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European Heart Journal 1992 13(3):291-298;
Copyright © 1992 by the European Society of Cardiology.
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© 1992 The European Society of Cardiology

Risk factors for ischaemic heart disease in a Greek population

A cross-sectional study of men and women living in the village of Spili in Crete

L. H. LINDHOLM*,, A. D. KOUTIS{dagger}, CH. D. LIONIS{dagger}, I. G. VLACHONIKOLIS{dagger}, Å. ISACSSON* and M. FIORETOS{dagger}

*Health Sciences Centre, Lund University S-240 10 Dalby, Sweden
{dagger}Department of Family and Social Medicine, Crete University Heraklion, Crete

Received 7 December 1990; revised 18 March 1991; .

Correspondence: L. H. Lindholm, Health Sciences Centre, Lund University. s-240 10 Dalby, Sweden

Abstract

We have established a research project in primary health care in Crete with the aim of surveying the cardiovascular risk profile of a defined ‘low-risk’ population. The study population comprised all men and women aged 15–79 years in the village of Spili (n = 445); the overall attendance rate was 77% (≥ 82% in those aged 45 years and above).

In this cross-sectional study we found a high (44%) prevalence of smoking in men aged 45–64 years as well as a high alcohol intake (48% drank ≥210g of pure alcohol every week). Furthermore, there was a high cholesterol level (6.2 mmol.l–1), and a high prevalence of hypertension and diabetes.

Against this background it is somewhat surprising that we did not find any signs of post-myocardial infarction in Spili men aged 63 and under. It is possible that positive factors, i.e. the closely knit social networks, the low unemployment rate, the hard water, and some of the dietary habits, e.g. the high consumption of olive oil, may counter-balance the negative factors mentioned above. It is also possible that the low risk factors in the past explain the low incidence of myocardial infarction today, and that this will change in the years to come.

Key Words: Blood pressure • cardiovascular disease • cholesterol • diabetes • hypertension • smoking


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