A project and the progress of a clinic for cardiovascular diseases in a health center.
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概要
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A clinic for consultation of cardiovascular diseases was opened in Vmlya Health Center, Ibaraki prefecture. The initial motivation of the project was our interest in taking part in the regional medical care. It was also expected that the opening would call the regional people's attention to the prevention and care of the diseases. From August 1984 to December 1987, 77 subjects were examined in the clinic. Further examinations were applied to 37 of them (48%). They derived from three sources: 1) various mass examinations of the lung cancer and tuberculosis, 2) consultation by general practitioners, and 3) applicants by themselves. In the first group, when specialists of the pulmonary diseases checked on the indirect chest x-ray films, abnormal findings of cardiovascular system were detected in 64 subjects who were advised to visit the clinic. Twenty-eight of them were candidates for further examinations. From the second and the third groups, 13 were examined.In the clinic, a specialist of cardiovascular diseases examined them. The blood pressure measurement, history taking, percussion and auscultation were performed. The electrocardiograms were recorded at the specialist's judgement. The further examinations were done in Seiranso Byoin National Sanatorium. The results from those examinations were reported to the examinees through the Health Center. A diet regimen was also prescribed if necessary. Among the cardiac abnormalities, each one case of followings were operated: secundum atrial septal defect, coronary arterio-venous fistula and postinfarction angina pectoris. Permanent pacemaker implantations were done in two cases.Through the progress of the activities of the clinic, cooperation of specialists of both pulmonary and cardiovascular diseases became possible and the x-ray films of mass examinations were used efficiently. The clinic would prospect for binding various factors of the regional medical care system.
- 一般社団法人 国立医療学会の論文
一般社団法人 国立医療学会 | 論文
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