Læknablaðið : fylgirit - 01.06.1982, Qupperneq 19

Læknablaðið : fylgirit - 01.06.1982, Qupperneq 19
7 PROGNOSIS OF WOMEN WITH DIFFERENT MANIFESTATIONS OF ISCHAEMIC HEART DISEASE - A 12-YEAR FOLLOW-UP C. Benqtsson, L. Lapidus, 0. Lindquist, H. Noppa, E. Nyström, J.Sigurdsson and V. Rafnsson, Med klin II, Sahlgrenska sjukhuset, University of Göteborg, Göte- borg, Sweden. As the first phase of a longitudinal population study of women, a cross-sectional study of altogether 1462 women aged 38-60 was carried out in 1968-1969 in Göteborg, Sweden. The women have then been re-studied in 1974-1975 and 1980-1981. In addition, all women of the same age in Göteborg with myocardial infarction during the years of 1968-1970 were examined. A history of angina pectoris was initially reported by 29 women, 28 of whom have been followed-up for 12 years. Among these women, 4 have died, 2 from myocar- dial infarction and another woman has survived a myo- cardial infarct during the period. ECG changes at rest indicating ischaemic heart disease (IHD) was observed in 23 women, 22 of whom have been followed- up for 12 years. Five of these women have died, 3 of whom from myocardial infarction, and another woman has survived a myocardial infarct. In a respresenta- tive subsample comprising 194 women, a maximal work performance test was carried out. ECG changes indi- cating IHD (Minnesota Code 4:1-2 4 min after maximal wcrk) was observed in 30 of these women, 29 of whom have been followed-up for 12 years. Five of these women have died, one from myocardial infarction, while none of the other 29 women has suffered from myocardial infarction. It seemed that the prognosis of women with history of angina pectoris or ECG changes at rest or exercise indicating IHD was moderately different from that of other women in the population.
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