Gutzwiller F
Institut für Sozial- und Präventivmedizin, Universität Lausanne.
Soz Praventivmed. 1988;33(1):6-9. doi: 10.1007/BF02083998.
Cardiovascular diseases are still the most important cause of death in industrialized countries. In spite of enormous progress regarding prevention, diagnostic and therapeutic procedures, coronary heart disease remains the most important cardiovascular cause for early invalidity, professional inactivity and premature death. The direct and indirect costs of cardiovascular diseases amount to 14.8% of total disease related costs. The future challenges are clear: this disease group is to a large extent preventable; efficient intervention models both on an individual and on a community level are available. Still, some more research on etiology, e.g. in relation to social class gradients is needed. In addition, the disease and its role within society and the health care structure should also be subject to research.
在工业化国家,心血管疾病仍是最重要的死因。尽管在预防、诊断和治疗程序方面取得了巨大进展,但冠心病仍然是导致早期残疾、职业活动受限和过早死亡的最重要心血管病因。心血管疾病的直接和间接成本占与疾病相关的总成本的14.8%。未来的挑战很明确:这类疾病在很大程度上是可预防的;在个人和社区层面都有有效的干预模式。不过,仍需要对病因进行更多研究,例如与社会阶层梯度相关的研究。此外,这种疾病及其在社会和医疗保健结构中的作用也应成为研究对象。