拜阿一级预防中国专家共识.ppt

心血管疾病一级预防是对高危因素的关注，对于有个高危因素的特殊人群同样引起大家的关注，并且会在今后有更多循证结果发表使其更好的被关注和了解 * 西方心血管疾病死亡近年来显著减少,左边的图为血管疾病死亡，右边为非血管疾病死亡，非常明显，血管疾病死亡的降低幅度远高于非血管疾病。 Trends in vascular and non-vascular mortality rates in UK population The figure shows the age standardised annual UK mortality rates for vascular and non-vascular causes of death at ages 35-69 between 1950 and 2005. Throughout this period, vascular mortality rates in middle age in men were about twice those in women, peaking in 1970 and declining linearly by about 2% a year in both sexes (or by almost 70% between 1970 and 2005). The proportion of deaths attributed to vascular disease in middle age also declined between 1970 and 2005, from about 50% to 30% in men and from 40% to 20% in women. The figure also shows age standardised mortality rates from vascular and non-vascular causes for men and women aged 70-79. For both sexes, the absolute mortality rates in old age were about fivefold greater than those in middle age. In old age, vascular mortality rates declined by about two thirds between 1950 and 2005 in both men and women, but non-vascular mortality rates declined to a much lesser extent in this age group. The proportion of deaths attributed to vascular disease in old age declined from about 60% in 1950 to less than 40% in 2005 for both men and women. 爱尔兰冠心病死亡减少调查显示，一级预防较二级预防减少死亡人数更多。 Background: To investigate whether primary prevention might be more favourable than secondary prevention (risk factor reduction in patients with coronary heart disease(CHD)). Methods: The cell-based IMPACT CHD mortality model was used to integrate data for Ireland describing CHD patient numbers, uptake of specific treatments, trends in major cardiovascular risk factors, and the mortality benefits of these specific risk factor changes in CHD patients and in healthy people without recognised CHD. Results: Between 1985 and 2000, approximately 2,530 fewer deaths were attributable to reductions in the three major risk factors in Ireland. Overall smo