Is the fear of disease worse than the disease itself?
Is the fear of disease worse than the disease itself?
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对疾病的恐惧比疾病本身更严重吗？
DOI：
10.1136/heartjnl-2020-318207
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发表时间：
2021
期刊：
影响因子：
5.7
通讯作者：
Singh T
中科院分区：
文献类型：
--
作者：
Singh T
新冠肺炎是自1918年西班牙流感大流行以来现代世界面临的第一次重大疫情，并对社会的方方面面产生了深刻的影响。1世界各国政府已经制定了应急计划，以帮助应对和减少感染的快速传播，大多数国家都在不同程度上实施了社会隔离。医疗系统正面临前所未有的挑战和实时重组，正如预期的那样，这导致了全球范围内的超额死亡率。1英国新冠肺炎的首例死亡报告于2020年3月2日报道，随后于2020年3月23日全国范围内封锁。公共卫生关注的重点是直接可归因于新冠肺炎的死亡率上升，以及由于现有医疗资源和能力被转移而对医疗系统管理非新冠肺炎相关危及生命疾病的能力造成的间接后果。这是一个复杂的情况，造成死亡的直接和间接原因也有一些重叠。例如，与其他病毒和呼吸道疾病一样，新冠肺炎有可能引发其他本来可能不会发生的致命事件。例如，有很好的描述，在呼吸道感染后的几周内，心肌梗死的人数增加了44%。2还有人担心，患者本身可能不愿寻求关注，因为他们担心在医院感染新冠肺炎，或者给试图应对患有新冠肺炎的重病患者的不堪重负的医疗系统带来负担。在最新一期的《心脏》杂志上，Wu及其同事评估了新冠肺炎对急性心血管死亡率的人群发病率和位置的影响，从而揭示了其中一些导致心血管死亡率过高的潜在原因。3.
COVID-19 is the first major pandemic the modern world has faced since the Spanish influenza pandemic of 1918 and has had a profound impact on all aspects of society. 1 Governments worldwide have established emergency plans to help tackle and reduce the rapid spread of the infection, with social isolation being implemented by most to varying degrees. Healthcare systems are facing unprecedented challenges and real-time restructuring and, as expected, this has resulted in an excess mortality worldwide. 1 The first fatality with COVID-19 in the UK was reported on 2 March 2020, with subsequent nationwide lockdown on 23 March 2020. Public health concerns have focused on the increases in mortality directly attributable to COVID-19 and the indirect consequences of the pandemic on the healthcare system’s ability to manage non-COVID-19 related life-threatening illnesses due to diversion of established healthcare resources and capacity. This is a complex situation and there is also some overlap in direct and indirect causes of mortality. For example, as with other viral and respiratory illnesses, there is the potential for COVID-19 to trigger other fatal events that may not have otherwise happened. For example, it is well described that there is a 44% increase in myocardial infarction in the weeks after respiratory tract infections. 2 There is also the concern that patients themselves may be reluctant to seek attention because of concerns regarding contracting COVID-19 in the hospital or burdening an overstretched healthcare system that is trying to cope with seriously ill patients with COVID-19. In the current issue of Heart, Wu and colleagues have assessed the impact of COVID-19 on both the population incidence and location of acute cardiovascular mortality that sheds light on some of these potential causes of excess cardiovascular mortality. 3
影响因子：
5.7
作者：
Wu, Jianhua;Mamas, Mamas A.;Gale, Chris P.
通讯作者：
Gale, Chris P.