CORONARY HEART DISEASE AND STROKE IN PEOPLE AGED 65-84

这项研究的主要目的是调查危险因素。 适用于老年人的冠心病和中风(老年人 65-84)。这两个危险因素都是在中年人群中确定的 并将检查可疑的风险因素。自动脉粥样硬化以来 在老年人中很普遍，研究将重点放在思想因素上 诱发临床显性疾病。它将通过两种方式做到这一点：1)它 将通过以下措施评估临床疾病的预测 临床前疾病，如颈动脉粥样硬化，左侧 室性损害，心律失常或发作 心肌缺血。2)由于可能会发生心血管事件 在老年人因健康或生活环境 可能在事件发生前的几个月里发生了变化，研究 将定期联系参与者，以评估他们的 关于并发疾病、社会支持的状况 社交网络、紧张的生活环境、饮食、体力活动和 其他风险因素。 这项研究有三个与老年人有关的次要目标 人群：1)评估与以下因素相关的因素 临床前心血管疾病(如颈动脉 动脉粥样硬化、左心功能损害和心绞痛发作 心律失常或心肌缺血)；2)评估预测因素 残疾、制度化和死亡率的参与者 有冠心病或中风；3)衡量利用率和影响 冠心病和中风的医疗保健服务。 承包商应作为本研究的现场中心。这个 外地中心的职责包括招聘适当的 队列，进行面谈和临床检查，监测 和数据分析。

The primary objective of this study is to investigate risk factors for coronary heart disease (CHD) and stroke in the elderly (aged 65-84). Both risk factors established in middle-aged populations and suspected risk factors will be examined. Since atherosclerosis is prevalent in the elderly, the study will focus on factors thought to induce clinically overt disease. It will do so in two ways: 1) It will assess the prediction of clinical disease from measures of preclinical disease, such as carotid atherosclerosis, left ventricular impairment, and arrhythmias or episodes of myocardial ischemia. 2) Since cardiovascular events may occur in elderly people as a result of health or life circumstances which may have changed in the months preceding the event, the study will contact participants at frequent intervals to evaluate their status with respect to concurrent disease, social support networks, stressful life situations, diet, physical activity and other risk factors. The study has three secondary objectives pertaining to the elderly populations: 1) to evaluate the factors associated with preclinical cardiovascular diseases (such as carotid atherosclerosis, left ventricular impairment and episodes of arrhythmia or myocardial ischemia); 2) to evaluate predictors of disability, institutionalization and mortality to participants who have CHD or stroke; and 3) to measure the utilization and impact of medical care services for CHD and stroke. The contractor shall serve as a Field Center for this study. The duties of the Field Centers include recruitment of an appropriate cohort, conduct interviews and clinical examinations, surveillance of the cohort, and data analysis.