中国心血管病调查.ppt

ChinaHeartsurvey--CallforActionDayiHuPeople’sHospitalofPekingUniversity2008-4-11

ThePrimaryCauseofDeath:Cardio-CerebralVascularDiseasesStroke10%5.5mCAD13%7.2mCancer12%7.1mTrauma9%5.2mInfection7%2.8mOther27%15.6mAIDS5%2.8mMalaria2%1.2mDiarrhea3%1.8mPerinatalfactors4%2.5mCOPD5%2.7mWorldHealthOrganization.AtlasofHeartDiseaseandStroke.20052

MajorRiskFactorsforCAD:Hypertension,Hyperlipidemia,Hyperglycemia3

Althoughtheemergenceofnewdrugsandthereleaseofmanyevidence-basedresearchoutcomesrecently,arethemortalityofcardio-cerebralvasculareventsfullyreduced?

Althoughtheuseofinterventiontherapyanddrugsdramaticallyincreased,themortalityofcardio-cerebralvasculardiseasesisstillgoingupSource：Deathandriskfactors,epidemiology,trendanddistributioninChinese.PekingUnionMedicalCollegePress.Sep.2005.StandardMortality（1/10thousand）Mortalitytrendofcardio-cerebralvasculardiseaseinChinesebetween1985and2005CADCerebralvasculardisease5

Cause：“Thetherapyisseparated”6

Cause：

Hyperglycemia—aneglectedriskfactorofCVDCVDRiskfactorFamilyFatnessSexDyslipidemiaHypertensionAgeHyperglycemiaSmoke7

ChinaHeartSurvey:ContentBackgroundDiabetesisasdangerousasCADPatientswithCADareatthehighriskforhyperglycemiaDesignResultMeaning8

DiabetesisasdangerousasCADHaffnerSMetal.NEnglJMed.1998;339:229-234.Events/100person-yrIncidenceofcardiovasculardiseaseduringseven-yearfollow-up(%)n=6918.8Nondiabeticsubjects\withoutpriorMINondiabeticsubjects\withpriorMIDiabeticsubjects\withoutpriorMIDiabeticsubjects\withpriorMIn=1304n=169n=8903.00.57.83.23.545.020.2P0.001P0.001MIDMDMMI010203040509

AmericanHeartAssociation：DiabetesiscardiovasculardiseaseStevenHaffner：ConcerneachdiabeticpatientasimportantaspatientswithMICirculation.1999;100:1134-46.10

EHS（EUROHeartSurvey）ESCreportinSep.2004：Thes