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  • 1
    Electronic Resource
    Electronic Resource
    Coronary heart disease prevention: Relationship between socio-economic status and knowledge, motivation and behaviour in a free-living male, adult population (1991)
    Springer
    European journal of epidemiology 7 (1991), S. 166-170 
    Details
    ISSN: 1573-7284
    Keywords: Social classes ; Coronary heart disease ; Prevention ; Behaviour
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A questionnaire concerning knowledge, motivation and behaviour connected with coronary heart disease (CHD) prevention was administered to 6074 men aged 46 yrs, residents of Rome. The aim of this analysis was to evaluate whether differences exsisted between three socio-economic (SE) classes arbitrarily defined as medium-high (MH), intermediate (I), and medium-low (ML). Knowledge on CHD and its prevention was more satisfactory in the MH class than in the ML class. The same was observed for attitudes toward prevention (the NM class demonstrated more attention to prevention than ML class). Data were less straightforward for behaviour, which seemed to be dependent on both economic status and education. In fact the MH class claimed to smoke less than ML class, to spend more leisure time in physical activity and to check blood pressure and serum cholesterol more often. Their diets, however, were more expensive and rich than those of the ML class. By contrast the ML class, when compared to MH class, seemed to drink more alcoholic beverages and to be heavier, but they walked more and their diet resembled more closely the Mediterranean one. Altogether, in this study population, the highest social class seemed to be associated with better behaviours toward CHD prevention.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00237361
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Value of low-dose echodobutamine in the diagnosis of patency of the infarct related coronary artery (1994)
    Springer
    The international journal of cardiovascular imaging 10 (1994), S. 131-136 
    Details
    ISSN: 1573-0743
    Keywords: echodobutamine testing ; infarct related coronary artery ; viable myocardium
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The resumption of contractility of asynergic segments in survivors after acute myocardial infarction (AMI) may be detected in viable myocardial areas. We have correlated the detection of viable myocardium, assessed with low dose dobutamine testing, with coronary angiography and clinical outcome in 66 consecutive survivors of AMI using the echocardiographic evidence of left ventricular wall motion abnormalities. The test enabled the identification of two groups: group A, comprising 32 patients (pts) demonstrating wall motion recovery at dobutamine infusion and group B, comprising 34 pts without wall motion recovery. The mean basal asynergy score index was 5.8±4.2 in group A and 6.0±4.2 in group B (p = ns). With dobutamine testing the score decreased to 2.8±3.6 in group A (p 〈 0.001 with respect to basal value), while it did not change significantly in group B. Left ventricular end diastolic volume (ml) was similar in the two groups (114±35 vs 107±79, p = NS). The infarct related artery (IRA) patency rate was 87.5% in group A, vs 26.5% in group B (p 〈 0.001). After a mean follow-up of 11±5 months, group A pts had basal asynergy score improvement (2.6±3.1, p 〈 0.001) and mild left ventricular end diastolic volume (ml) reduction, (108±32, p = NS), while group B pts had left ventricle end diastolic volume enlargement (130±38, p 〈 0.05), without score asynergy modification. Moreover all pts who experienced heart failure at follow-up were in group B. In our study, wall motion recovery with low dose dobutamine testing detects IRA patency after a first AMI (sensitivity 76%, specificity 86%, diagnostic accuracy 80%, positive predictive value 87%, negative predictive value 73%). IRA patency seems to be related to left ventricular volume reduction and wall motion improvement at follow-up. Low dose dobutamine echocardiography could be useful in detecting pts at risk of left ventricular enlargement after a first AMI.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01137708
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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