Summary of major findings of the Evans County cardiovascular studies.

Summary of major findings of the Evans County cardiovascular studies.
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埃文斯县心血管研究的主要发现摘要。

DOI:
10.1001/archinte.1971.00310240041003
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发表时间:
1971
影响因子:
--
通讯作者:
J. Cassel
J. Cassel
中科院分区:
--
文献类型:
--
作者:
J. Cassel

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本期报道的研究是初级保健医生柯蒂斯·哈姆斯和流行病学学术部门之间不同寻常的“伙伴关系”的结果。这项合作的倡议来自哈姆斯博士,他希望确定他在执业过程中观察到的某些现象是在整个社区发生,还是仅限于选择他作为医生的人的类型。如果他的实践观察被发现是可概括的,那么他就有兴趣寻求一些解释。特别是,哈姆斯对他看到黑人患者,特别是黑人男性,有任何冠心病(CHD)表现的罕见情况印象深刻,尽管其中许多患者的血压水平明显升高。这一观察结果更加令人惊讶,因为冠状动脉疾病在他的白人患者中是非常常见的表现。(埃文斯县,
The studies reported in this issue have resulted from an unusual "partnership" between a primary care physician Curtis Hames, MD, and an academic department of epidemiology. The initiative for this collaboration came from Dr. Hames who wished to determine whether certain phenomena he was observing in his practice were occurring throughout the community or were restricted to the types of people who selected him for their physician. To the extent that his practice observations were found to be generalizable, he would then be interested in seeking some explanations. In particular, Hames was impressed with the rarity with which he saw black patients, particularly black men, with any manifestation of coronary heart disease (CHD), despite the fact that levels of blood pressure in many of these patients were markedly elevated. This observation was all the more surprising as coronary disease was a very common manifestation in his white patients. (Evans County,