【正文】
心血管病傳統(tǒng)和 新危險因素評價 貴州省人民醫(yī)院 貴州省心血管病醫(yī)院 心內(nèi)科 楊天和 Department of Cardiology, Gui Zhou Provincial People’s Hospital Mathers CD amp。 Loncar D. PLoS Med 2022。 3(11): e442 2022 203017 million 23 million CV deaths every year 種種面孔的心血管病讓人類苦不堪言 USA Japan Germany UK Egypt 38% 31% 47% 38% China 33% 42% Coronary heart disease, stroke amp。 other vascular disease Other non municable causes of death 心血管病是全球各地區(qū)主要死因 WHO 2022. Preventing Chronic Diseases: a vital investment 心血管病意味著沉重的經(jīng)濟(jì)負(fù)擔(dān) 18%3%5%1%36%14%6%17%Total annual cost (Europe): €169 billion Leal J, et al. Eur Heart J 2022。27(13):16101619 Outpatient care Aamp。E Inpatient care Medications Productivity loss (mortality) Productivity loss (morbidity) Informal care Primary care 由危險因素序貫而至的 CVD Adapted from Dzau VJ, et al. Circulation 2022。114:2850–2870。 Figure adapted from Dzau V, Braunwald E. Am Heart J 1991。121:1244–1263。 Yusuf S, et al. Lancet 2022。364:937–952 Image reproduced with kind permission of Professor B246。hm 血管緊張素 Ⅱ 心血管高危狀態(tài) Death Remodelling Congestive heart failure/ secondary stroke 心肌梗死 和中風(fēng) 高血壓 動脈粥樣硬化 和左心室肥厚 HF Death Ventricular dilation/ cognitive dysfunction 危險因素 ⅡⅡ 死亡 重塑 充血性心力衰竭 /繼發(fā)中風(fēng) 心力 衰竭 死亡 心室擴(kuò)張 / 充血性功能不全 控制心血管危險因素,加強(qiáng) CVD一級和二級預(yù)防,阻止 CVD進(jìn)展, 降低患病率和死亡率,為個人和政府減負(fù)! 心血管危險因素 (CV risk factors)含義 Kotseva et al, Eur J Cardiovasc Prev Rehabil 2022。16:121137 17355651250102030405060Sm o k i n g O b e s i ty H y p e r te n s i o n R a i s e dc h o l e s te r o lD i a b e te sRelative ris