积极降脂防治冠心病的关键赵水平.pptxVIP

　积极降脂防治冠心病的关键赵水平中南大学湘雅二医院美国冠心病死亡率显著下降1980-2000 51%49%/100,000N Engl J Med 2007 June 7;356:2388治疗领域中PCI = 2.4%/46.6% = 5.2%Statin = 8.5%/46.6% = 18.2%治疗与危险因素控制对冠心病死亡率降低的贡献PCI for chronic angina (1.3%)CABG for chronic angina3.7%Statin primary preventionSmoking 11.7%SBP 20.1%T. Chol 24.2%Physical A. 5.1%BMI -7.6%DM -9.8% 危险因素+治疗降胆固醇 = 24.2% 他汀 = 8.5%调脂 = 32.7%4.9%Risk factorreductionTx of HT7%44%9%Tx of HF10%11%Initial Tx for AMI and UA2nd prevention post AMI or PCI(including statins)N Engl J Med 2007 June 7;356ESC报告：欧洲数国经验：心血管病可防可控！CHD死亡率（65岁男性, 198