Liu Ming-bo, Wang Wen, Zhou Mai-geng
Fuwai Hospital, National Center for Cardiovascular Diseases, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100037, China.
National Center of Non-communicable Chronic Disease Control and Prevention, Chinese Center for Disease Control and Prevention. Email:
Zhonghua Liu Xing Bing Xue Za Zhi. 2013 Oct;34(10):985-8.
To explore the trend and characteristics of cardiovascular disease mortality in China.
Mortality data from the National disease surveillance system from 2004 to 2010 was used. Underreporting was adjusted and trends were analyzed on the rates of crude mortality, standardized mortality and causes of death fraction among cardiovascular diseases.
The total mortality of cardiovascular diseases increased from 240.03 to 268.92 per one hundred thousand during 2004 to 2010, with an average annual increase of 5.50 per one hundred thousand, with the annual increase of 2.17% . Data from all causes of death, ischemic heart disease, hypertensive heart disease, cerebrovascular disease, and other heart disease showed an upward trend, with the annual rise of 5.05%, 2.08%, 1.02% and 2.66% respectively while rheumatic heart disease showed a downward trend, with the declining rate of 7.02% per annum. After eliminating the effect of aging, the trend remained the same but the slope was decreasing. The proportion of national cardiovascular mortality on total deaths increased annually by 37.46% to 40.73% from 2004 to 2010. The proportion of cerebrovascular disease remained unchanging but the proportion of ischemic heart disease showed a significant increase. The proportion of rheumatic heart disease declined while the proportion of other cardiovascular disease mortality showing a slight change.
In recent years, the cardiovascular mortality had significantly increased, which was mainly due to the increase of ischemic heart disease mortality.
探讨中国心血管疾病死亡率的变化趋势及特征。
使用2004年至2010年国家疾病监测系统的死亡率数据。对漏报情况进行了调整，并分析了心血管疾病粗死亡率、标准化死亡率及死因构成比的变化趋势。
2004年至2010年期间，心血管疾病总死亡率从十万分之240.03上升至十万分之268.92，平均每年上升十万分之5.50，年增长率为2.17%。全死因、缺血性心脏病、高血压性心脏病、脑血管病及其他心脏病的数据均呈上升趋势，年上升率分别为5.05%、2.08%、1.02%和2.66%，而风湿性心脏病呈下降趋势，年下降率为7.02%。消除年龄因素影响后，趋势不变但斜率减小。2004年至2010年，全国心血管疾病死亡率占总死亡的比例每年从37.46%上升至40.73%。脑血管病比例保持不变，而缺血性心脏病比例显著上升。风湿性心脏病比例下降，其他心血管疾病死亡率比例略有变化。
近年来，心血管疾病死亡率显著上升，主要归因于缺血性心脏病死亡率的增加。
