Rambiharilal Shrivastava Saurabh, Saurabh Shrivastava Prateek, Ramasamy Jegadeesh
Department of Community Medicine, Shri Sathya Sai Medical College & Research Institute, Kancheepuram, India.
J Cardiovasc Thorac Res. 2013;5(3):125-6. doi: 10.5681/jcvtr.2013.026. Epub 2013 Oct 5.
Cardiovascular diseases are caused because of abnormalities in the heart and blood vessels. Recent trends reveal that the incidence of coronary heart disease (CHD) has gradually decreased in many developed countries, but the situation remains quite challenging in developing nations that account for more than 60% of the global burden. Multiple socio-demographic, personal, physician related and healthcare delivery system related factors have been identified which act in variable combinations to either influence the incidence of CHD or affect the short/long-term outcome of the disease. Of all CHD cases who succumb within 28 days of onset of symptoms, almost 67% fail to reach even a hospital. This clearly signifies the importance of primary prevention and early recognition of the warning signs in averting cause-specific mortality. The main priority is to develop cost-effective equitable health care innovations in CHD prevention and to monitor the trend of CHD so that evidence-based interventions can be formulated. To conclude, inculcating health-promoting behaviors in school children and the general population by means of community-based health screening and education interventions could avert many more deaths attributed to CHDs.
心血管疾病是由心脏和血管的异常引起的。最近的趋势表明，在许多发达国家，冠心病（CHD）的发病率已逐渐下降，但在占全球负担60%以上的发展中国家，情况仍然颇具挑战性。已确定了多种社会人口统计学、个人、医生相关以及医疗保健提供系统相关因素，这些因素以不同组合方式起作用，要么影响冠心病的发病率，要么影响该疾病的短期/长期结果。在所有症状出现后28天内死亡的冠心病病例中，几乎67%甚至未能到达医院。这清楚地表明了一级预防和早期识别警示信号在避免特定病因死亡率方面的重要性。主要优先事项是在冠心病预防方面开发具有成本效益的公平医疗创新，并监测冠心病的趋势，以便制定基于证据的干预措施。总之，通过基于社区的健康筛查和教育干预措施，在学童和普通人群中灌输促进健康的行为，可以避免更多因冠心病导致的死亡。
