[一项评估Verona-ASL 20全科医生受试者心血管风险概况的横断面调查]。

Desirée Bastarolo, Alessandro Battaggia, Gianstefano Blengio, Silvia Bustacchini, Mario Celebrano, Guido Danti, Luciano Flor, Sandro Girotto, Roberta Joppi, Giuseppe Lombardo, Luigi Mezzalira, Mersia Mirandola, Marina Panfilo, Giovanni Pescarin, Pierfrancesco Ruffo
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引用次数: 0

摘要

背景:大多数关于心血管危险因素识别的研究都是在北欧或美国进行的。然而,遗传和饮食因素可能在不同的国家和地理区域有所不同,在我国很少有关于心血管风险概况的数据。方法:在符合医疗救助条件的人群中随机抽取3144人,其中男性1463人,女性1681人,年龄35 ~ 74岁,注册全科医生170人。使用电子病例报告表格收集人口统计数据、临床信息、实验室测试和当前的药物治疗。结果:人群心血管危险因素患病率为:吸烟22.7%,肥胖12.8%,高血压39.2%,高胆固醇血症25.5%,高血糖和糖尿病5.5%。35.4%的受试者出现心血管疾病的10年绝对风险水平低(< 5%),31.1%为中度风险(5-9%),24.9%为中度风险(10-19%),8.6%为高风险(>或= 20%)。结论:在维罗纳地区,231592名受试者中约有20,000名年龄在35-74岁之间,10年心血管绝对风险水平>或= 20%。这些结果为规划和实施心血管疾病预防干预提供了流行病学依据。
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[A cross-sectional survey to evaluate the cardiovascular risk profile in subjects referred to the Verona-ASL 20 general practitioners].

Background: Most of the studies on the identification of cardiovascular risk factors have been conducted either in northern Europe or in the United States. However, genetic as well as dietary factors may vary across different countries and geographical areas and there are few data about the cardiovascular risk profile in our country.

Methods: A sample of 3144 subjects (1463 males, 1681 females aged 35-74 years) were randomly selected among the population qualifying for healthcare assistance, registered with 170 general practitioners. Demographic data, clinical information, lab tests and current pharmacological treatments were collected using an electronic case report form.

Results: The prevalences of cardiovascular risk factors in the population were: smoking habit 22.7%, obesity 12.8%, hypertension 39.2%, hypercholesterolemia 25.5%, hyperglycemia and diabetes 5.5%. Thirty-five point four percent of the subjects presented a low absolute 10-year cardiovascular risk level (< 5%), 31.1% an intermediate risk (5-9%), 24.9% a moderate risk (10-19%), and 8.6% a high risk (> or = 20%) of developing cardiovascular diseases.

Conclusions: In the area of Verona approximately 20,000 out of 231,592 subjects, aged 35-74 years, may present an absolute 10-year cardiovascular risk level > or = 20%. These results represent the epidemiological basis for planning and implementing preventive interventions toward cardiovascular diseases.

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