The report on cardiovascular health and disease in China released by the National Center of cardiovascular disease recently shows that the prevalence and mortality of cardiovascular disease in China are on the rise. At present, cardiovascular disease is the leading cause of death in urban and rural residents, and cardiovascular disease has become a major public health problem.
The number of cardiovascular disease patients in China has reached 330 million
“According to the report on cardiovascular diseases in China, we know that for every two deaths, nearly one person dies of cardiovascular diseases, including cardiovascular and cerebrovascular diseases.” Ge Junbo, director of Cardiology Department of Zhongshan Hospital Affiliated to Fudan University, director of Shanghai Institute of cardiovascular disease and academician of Chinese Academy of Sciences, said at the 2020 Tencent medical me conference not long ago.
According to China cardiovascular health and disease report 2019, the number of patients with cardiovascular disease in China has reached 330 million, 40 million more than the 290 million released in 2019. Ge Junbo said that coronary heart disease may be the leading cause of death from cardiovascular diseases, with atherosclerosis as the main disease, and hypertension as the second.
Why is cardiovascular disease increasing explosively? Ge Junbo explained that we did not control the source of the disease, that is, we did not do a good job in prevention. If we take a person as a whole, these diseases are caused by unhealthy lifestyle, hypercholesterolemia, obesity, diabetes, smoking and hypertension. Other genetic factors or gender also play a role.
Set up the concept of “Pan blood vessel” and regard people as a whole
According to ge Junbo, medicine essentially divides a person into systems, such as respiratory system, digestive system, circulatory system, blood system, etc., and then divides the system into organs, such as bronchi, trachea, lungs, etc., and then divides the organs into tissues, then into cells, little by little.
“Where a person is uncomfortable, he goes to the doctor to find related diseases, so there are problems of headache and foot pain.” In this regard, Ge Junbo stressed that we should treat people as a whole. Cardiovascular disease is actually a vascular disease. “In our profession, we emphasize the concept of” Pan vascular disease “, or pan vascular disease, which is a disease dominated by atherosclerosis. It occurs in different organs, such as the brain, stroke, heart, myocardial infarction and surrounding areas Blood vessels, vascular occlusion, amputation, etc
Ge Junbo said that some patients suffer from two diseases at the same time, such as stroke and coronary heart disease. “We should treat the patients as a whole when we treat them, instead of treating headache and foot pain.”.
Pan vascular diseases have a common pathological basis. Ge Junbo said that generally speaking, when people are born, they have normal blood vessels, normal intima, media and adventitia. As people come into contact with some risk factors of the outside world, for example, some people smoke, including second-hand smoke, some people do not exercise, blood pressure rises, excessive nutrition leads to hyperlipidemia, hyperglycemia, etc., vascular plaque will occur, plaque formation will lead to lumen stenosis, leading to ischemia of all organs, including important organs. Once the plaque rupture occurs, it will lead to thrombosis in this place, and form the clinical cerebral infarction, myocardial infarction and other conditions.
Prevention of cardiovascular disease and ABCDE
Heart is the engine of human body and the power source of human body function. From birth to the end of life, the heart beats 108000 times a day at an average rate of 75 beats per minute, and a person’s heart beats 3136 million times at the age of 80. Heart function plays an important role in human health, work and life span. Once heart problems occur, it will do serious harm to human health.
“If the heart beats too much or too little, too fast or too slow, there may be problems.” Ge Junbo said that with the development of technology, there are more and more ways to monitor cardiac activity, and the clinical methods to solve myocardial ischemia are constantly improving. There are also many drugs for the treatment of cardiovascular diseases.
“In the process of cardiovascular disease prevention, we have been emphasizing these concepts over the years. I summarize them as the letters” ABCDE. ” Ge Junbo explained that a stands for antiplatelet and aspirin, B stands for blood & nbsp; pressure & nbsp; control, C stands for smoking cessation and cholesterol control, and D stands for diet and diabetes control; E stands for exercise and health literacy education, so that people can master the risk factors of cardiovascular disease and preventive measures.
“In fact, cardiovascular disease, especially atherosclerosis, can be prevented in 70% – 80% of cases.” Ge Junbo said: first of all, we should have a healthy lifestyle and stay away from obesity. Second, take less sodium salt. “Sodium salt can increase blood pressure, and many high blood pressure drugs may not be effective on it.” Third, we should eat more fruits and vegetables. Fourth, we should quit smoking and drinking. “So far, we have not found any advantages in tobacco. It will not only cause lung cancer, but also increase the incidence rate of coronary heart disease.” Fifth, we should pay attention to moderate exercise. “Walking, Taijiquan and swimming can promote health. It is also very important to get enough sleep and keep a good mood. For the middle-aged and elderly, regular physical examination is particularly important, to understand your blood sugar, blood lipid, blood pressure and other conditions, can carry out early intervention
“We compare one’s life to a bridge. Without any risk factors, people can walk happily through life. If you have high blood pressure, you will be carrying a heavy burden. If you smoke at the same time, the burden will be bigger and your life will be heavier. If you have high blood pressure, smoking and hyperlipidemia, the bridge will be broken. ” Ge Junbo stressed that controlling risk factors is the best way to prevent cardiovascular disease.