冠状动脉搭桥手术后可改变的心血管危险因素的患病率仍然很高:土耳其患者的多中心研究。

Journal of cardiovascular risk Pub Date : 2002-08-01
Mehmet Baltali, Hidayet Tarik Kiziltan, Mehmet Emin Korkmaz, Semra Topçu, Mustafa Demirtaş, Mehmet Metin, M Sah Topçuoğlu, Ahmet Birand, Haldun Müderrisoğlu
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引用次数: 0

摘要

背景:在土耳其,冠状动脉搭桥手术(CABG)患者的二级预防措施在很大程度上仍未确定。设计:我们设计了一项多中心横断面研究,以估计CABG后患者心血管危险因素的患病率,并评估这些患者的人口-社会经济因素与二级预防的关系。方法:1999年1月1日至2000年1月15日在土耳其阿达纳的4个中心接受CABG治疗的622例患者;术后1.0-2.2年随访273例(年龄35-77岁,男性208例)。结果:在273名受访患者中,81.5%超重,65.5%有不健康的降脂饮食选择,56.0%不运动,28.8%肥胖,17.6%目前吸烟。高胆固醇血症、高血压和空腹血糖分别占65.6、34.1和19.8%。63.8%的糖尿病患者空腹血糖升高。血管紧张素转换酶抑制剂、受体阻滞剂和他汀类药物的使用率较低。女性肥胖和缺乏运动的比例更高;吸烟在女性中不那么普遍。服用降压药和降脂药的女性多于男性。Logistic回归分析显示高胆固醇血症与低教育水平相关。结论:土耳其患者在冠脉搭桥后1年及以上存在与不健康生活方式和无效预防性用药相关的可改变危险因素。在这种情况下,低教育水平有显著影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of modifiable cardiovascular risk factors remain high after coronary bypass graft surgery: a multicentre study among Turkish patients.

Background: The measures of secondary prevention in patients undergoing coronary bypass graft surgery (CABG) remains largely undetermined in Turkey.

Design: We designed a multicentre cross-sectional study to estimate the prevalence of cardiovascular risk factors in patients after CABG and to evaluate the association of demographic-socio-economic factors with secondary prevention in these patients.

Methods: A total of 622 patients who underwent CABG between 1 January 1999 and 15 January 2000 at four centres in Adana, Turkey; 273 (ages 35-77, 208 men) were interviewed and examined 1.0-2.2 years after the procedure.

Results: Of 273 patients interviewed, 81.5% were overweight, 65.5% had unhealthy food choices for a lipid-lowering diet, 56.0% were physically inactive, 28.8% were obese and 17.6% were current smokers. Hypercholesterolaemia, elevated blood pressure and fasting blood glucose were found in 65.6, 34.1 and 19.8%, respectively. Of diabetic patients, 63.8% had elevated fasting blood glucose. The use of angiotensin-converting enzyme inhibitors, beta-blockers and statins was low. Women had a higher rate of obesity and physical inactivity; smoking was less prevalent in females. More women were taking antihypertensive and lipid-lowering drugs than men. Logistic regression analysis revealed an association between hypercholesterolaemia and low educational level.

Conclusion: Turkish patients have a high prevalence of modifiable risk factors related to unhealthy lifestyle and ineffective prophylactic drug use 1 year or more after CABG. Low educational level has a significant influence in this situation.

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