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Circulation:欧洲30年缺血性心脏病和脑血管疾病死亡的趋势

2016-05-30 phylis 译 MedSci原创

背景:整个欧洲的心血管死亡率的趋势表现出显著的地域差异,了解这些趋势对全球公共卫生起着重要的作用。方法:缺血性心脏病和脑血管病的年龄标准化死亡率(按国际疾病分类法,第九和第十版本)是由从世界卫生组织死亡率数据库中欧盟成员国整理。采用Joinpoint回归分析趋势。结果:缺血性心脏病死亡率呈下降趋势。从1980到2009下降最明显的是西欧(荷兰,英国和爱尔兰超过60%)。东欧国家,罗马尼亚,克罗地亚

背景:整个欧洲的心血管死亡率的趋势表现出显著的地域差异,了解这些趋势对全球公共卫生起着重要的作用。

方法:缺血性心脏病和脑血管病的年龄标准化死亡率(按国际疾病分类法,第九和第十版本)是由从世界卫生组织死亡率数据库中欧盟成员国整理。采用Joinpoint回归分析趋势。

结果:缺血性心脏病死亡率呈下降趋势。从1980到2009下降最明显的是西欧(荷兰、英国和爱尔兰超过60%)。东欧国家,罗马尼亚、克罗地亚和斯洛伐克,死亡率呈轻度下降。最近(2009),立陶宛死亡率最高,男性和女性分别为318.1 / 100 000和166.1 / 100 000,其次是拉脱维亚和斯洛伐克。法国的死亡率最低,男性和女性分别为39.8 / 100 000,14.7/100 000。脑血管病死亡率的分析显示,从1980年到2009年,奥地利的死亡率下降最多,男性和女性分别为76.5%,女性76.8%。在这一时期,改善最小的是立陶宛、波兰和塞浦路斯(约- 5%至20%)。最近,法国脑血管病死亡率最低,男性和女性分别为23.9/100 000和17.3 / 100 000。


结论:西欧和东欧的心血管死亡率有着越来越大的差距,有不同的解释。需要强调促进广泛人口健康和制定主要的预防政策。

原始出处:

Hartley A, Marshall DC, et al. Trends in Mortality From Ischemic Heart Disease and Cerebrovascular Disease in Europe: 1980 to 2009. Circulation. 2016 May 17

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JAMA:慢性肾脏病患者较高的钠排泄量增加了心血管疾病的风险

与一般人群相比,慢性肾病(CKD)患者的心血管疾病(CVD)危险性增加。此前的研究在膳食钠摄入量与心血管疾病风险的关联方面产生了矛盾的结果,而这种关系还没有在CKD患者中进行调查。原始出处:Katherine T. Mills,Jing Chen,Wei Yang,et al.Sodium Excretion and the Risk of Cardiovascular Disease in Pa

Diabetes care:1型糖尿病降脂治疗有助于降低心血管风险?

心血管事件是导致1型糖尿病患者死亡的主要原因。本文评估了1型糖尿病患者降脂治疗(LLT)对于预防心血管疾病的作用。研究人员采用瑞典国家糖尿病登记(NDR)进行倾向指数–基础研究。降脂治疗的倾向指数来自于32个临床和社会经济变量。倾向指数用于评估降脂治疗的作用。我们采用Cox回归对降脂治疗和未降脂治疗患者的急性心肌梗死、中风、冠心病、心血管和全因死亡的风险进行评估。研究人员纳入了2006-2008年

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