中国心血管病调查精选.pptVIP

China Heart survey -- Call for Action Dayi Hu People’s Hospital of Peking University 2008-4-11 The Primary Cause of Death: Cardio-Cerebral Vascular Diseases Major Risk Factors for CAD: Hypertension, Hyperlipidemia, Hyperglycemia Although the emergence of new drugs and the release of many evidence-based research outcomes recently, are the mortality of cardio-cerebral vascular events fully reduced? Although the use of intervention therapy and drugs dramatically increased, the mortality of cardio-cerebral vascular diseases is still going up Cause：“The therapy is separated” Cause：Hyperglycemia — a neglected risk factor of CVD China Heart Survey: Content Background Diabetes is as dangerous as CAD Patients with CAD are at the high risk for hyperglycemia Design Result Meaning Diabetes is as dangerous as CAD EHS（EURO Heart Survey） Euro Heart Survey: the myth What is the epidemic about hyperglycemia in Chinese patients with CAD? Is the strategy for hyperglycemia diagnosis suitable to such patients? China Heart Survey: content Background Diabetes is as dangerous as CAD Patients with CAD are at the high risk for hyperglycemia Design Result Meaning China Heart Survey: design Subjects 52 hospitals in 7 cities in China participated in the survey Time From Jun. 1st to Aug. 31th 2005 3513 patients hospitalized for CAD was recruited Inclusion criteria Coronary heart disease Chronic Stable Angina Healed myocardial infraction Acute coronary syndrome Arrhythmia and heart failure was excluded Method OGTT was measured in all patients, except for the patients with known diabetes OGTT was unnecessary for the patients whose FPG 8 mmol/L in two testing China Heart Survey: flow chart China Heart Survey: content Background Diabetes is as dangerous as CAD Patients with CAD are at the high risk for hyperglycemia Design Result Meaning China Heart Survey：77% of patients with CAD had hyperglycemia Without the use of OGTT, over 80% of newly diagnosed diabetes and pre-diabetes will rema