EPIDEMIOL. TOOL TO DETECT ANGINA PECTORIS IN BLACKS

心绞痛通常被认为是冠状动脉粥样硬化的一种表现。 动脉粥样硬化，与增加的 死亡风险。 总的来说，冠心病是 美国黑人发病率和死亡率的原因。 以试图 规范心绞痛的流行病学诊断 研究中，Rose开发了一份心血管领域的问卷 主要用于美国和其他白色 人口。 然而，到目前为止，没有有效的流行病学证据， 评估黑人心绞痛的工具。 的 开发一种心血管检查仪器， 在黑人人群中评估心绞痛的方法， 黑人心脏病学家协会认为， 流行病学的需要。 此外，这种调查工具可以 最终提高心血管疾病的知识和治疗 黑人的疾病 第一阶段提案的具体目标是开发一个原型， 用于检测黑人心绞痛的问卷。 在第二阶段，计划进一步完善原型， 评估其有效性、可靠性和成本效益， 对照现场试验，将比较不同的模式， 行政管理（邮件调查表，电话和亲自）， 并根据一个全面的临床 检查包括诊断测试。

Angina pectoris is often considered a manifestation of coronary artery atherosclerosis that is associated with an increased mortality risk. Overall, coronary heart disease is the leading cause of morbidity and mortality in U.S. blacks. In an attempt to standardize the diagnosis of anginal pectoris in epidemiologic studies, Rose developed a questionnaire for cardiovascular field surveys which has primarily been used in U.S. and other white populations. However, to date, there are no valid epidemiological tools for the assessment of angina pectoris in blacks. The development of a cardiovascular survey instrument that is capable of assessing angina pectoris in black populations has been identified by the Association of Black Cardiologists as an urgent epidemiologic need. Also, such a survey instrument could ultimately enhance knowledge and treatment of cardiovascular disease among blacks. The specific aim of this Phase I proposal is to develop a prototype questionnaire for the detection of angina pectoris in blacks. During Phase II it is planned to further refine the prototype and assess its validity, reliability and cost efficiency through a controlled field trial which will compare different modes of administration (mail questionnaire, telephone and in-person) as well as validate the questionnaire against a thorough clinical examination including diagnostic tests.