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July 1, 1963Circulation619 citations

A Longitudinal Study of Coronary Heart Disease

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OPOglesby PaulRoosevelt UniversityMLMark H. LepperNorthwestern UniversityWPWilliam H. PhelanTexas Health Dallas

Key Result

Over 4 years, the development of coronary heart disease in 1,989 men (88 cases, ~1 per 100 men per year) was associated with elevated blood pressure, cholesterol, smoking, and coffee use.

Key Points

  • To analyze the development of coronary heart disease and associated risk factors over a four-year period.
  • Prospective study over 4 years in an industrial population with 1,989 men
  • Cases of coronary heart disease evaluated included angina, myocardial infarction, and coronary-related deaths
  • Risk factors assessed included family history, health conditions, and lifestyle choices
  • 88 cases of coronary heart disease emerged: 47 angina, 28 myocardial infarction, and 13 deaths
  • Factors associated with disease included family history, chronic cough, elevated blood pressure, and high cholesterol
  • No associations found with body weight, blood sugar levels, or physical activity

Study Design

Type

Cohort (n=1,989)

Structured PICO

P
Population
1,989 men from an industrial population
O
Outcome
Development of clinical coronary heart disease (angina pectoris, myocardial infarction, or death from coronary disease)composite

This prospective longitudinal study identified key clinical, historical, and lifestyle risk factors associated with the incident development of coronary heart disease in an industrial male population.

Abstract

Certain of the data accumulated over the course of more than 4 years in a prospective study of coronary heart disease being carried on in an industrial population have been presented. In a base population of 1,989 men, 88 cases of coronary heart disease have developed: angina pectoris, 47 men; myocardial infarction, 28 men; death from coronary, disease, 13 men. This approximates one case per 100 men per year. The development of clinical coronary heart disease has shown an association with early age of death of father, history of "noncardiac" chest discomfort, history of chronic cough, history of shortness of breath, history of peptic ulcer, presence of increased skinfold thickness, elevated blood pressure, AV nicking in the fundi, elevated blood cholesterol, ST and T abnormalities in the electrocardiogram, and use of cigarettes and coffee. No relation was encountered between body weight, mean blood sugar levels, lipoprotein lipase levels, or diet (other than coffee), and the development of coronary heart disease. Similarly, there was no association with job type and no certain relation to physical activity off the job.

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Cite This Study

Paul et al. (1963) conducted a cohort in Coronary Heart Disease (n=1,989). Risk factors (e.g., elevated blood pressure, cholesterol, smoking) was evaluated on Development of coronary heart disease (angina pectoris, myocardial infarction, or death from coronary disease). Over 4 years, the development of coronary heart disease in 1,989 men (88 cases, ~1 per 100 men per year) was associated with elevated blood pressure, cholesterol, smoking, and coffee use.

synapsesocial.com/papers/6a0f9c56fa36b6e053fcc96chttps://doi.org/10.1161/01.cir.28.1.20
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