Zhukovskiĭ G S
Kardiologiia. 1982 Jan;22(1):76-81.
An analysis is presented of a follow-up study during 3.8 years of 526 patients (males aged 40--59 years) with ischaemic heart disease found among 3908 examined males, including 475 patients who were investigated according to full program (anthropometry, determination of total blood cholesterol, triglycerides, alpha-cholesterol, smoking habits). Mortality of patients with IHD aged 40--59 years per 100 patients was: from varying causes--3.1 from ischaemic heart disease 1.55, the figures increasing with age. Mortality from IHD and total in patients who had myocardial infarction with corresponding changes of the ECG and angina pectoris of effort was 3- and 2-fold higher, respectively, than in other forms of the disease. These figures are practically identical in patients with other forms of ischaemic heart disease. Among the main factors of risk only hypercholesterolaemia contributes to increased mortality from IHD. Among patients with IHD detected during investigation lethal cases are 7-fold more frequent than among those without IHD.
对3908名接受检查的男性进行调查,发现其中526例(年龄在40 - 59岁之间)患有缺血性心脏病患者,对这些患者进行了为期3.8年的随访研究分析。其中475例患者按照完整方案进行了调查(人体测量、测定总血胆固醇、甘油三酯、α-胆固醇、吸烟习惯)。40 - 59岁缺血性心脏病患者每100例的死亡率为:各种原因导致的死亡率为3.1,缺血性心脏病导致的死亡率为1.55,这些数字随年龄增长而增加。患有心肌梗死且心电图有相应变化以及劳力性心绞痛的患者,其缺血性心脏病死亡率和总死亡率分别比其他形式疾病的患者高3倍和2倍。在其他形式的缺血性心脏病患者中,这些数字实际上是相同的。在主要风险因素中,只有高胆固醇血症会导致缺血性心脏病死亡率增加。在调查期间检测出患有缺血性心脏病的患者中,致命病例的发生率比未患缺血性心脏病的患者高7倍。