Wang Shengnan, Zhu Xiangfeng, Nie Yanwu, Xiao Zeyu, Huang Mingzhu, Yao Zhimin, Wu Lei
School of Public Health, Jiangxi Provincial Key Laboratory of Disease Prevention and Public Health, Jiangxi Medical College, Nanchang University, Nanchang 330006, China.
Shanggao County Center for Disease Control and Prevention, Jiangxi Province, Yichun 336000, China.
China CDC Wkly. 2025 Apr 11;7(15):508-513. doi: 10.46234/ccdcw2025.085.
WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: Myocarditis is a prevalent cardiovascular condition that can lead to severe complications. The number of patients with myocarditis, new cases, and deaths in China has been on an upward trend over the years, causing a certain disease burden.
WHAT IS ADDED BY THIS REPORT?: The overall burden of myocarditis in China is on a downward trend; however, the age-standardized mortality rate (ASMR) and age-standardized disability-adjusted life years (DALYs) rate remain higher than the global average. The age-standardized incidence rate (ASIR), ASMR and age-standardized DALYs rate were higher in men than in women. Individuals younger than 5 years or older than 70 years, the period from 2002-2016, and birth cohort earlier than 1957 were identified as risk factors for myocarditis-related mortality.
WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICES?: We should still prioritize the prevention and treatment of myocarditis. It is recommended that primary and secondary prevention efforts focus on individuals younger than 5 years, older than 70 years, and males, with an emphasis on proactive health education and management.
关于该主题已知的信息有哪些?:心肌炎是一种常见的心血管疾病,可导致严重并发症。多年来,中国心肌炎患者数量、新发病例数及死亡人数呈上升趋势,造成了一定的疾病负担。
本报告新增了哪些内容?:中国心肌炎的总体负担呈下降趋势;然而,年龄标准化死亡率(ASMR)和年龄标准化伤残调整生命年(DALYs)率仍高于全球平均水平。男性的年龄标准化发病率(ASIR)、ASMR和年龄标准化DALYs率高于女性。5岁以下或70岁以上的个体、2002年至2016年期间以及1957年以前出生队列被确定为心肌炎相关死亡的危险因素。
对公共卫生实践有哪些启示?:我们仍应将心肌炎的预防和治疗作为重点。建议一级和二级预防工作重点关注5岁以下、70岁以上的个体以及男性,强调积极的健康教育和管理。