Epidemiology and current management of cardiovascular disease in China

HU, Sheng-Shou

doi:10.26599/1671-5411.2024.04.001

Cited by 2 publications

(2 citation statements)

References 72 publications

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“…Similarly, AMI has a high incidence and mortality rate worldwide [ 4 ].In China, there is a high incidence rate of coronary artery disease(CAD), and the mortality rate of AMI has shown a rapid and continuous upward trend from 2012 to 2020. Specifically, the AMI mortality rate increased from 68.62 to 135.88 per 100,000 rural population, and from 93.17 to 126.91 per 100,000 urban population annually [ 5 ]. Early reperfusion therapy, including intravenous thrombolysis and percutaneous coronary intervention (PCI), is crucial for managing AMI [ 1 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Analysis of barriers associated with emergency medical service activation in patients with acute stroke and acute myocardial infarction from Zhongjiang County of Sichuan Province in China

He,

Zhang,

Tang

et al. 2024

BMC Emerg Med

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Objectives The purpose of this study was to investigate the preferred modes of transportation to the hospital among patients with acute stroke and acute myocardial infarction (AMI), as well as to identify the factors that influence the utilization of ambulances. Methods We conducted a cross-sectional study, including patients who were diagnosed with acute stroke and AMI, at the people’s hospital of Zhongjiang, from September 30th, 2022 to August 30th, 2023. All patients were divided into emergency medical service (EMS)-activation group and self-transportation group. Chi-square and t-tests were utilized to discern differences between groups at baseline. To screen relevant variables, we employed the Least Absolute Shrinkage and Selection Operator (LASSO) regression analysis using R package glmnet. Subsequently, we performed a logistic regression analysis to identify predictors of EMS activation according the results of LASSO regression. Results we collected 929 valid questionnaires. 26.16% of the patients required the services of EMS. 90.9% of individuals have not received any formal first aid education. 42.1% of them reported that they had no understanding of cardiovascular and cerebrovascular diseases. Diagnosed as AMI (OR 0.22, 95%CI 0.06 to 0.88) or acute cerebral infarction (OR 0.26, 0.10 to 0.68), the distance between the patient and the nearest 120 network hospital when the patient had these symptoms (OR 0.97, 0.94 to 0.99), the patient’s son or daughter was there when the patient was symptomatic (OR 0.58, 0.37 to 0.94), the patient (OR 0.19, 0.05 to 0.72) and the patient’s partner (wife or husband) (OR 0.36, 0.16 to 0.85) had decided that the patient needed further medical help, Among patients who did not seek immediate help after symptom onset, thinking that the symptoms will disappear spontaneously (OR 0.34, 0.13 to 0.92) or not wanting to disturb others (OR 0.06, 0.01 to 0.66) or believing that they are not important symptoms (OR 0.15, 0.05 to 0.42) were factors independently associated with less ambulance use. Age (OR 1.02, 1.00 to 1.04), Stroke patients have experienced symptoms of disturbance of consciousness or convulsions (OR 2.99, 1.72 to 5.2) were independent factors associated with increased ambulance use. Conclusion There is still ambulance underutilization among patients with acute stroke and AMI in county territory of China. Moreover, it is needed to raise the level of first aid education and awareness about EMS. Additionally, private clinic doctors and the public should gain adequate understanding of the severity of acute stroke and AMI, as well as their common symptoms, the crucial importance of prompt medical intervention. Finally, we propose that all township hospitals should be integrated into the 120 emergency networks and equipped with emergency first aid capabilities, pre-hospital care, and transportation abilities.

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Section: Introductionmentioning

confidence: 99%

Analysis of barriers associated with emergency medical service activation in patients with acute stroke and acute myocardial infarction from Zhongjiang County of Sichuan Province in China

He,

Zhang,

Tang

et al. 2024

BMC Emerg Med

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“… 2 Moreover, CAD had a prevalence rate exceeding 0.81% in 2022, playing a prominent role in cardiovascular-related mortality. 3 DM, driven by the surge in obesity rates, stands out as another notable chronic condition projected to affect approximately 45.86% of individuals by 2040. 4 …”

Section: Introductionmentioning

confidence: 99%

Associations Between Sleep Duration and Cardiometabolic Diseases Among Residents in Southwest China

Li,

Lu,

Zhang

et al. 2024

NSS

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Introduction The burden of cardiometabolic diseases (CMDs), defined as stroke, coronary artery disease, and diabetes mellitus, continues to pose a global challenge. Sleep duration has been linked to cardiovascular health. However, there is a lack of focused investigations on CMDs in underdeveloped areas of China. Purpose This study aimed to examine the relationship between sleep duration and CMDs among residents from southwest China. Patients and Methods This large cross-sectional study screened data from the National Key Research and Development Program (2018YFC1311400). Based on sleep duration reported through a standardized questionnaire, encompassing the sleep patterns of the past five years, participants were classified into three groups: <6, 6–8, >8 hours. Baseline characteristics were compared, and Poisson regression models were used to assess the relationship between sleep duration and CMDs. Subgroup analysis was conducted based on age and gender. Results This study included 28,908 participants with an average age of 65.6 ± 10.0 years, of whom 57.6% were female. The overall prevalence of CMDs was 22.6%. After multivariate adjustments, the prevalence ratios (PR) (95% CI) for CMDs across the three groups (6–8h, <6h and >8h) were: reference, 1.140 (1.068–1.218), 1.060 (0.961–1.169) ( P for trend =0.003), respectively. The subgroup analysis revealed that among older females, a longer sleep duration (>8h) was also associated with an increased prevalence risk of CMDs, with PR 1.169 (1.001–1.365) ( p =0.049). Conclusion A shorter sleep duration (<6 hours) was associated with an increased risk of CMDs in the general population, while a longer sleep duration (>8 hours) also raised the prevalence risk among older females.

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Epidemiology and current management of cardiovascular disease in China

Cited by 2 publications

References 72 publications

Analysis of barriers associated with emergency medical service activation in patients with acute stroke and acute myocardial infarction from Zhongjiang County of Sichuan Province in China

Analysis of barriers associated with emergency medical service activation in patients with acute stroke and acute myocardial infarction from Zhongjiang County of Sichuan Province in China

Associations Between Sleep Duration and Cardiometabolic Diseases Among Residents in Southwest China

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