A case report of the old patient with congenital aortic coarctation and severe coronary heart disease / 天津医药

Congenital coarctation of the aorta(CoA)is a congenital macrovascular disease.Most of the untreated CoA patients died before the age of 30 years. This study presented a 67-year-old patient who was first diagnosed as aortic coarctation with severe coronary heart disease and was long-term survival.This paper reviewed the diagnosis and treatment of the patient and reviewed the relevant literature of the diagnosis and treatment.

Study of effective antiobesity project in diet and physical exercise for patients with simple obesity / 中华整形外科杂志

<p><b>OBJECTIVE</b>To study the effective antiobesity project in diet and physical exercise for patients with simple obesity.</p><p><b>METHODS</b>30 volunteers with body-mass index (BMI) >25 were investigated by questionnaire. The analysis was focused on such factors as dietary history, diet habits and physical activities. They were enrolled and received diet and physical exercise program for 3 months. Their BMI were measured before and after test respectively. The results were analyzed using statistical method.</p><p><b>RESULTS</b>The total intake of energy and fat per day in obesity group in the past was significantly higher than that of the recommended dietary allowance. The percentage of always eating too much and favoring sweetmeat in obesity group was 64% and 62%. While less physical activities were found in obesity group. It showed that the total intake of energy, fat and protein per day in obesity group before test was significantly higher than that after test (P < 0.05 ). BMI, The waistline, the hip, the line of upper arm were significantly higher before than after test (P < 0.05) in the study group.</p><p><b>CONCLUSIONS</b>The results suggested that diet rich in high energy and fat, bad diet habits of always eating too much and favoring sweetmeat, less physical activities were the important factors of triggering obesity.</p>

Comparable analysis of in-hospital mortality in patients with acute myocardial infarction / 中华心血管病杂志

<p><b>OBJECTIVE</b>To investigate the change of the mortality of AMI and influence factors within 20 years.</p><p><b>METHODS</b>Clinic data of 134 AMI patients from 1980 to 1983, 354 AMI patients from 1990 to 1993 and 817 AMI patients from 2000 to 2003 were comparably analyzed.</p><p><b>RESULTS</b>In hospital mortality of AMI was 22.4% from 1980 to 1983, 14.4% from 1990 to 1993 and 9.2% from 2000 to 2003, respectively (P < 0.01). The decrease of in-hospital mortality in male was more significant than in female (P < 0.01). The corresponding factors for decrease of mortality were younger than 60 years old, first onset of AMI, successful rescue of cardiac arrest and reperfusion management of infarction relative artery. The disadvantage factor was female.</p><p><b>CONCLUSIONS</b>Improvement of medical and reperfusion management of AMI conduced in significant decreases of hospital mortality.</p>