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1948年起,Framiagham地区5127例居民每2年检查一次,至今已逾30年。2873例妇女中,574例首次出现冠心病的临床表现:心绞痛315例,心肌梗塞195例,冠状动脉供血不足综合征51例,(冠心病死亡196例,其中)猝死73例。妇女冠心病发病较男子晚10年,妇女心肌梗塞和猝死较男子晚20年。随年龄增大,冠心病发病率逐渐增高,男女之间差别趋于减小,均于55岁以后发病率最高。妇女冠心病以心绞痛最常见。妇女55岁以前很少发生心肌梗塞和猝死。妇女首次心肌梗塞漏诊较男子为多(35％对28％),男女均以高血压患者为然。
Since 1948, 5127 residents of Framiagham district have been inspected every two years and have been in existence for more than 30 years. Of the 2873 women, 574 had their first clinical signs of coronary heart disease: 315 angina pectoris, 195 myocardial infarction, 51 coronary insufficiency syndrome, and 73 sudden death (coronary heart disease 196). The incidence of coronary heart disease in women is 10 years later than that of men, and women have myocardial infarction and sudden death 20 years later than men. With age, the incidence of coronary heart disease gradually increased, the difference between men and women tends to decrease, were the highest incidence after 55 years of age. Coronary heart disease in women with angina is the most common. Women rarely develop myocardial infarction and sudden death before the age of 55. The first missed diagnosis of myocardial infarction in women compared with men (35% vs 28%), both men and women with hypertension.