[老年人冠心病；ERGO研究（伊拉斯姆斯鹿特丹健康与老年人研究）]

[Coronary heart disease in the elderly; the ERGO study (Erasmus Rotterdam Health and the Elderly)].

作者信息

Grobbee D E, van der Bom J G, Bots M L, de Bruijne M C, Mosterd A, Hoes A W

机构信息

Erasmus Universiteit, Instituut Epidemiologie en Biostatistiek, Rotterdam.

出版信息

Ned Tijdschr Geneeskd. 1995 Sep 30;139(39):1978-82.

PMID:7477541

Abstract

OBJECTIVE

To determine the prevalence of cardiovascular disease among elderly people and to investigate the use of cardiovascular medication in this group.

DESIGN

Cross-sectional study.

SETTING

A quarter in Rotterdam, the Netherlands.

METHODS

As a part of the 'Rotterdam elderly study', the cardiovascular anamnesis of 7.983 responding persons > or = 55 years (3105 men and 4878 women) was obtained by means of a questionnaire.

RESULTS

Twelve and 4% of men and women, respectively, had at some time had a myocardial infarction, and 5 and 4% a stroke. Almost 7% of both sexes had anamnestic symptoms of angina pectoris. Coronary bypass surgery and percutaneous transluminal coronary angioplasty were done in 4% and 1% of men and 1% and 0.5% of women, respectively. Of all participants 43% used at least one drug for cardiovascular purposes. Half of these used two or more, and a quarter used three or more drugs. Among women, diuretics were the most commonly used drug for cardiovascular purposes (21%), whereas among men beta-blocking agents were most common (15%).

CONCLUSION

Cardiovascular diseases are common among elderly men and women. Many of them take at least one drug for cardiovascular purposes.

摘要

目的

确定老年人中心血管疾病的患病率，并调查该群体心血管药物的使用情况。

设计

横断面研究。

地点

荷兰鹿特丹的一个区。

方法

作为“鹿特丹老年人研究”的一部分，通过问卷调查获取了7983名年龄≥55岁的应答者（3105名男性和4878名女性）的心血管病史。

结果

男性和女性分别有12%和4%曾患过心肌梗死，5%和4%曾患过中风。两性中近7%有心绞痛的既往症状。冠状动脉搭桥手术和经皮腔内冠状动脉成形术在男性中的施行率分别为4%和1%，在女性中的施行率分别为1%和0.5%。所有参与者中43%至少使用一种心血管药物。其中一半使用两种或更多种药物，四分之一使用三种或更多种药物。在女性中，利尿剂是最常用的心血管药物（21%），而在男性中β受体阻滞剂最为常见（15%）。