Woodhouse S P, Restieaux N J, Ablett M B, Amarasingham R, Smith B R
N Z Med J. 1981 Dec 23;94(698):443-7.
All patients entering a coronary care unit had data collected and stored prospectively on a computer file. Family history and risk factor data have been abstracted for those with confirmed myocardial infarction. These data are compared between those aged less than 50 years and those aged between 50 and 70 years. Cigarette smoking habits are compared with age matched data from the 1976 census population study of cigarette smoking habits. The risk factors of hypercholesteolaemia, obesity, diabetes, hypertension and cigarette smoking greater than 20 per day, do not separate the two age groups although cigarette smoking is more prevalent in the patient groups compared with the census population. Age of fathers' death is not different between the two age groups but death from myocardial infarction, presence of ischaemic heart disease during life in fathers and fewer nonsmokers in the younger age group clearly separate them from older age group patients. This study serves to emphasise that in order to prevent the development of myocardial infarction special attempts sould be made to prevent cigarette smoking in those whose fathers have died of a myocardial infarction or have symptoms of ischaemic heart disease.
所有进入冠心病监护病房的患者的数据都被前瞻性地收集并存储在计算机文件中。已对确诊为心肌梗死的患者提取了家族史和危险因素数据。对年龄小于50岁的患者和年龄在50至70岁之间的患者的这些数据进行了比较。将吸烟习惯与1976年人口普查中关于吸烟习惯的年龄匹配数据进行了比较。高胆固醇血症、肥胖、糖尿病、高血压以及每天吸烟超过20支等危险因素，并未区分这两个年龄组，尽管与普查人群相比，吸烟在患者组中更为普遍。两个年龄组父亲的死亡年龄并无差异，但心肌梗死导致的死亡、父亲生前存在缺血性心脏病以及较年轻年龄组中不吸烟者较少，这些因素明显将他们与年龄较大组的患者区分开来。这项研究旨在强调，为了预防心肌梗死的发生，对于父亲死于心肌梗死或有缺血性心脏病症状的人群，应特别努力预防吸烟。
