In June 2017, the "China Cardiovascular Disease Report 2016" was released, and the report summary was published in the China Circular Magazine. At present, cardiovascular deaths account for the first cause of total deaths in urban and rural residents, with 45.01% in rural areas and 42.61% in urban areas. The prevalence of cardiovascular risk factors in China is obvious, leading to an increase in the number of cardiovascular diseases. The number of cardiovascular patients will continue to grow rapidly in the next 10 years. Overall, the prevalence and mortality of cardiovascular disease in China is still on the rise. The estimated number of cardiovascular diseases is 290 million, including 13 million strokes, 11 million coronary heart disease, 4.5 million heart failures, 5 million pulmonary heart diseases, 2.5 million rheumatic heart diseases, and 2 million congenital heart diseases. High blood pressure is 270 million. Cardiovascular mortality ranks first, higher than cancer and other diseases, accounting for more than 40% of residents' disease deaths, especially in rural areas. In recent years, cardiovascular mortality has continued to be higher than urban levels. The total cost of hospitalization for cardiovascular and cerebrovascular diseases is also increasing rapidly. Since 2004, its annual growth rate is much higher than GDP growth. 1. Cardiovascular death In 2015, cardiovascular mortality remained the highest, higher than cancer and other diseases. The mortality rate of cardiovascular disease in rural areas has exceeded and continues to be higher than the urban level since 2009. Figure 1 Changes in cardiovascular mortality in urban and rural residents in China from 1990 to 2015 In 2015, the mortality rate of cardiovascular disease in rural areas was 298.42/100,000, of which the mortality rate of heart disease was 144.79/100,000, the mortality rate of cerebrovascular disease was 153.63/100,000, and the mortality rate of urban cardiovascular disease was 264. .84/100,000, of which the heart disease mortality rate is 136.61/100,000, and the cerebrovascular disease mortality rate is 128.23/100,000. In 2015, rural and urban cardiovascular diseases accounted for 45.01% and 42.61% of the causes of death, respectively. Two out of every five deaths were due to cardiovascular disease. Figure 2 The ratio of major causes of death in rural and urban residents in China in 2015 (%) In 2013, the age-standardized cardiovascular mortality rate in China was 21% lower than that in 1990. Cerebrovascular disease is the leading cause of death in Chinese men and women. The mortality rate of ischemic stroke has increased by 28.8%, while the mortality of hemorrhagic stroke has decreased by 37.7%. Although the cardiovascular mortality rate was reduced in 2013 compared to 1990, the absolute number of deaths from cardiovascular disease is still rising rapidly due to factors such as the aging of the Chinese population. In 2013, it increased by 46% compared with 1990. Among them, the number of deaths from ischemic heart disease increased by 90.9%, and the number of deaths from cerebrovascular disease increased by 47.7%. 2. hypertension According to the 2012 National Nutrition and Chronic Disease Survey, the prevalence of hypertension in Chinese residents over 18 years old was 25.2%, the prevalence of hypertension in urban residents was 26.8%, and that in rural areas was 23.5%. According to the data of the sixth national census in 2010, the number of patients with hypertension is 270 million. According to the “Report on Nutrition and Chronic Diseases of Chinese Residents (2015)â€, the awareness rate, treatment rate and control rate of hypertension in the population over 18 years old increased significantly in 2012, 46.5%, 41.1% and 13.8 respectively. %.
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