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[Prognosis of life expectancy of patients with ischemic heart disease detected during mass screening].

Prospective 5-year follow-up was accomplished among males ranging in age between 50 and 59 and forming four random samples from the respective population of the Bauman region in Moscow subjected to primary cross-sectional epidemiologic survey. The results show that in primary survey general mortality and the mortality of ischemic heart disease were significantly higher among males with ischemic heart disease than among the rest of the individuals examined. The mortality of ischemic heart disease proved to be particularly high among individuals with a history of myocardial infarction (relative death risk 5.8) and among those with typical anginal pectoris (relative death risk 4.4). Ischemic heart disease mortality was lower (relative death risk 2.1) in the group of males who had suffered from silent myocardial infarction or had silent ischemic heart disease than among those who had had myocardial infarction or with angina pectoris, but higher among males who did not have these diseases. To study the prognostic value of atypical chest pain in angina pectoris, it is necessary that prospective follow-up be continued.