Epidemiology and current management of cardiovascular di-sease in China
Sheng-Shou HU
the Writing Committee of the Report on Cardiovascular Health and Dis-eases in China
Fuwai Hospital,National Center for Cardiovascular Diseases,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,China
摘要：The Annual Report on Cardiovascular Health and Diseases in China(2022)intricate landscape of cardiovascular health in China.This is the fourth section of the report with a specific focus on epidemiology and current management of cardio-vascular disease(CVD)in China.This section of the report highlights the epidemiological trends of CVD in China.It reveal a co-ncerning rise in prevalence,with approximately 330 million affected individuals,including significant numbers with stroke,cor-onary artery disease(CAD),heart failure,and other conditions.CVD stands as the primary cause of mortality among both urban and rural populations,accounting for nearly half of all deaths in 2020.Mortality rates are notably higher in rural areas compar-ed to urban centers since 2009.While age-standardized mortality rates have decreased,the absolute number of CVD deaths has in-creased,primarily due to population aging.Ischemic heart disease,hemorrhagic and ischemic strokes are the leading causes of CVD-related deaths.Notably,the burden of atherosclerotic cardiovascular disease has risen substantially,with atherosclerotic car-diovascular disease-related deaths increasing from 1990 to 2016.The incidence of ischemic stroke and ischemic heart disease has shown similar increasing trends over the past three decades.CAD mortality,particularly acute myocardial infarction,has been on the rise,with higher mortality rates observed in rural areas since 2016.The prevalence of CAD has increased significantly,with ov-er 11 million patients identified in 2013.Studies assessing hospital performance in managing acute coronary syndrome reveal ga-ps in adherence to guideline-recommended strategies,with disparities in care quality across hospitals.However,initiatives like the China Patient-centered Evaluative Assessment of Cardiac Events(PEACE)-Retrospective AMI Study and the Improving Care for Cardiovascular Disease in China-Acute Coronary Syndrome(CCC-ACS)project aim to improve patient outcomes through enhan-ced care protocols.Moreover,advancements in medical technology,such as quantitative flow ratio-guided lesion selection during percutaneous coronary intervention,show promise in improving clinical outcomes for patients undergoing intervention.
机标关键词：epidemiologymanagementcurrentchinacardiovasculardi-sease
论文发表日期：2024-04-28
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：20( 387-406 )