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[心血管疾病,21世纪的医学灾难?]

[Cardiovascular diseases, medical apocalypse of the 21st century?].

作者信息

Mielnik Małgorzata, Steciwko Andrzej

机构信息

Katedra i Zakład Medycyny Rodzinnej, Akademii Medycznej we Wrocławiu.

出版信息

Przegl Lek. 2004;61(3):159-64.

Abstract

The aim of this article is to bring forward and realise the size of cardiovascular diseases and the burden of its numbers that concern practising doctors in Lower Silesia, in Poland, Europe and the world. Every fourth patient knocking at the GP's door comes with a problem with the circulatory system. These diseases are the reason for every second in hospitalization or referral to a specialist. The most common diagnosis is not the common cold but arterial hypertension. Three of the most common diseases in patients over 65 years old are: hypertension, ischaemic heart disease, and atherosclerosis of the brain arteries. Poland belongs to the group of developed countries with an emerging economy, where degenerative diseases dominate, and cardiovascular diseases account for the biggest problems within the Health System. Nearly half of male deaths (46%) and over half of female deaths (56%) are the consequence of cardiovascular diseases. 80% of people around the world live in developing economies, where cardiovascular diseases cause 23% of all deaths. Every fifth person lives in a developed country and has a 50% chance of dying because of cardiovascular diseases. Will these diseases become "the number one killer" of the 21st century? 27% lost healthy life years are due to arterial hypertension, ischeamic heart disease, and congestive heart failure so their epidemiology is being regarded in this article.

摘要

本文旨在提出并认识到心血管疾病的规模及其病例数给波兰下西里西亚、欧洲和世界的执业医生带来的负担。每四位到全科医生处就诊的患者中,就有一位患有循环系统问题。这些疾病是导致患者住院或转诊至专科医生的第二大原因。最常见的诊断不是普通感冒,而是动脉高血压。65岁以上患者中最常见的三种疾病是:高血压、缺血性心脏病和脑动脉粥样硬化。波兰属于新兴经济体中的发达国家,在这类国家中,退行性疾病占主导地位,心血管疾病是卫生系统中最大的问题。近一半的男性死亡(46%)和超过一半的女性死亡(56%)是心血管疾病导致的。全球80%的人口生活在发展中经济体,在这些地方,心血管疾病导致了23%的死亡。每五个人中有一个生活在发达国家,且有50%的几率死于心血管疾病。这些疾病会成为21世纪的“头号杀手”吗?27%的健康生命年损失归因于动脉高血压、缺血性心脏病和充血性心力衰竭,因此本文将对它们的流行病学进行探讨。

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