Recognition, diagnosis and management of obesity after myocardial infarction.

摘要: OBJECTIVE: We investigated the documentation of obesity as a medical problem, and subsequent management recommendations, in patients after myocardial infarction (MI). DESIGN: performed cross-sectional analysis randomly selected sample 627 discharged an Ml, from five US teaching hospitals between 1/1/01 12/31/02. Information was extracted clinical notes using standardized definitions. RESULTS: Mean body mass index (BMI) 31 ± 13 kg/m 2 , which documented only 14% had to be calculated post hoc rest. Waist circumference waist/hip ratio were not at all; 83% overweight, 55% obese, 8% morbidly obese. In 20% with BMI ≥ 30 diagnosis either current part past history or final diagnosis. A dietary counseling carried out 61% BMI≥25 < 25 P = 0.96. Weight loss described goals/plan discharge 7% overweight 9% obese patients. There no change level recognition (22 vs 19%, P=0.3) proportion for whom weight (8 10%, 0.7) before (n 301) compared 326) Call Action Obesity by Surgeon General December 2001. CONCLUSION: is underecognized, underdiagnosed undertreated persons acute MI.