行冠状动脉旁路移植术。
J Natl Med Assoc. 1987 Jun;79(6):593-9.
3
The status of cardiovascular surgery in West Africa.西非心血管外科的现状。
J Natl Med Assoc. 1987 Oct;79(10):1077-87.
4
High density lipoprotein cholesterol as a determinant factor in coronary heart disease in Africans.高密度脂蛋白胆固醇作为非洲人冠心病的一个决定因素。
J Natl Med Assoc. 1989 May;81(5):547-56.
5
Coronary artery disease in black Americans 1920-1960: the shaping of medical opinion.1920 - 1960年美国黑人中的冠状动脉疾病:医学观点的形成
J Natl Med Assoc. 1989 May;81(5):591-5, 598-600.