USING THE WHO (ROSE) ANGINA QUESTIONNAIRE IN CARDIOVASCULAR EPIDEMIOLOGY
USING THE WHO (ROSE) ANGINA QUESTIONNAIRE IN CARDIOVASCULAR EPIDEMIOLOGY
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DOI：
10.1093/ije/18.3.607
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发表时间：
1989-09-01
影响因子：
7.7
通讯作者：
MACFARLANE, PW
中科院分区：
文献类型：
--
作者：
COOK, DG;SHAPER, AG;MACFARLANE, PW
1978年至1980年，7735名年龄在40-59岁的男性参加了一项筛查检查，其中包括一份关于胸痛的WHO(Rose)问卷的管理版本。那些“可能”患有心绞痛的人与那些“确定”心绞痛的人一样有可能在休息时进行缺血性心电检查。此外，患有“确定”和“可能”心绞痛的男性在7.5年内的心脏病发作率是相似的，并且不会随着随访时间的延长而减少。最初筛查五年后，98%的幸存男性回复了一份邮寄问卷，其中包括一份自我管理的胸痛问卷。根据筛查时管理的问卷和五年后自我管理的邮寄版本，心绞痛的年龄特定患病率相似。两次心绞痛(“明确”或“可能”)的男性缺血性心电图率最高，只有一次阳性的男性患病率居中，两次阴性的男性患病率最低。我们的结论是，在使用世界卫生组织(Rose)问卷来确定心脏病发作的患病率或评估风险的中年男性心血管研究中，心绞痛应该同时包括“可能的”和“确定的”心绞痛。
During 1978-80, 7735 men aged 40-59 took part in a screening examination which included an administered version of the WHO (Rose) questionnaire on chest pain. Those man who had ''possible'' angina were as likely to have an ischaemic electrocardiogram at rest as those with ''definite'' angina. Furthermore, the heart attack rate over 7.5 years was similar in men with ''definite'' and ''possible'' angina and did not diminish with length of follow-up. Five years after the initial screening 98% of the surviving men replied to a postal questionnaire which included a self-administered version of the chest pain questionnaire. Age-specific prevalence rates of angina based on the administered questionnaire at screening and on the self-administered postal version five years later, were similar. Men who had angina (''definite'' or ''possible'') on both occasions had the highest prevalence rate of ischaemic electrocardiograms, men who were positive on only one occasion had intermediate rates and those who were negative on both occasions had the lowest rates. We conclude that in cardiovascular studies of middle-aged men which use the WHO (Rose) questionnaire for the purposes of determining prevalence or assessing risk of a heart attack, angina should include both ''possible'' and ''definite'' angina.