Abstract:
AIM:To investigate missed opportunities to reveal existing but not formerly diagnosed coronary heart disease cases and related risk factors in primary health care. METHODS:The study comprised 850 people aged over 30 years with no known history of coronary heart disease, receiving health services from a primary care center located in a suburban area of Antalya, Turkey. Data on their age, gender, education level, health insurance status, income, smoking behavior, and physical activities were collected. Undiagnosed coronary heart disease patients were determined by the Rose questionnaire, physical examination, and electrocardiogram. Height and weight, blood pressure, serum glucose and cholesterol levels were measured, and body-mass index and waist-hip ratio calculated. Each patient was given a risk score regarding age, smoking behavior, systolic blood pressure, and cholesterol levels. Estimated risk ratio of each person for developing coronary heart disease in the next decade was determined. RESULTS:The number of formerly undiagnosed coronary heart disease cases was 126 (14.8%). Overall mean (+/-standard deviation) risk score for developing coronary heart disease in the next decade in study group was 6.1+/-6.8. Diseases facilitating development of coronary heart disease: hypertension, diabetes, and hypercholesterolemia were present in 255 (30.4%), 70 (8.2%), and 364 (43.4%) participants, respectively. Obesity was detected in 315 (37.1%) subjects and there were 222 (26.1%) current smokers. For patients who attended primary health care, the estimated percentage risk for developing coronary heart disease in the next ten years was 7 to 45% in men and 2 to 45% in women. CONCLUSION:Opportunities to reveal coronary heart disease and its risk factors are being missed in primary care. Measures should be taken to ensure timely diagnosis of coronary heart disease and related risk factors.
journal_name
Croat Med Jjournal_title
Croatian medical journalauthors
Turkay M,Senol Y,Alimoglu MK,Aktekin MR,Deger Nsubject
Has Abstractpub_date
2007-06-01 00:00:00pages
362-70issue
3eissn
0353-9504issn
1332-8166journal_volume
48pub_type
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2004-12-01 00:00:00
abstract:AIM:To compare the prevalence and characteristics of bullying between two towns in Bosnia and Herzegovina-Stolac, which was exposed to firearm conflict during the 1992-1995 war in Bosnia and Herzegovina, and Posusje, which was outside of the active combat zone. METHODS:In this cross-sectional study, we included 484 pr...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2008.4.528
更新日期:2008-08-01 00:00:00
abstract::A radical primary health care-oriented reform of the medical services in Albania is now under way, calling for adequate revision in medical education. The reform has started in 1994. In January 1997, the Department of Family Medicine at the Faculty of Medicine, University of Tirana, was established for the development...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2002-02-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2000-03-01 00:00:00
abstract:AIM:To determine the physical activity level of the Croatian population in different domains of everyday life. METHODS:A random stratified sample of 1032 Croatians aged 15 years and older was interviewed using the official Croatian long version of the International Physical Activity Questionnaire (IPAQ). Total physica...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2009.50.165
更新日期:2009-04-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
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journal_title:Croatian medical journal
pub_type: 杂志文章,meta分析,评审
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journal_title:Croatian medical journal
pub_type: 临床试验,杂志文章
doi:
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journal_title:Croatian medical journal
pub_type: 杂志文章,随机对照试验
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更新日期:2017-08-31 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2006-10-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2003-12-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2010.51.483
更新日期:2010-12-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:1998-12-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2020-08-31 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2001-10-01 00:00:00
abstract::The last three decades have witnessed a tremendous increase in female sports participation at all levels. However, increased sports participation of female athletes has also increased the incidence of sport-related injuries, which can be either acute trauma or overuse injuries. Overuse injuries may be defined as an im...
journal_title:Croatian medical journal
pub_type: 杂志文章,评审
doi:10.3325/cmj.2007.6.767
更新日期:2007-12-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2006-12-01 00:00:00
abstract::This article presents the basic facts about education, health care system, and academic medicine in Finland. The issue of the academic medicine in the world is discussed and Finnish models compared with those of the rest of the world. Possible solutions for the recovery of academic medicine, education, and research ar...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2004-06-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2006-06-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2001-06-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2008.1.75
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journal_title:Croatian medical journal
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doi:10.3325/cmj.2012.53.631
更新日期:2012-12-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2010.51.259
更新日期:2010-06-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2013.54.286
更新日期:2013-06-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 社论
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更新日期:2001-02-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 临床试验,杂志文章,随机对照试验
doi:
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journal_title:Croatian medical journal
pub_type: 杂志文章
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更新日期:2005-10-01 00:00:00
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journal_title:Croatian medical journal
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doi:
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