ABSTRACT
BACKGROUND: Strategies to prevent cardiovascular diseases are still not widely applied. It is vital to involve people for effective prevention, and knowledge of their own coronary risk is a first step. Little is known about how people perceive their coronary risk. For this reason, we examined this perception in a sample of the general population and compared it with a reference risk chart. METHODS: We invited the population of two small towns to come for a free check of their blood pressure and blood cholesterol levels. People were first asked to complete a self-administered questionnaire grading their perceived risk of developing a coronary event. Then, basic data were collected for calculating their risk according to a reference chart. RESULTS: A total of 877 individuals (382 males, 495 females, age 30-80 years) without ischemic heart disease completed the questionnaire and had their blood pressure and cholesterol checked. Many important risk factors are still not taken into account by patients, particularly male sex, older age and diabetes. One out of 4 subjects underestimates his level of coronary risk and 9 out of 10 high-risk subjects are not even aware of it. CONCLUSIONS: Our study shows that large numbers of persons are still unaware of their level of coronary risk and of its major determinants. Better counseling by general practitioners is needed since a realistic perception of risk is essential for reducing it.
Subject(s)
Coronary Disease/epidemiology , Perception , Adult , Age Factors , Aged , Aged, 80 and over , Anticholesteremic Agents/therapeutic use , Antihypertensive Agents/therapeutic use , Biomarkers/blood , Blood Pressure/physiology , Cholesterol/blood , Coronary Disease/drug therapy , Coronary Disease/physiopathology , Diastole/physiology , Female , Humans , Italy/epidemiology , Male , Middle Aged , Risk Factors , Surveys and Questionnaires , Systole/physiologyABSTRACT
A case of sudden death in an old female carrier of Duchenne muscular dystrophy is reported. Typical electrocardiographic features were registered without other signs or symptoms of heart involvement. In particular, cardiomyopathy was excluded by echocardiographic evaluation. We believe that in case of a typical electrocardiogram of Duchenne muscular dystrophy, a careful family medical history should be undertaken to exclude a carrier condition.
