La Pitie Hospital, Paris, 75013, France.
Front Med. 2011 Mar;5(1):20-5. doi: 10.1007/s11684-011-0106-1. Epub 2011 Mar 17.
The prevalence of the risk factors and the risk of cardiac failure are both increasing in China. This might be the consequence of the changes of the life conditions (emigration to the urban areas, changes in the diet and life style, lack of physical exercise, etc.). The wide range of clinical presentations of cardiac failure (acute or chronic) and of therapeutic approaches (medical or surgical) makes necessary the integration within the same structure of the various experts involved in the diagnosis and the treatment of cardiac diseases. Technologic and human resources required to offer all the options represent a multifaceted commitment which should be focused optimally in dedicated centers. In these centers, collaboration should replace competition between the medical and the surgical cardiac specialists. Development of team work should permit to optimize the cost efficacy of the treatments. Most of all, such a structure will facilitate the translation of innovative therapies between the research centers and clinical facilities.
在中国,风险因素的普遍性和心力衰竭的风险都在增加。这可能是生活条件变化(移民到城市地区、饮食和生活方式的改变、缺乏体育锻炼等)的结果。心力衰竭的临床表现范围广泛(急性或慢性),治疗方法也多种多样(医学或手术),这使得有必要将参与心脏病诊断和治疗的各种专家整合在同一个结构中。提供所有选择所需的技术和人力资源代表着多方面的承诺,这些承诺应该在专门的中心得到最佳集中。在这些中心,医疗和心脏外科专家之间的竞争应该让位于合作。团队合作的发展应该能够使治疗的成本效益最大化。最重要的是,这样的结构将有助于在研究中心和临床设施之间进行创新疗法的转化。