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目的 了解昆山地区城镇居民肥厚型心肌病的患病率。方法 采用混合调查的方法(整群,分层,随机抽样)选取昆山地区厂矿职工、社区居民、机关干部及科技人员共1 000人,采用填调查表方式(包括一般情况),体格检查,心电图及超声心动图检查。结果 完成调查985人,年龄分布18～74岁。共发现15例超心动图检查异常,其中2例符合肥厚型心肌病诊断标准,仅1例有胸闷症状。结论 昆山地区肥厚型心肌病患病率达0.2％,与国外报道相仿,应重视对自然人群尤其是首证患者家属的调查和研究,预防貌似“健康人”的猝死。
Objective To understand the prevalence of hypertrophic cardiomyopathy among urban residents in Kunshan. Methods A total of 1,000 workers, community residents, cadres and scientific and technical personnel from factories and mines in Kunshan were selected by means of mixed investigation (cluster, stratification and random sampling). The questionnaires were filled in by questionnaire (including general conditions), physical examination, electrocardiogram And echocardiography. Results The survey completed 985 people, aged 18 to 74 years old. A total of 15 cases were found to have abnormalities of hyperactivity checkup, of which 2 cases met the diagnostic criteria of hypertrophic cardiomyopathy and only 1 case had chest tightness. Conclusions The prevalence rate of hypertrophic cardiomyopathy in Kunshan is 0.2%. Similar to other reports, attention should be paid to the investigation and study of the relatives of the natural population, especially the first card, so as to prevent sudden death which looks like “healthy people”.