Cardiovascular Diseases in India Compared With the United States.
Cardiovascular Diseases in India Compared With the United States.
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DOI：
10.1016/j.jacc.2018.04.042
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发表时间：
2018-07-03
影响因子：
24
通讯作者：
Huffman, Mark D.
中科院分区：
文献类型：
--
作者：
Prabhakaran, Dorairaj;Singh, Kavita;Roth, Gregory A.;Banerjee, Amitava;Pagidipati, Neha J.;Huffman, Mark D.
本综述描述了印度与美国相比心血管疾病（CVD）负担和危险因素的趋势;为这些差异提供了潜在的解释;并描述了改善印度心血管健康行为，系统和政策的策略。在过去的20年中，由于人口增长、老龄化和年龄调整的CVD死亡率稳定，印度CVD的患病率有所上升。在同一时期，美国经历了年龄调整的CVD死亡率的总体下降，尽管趋势已经开始趋于平稳。美国心血管疾病死亡率的改善主要是由于有利的人群水平风险因素趋势，特别是烟草使用，胆固醇和血压，尽管二级预防和急性护理的改善也有贡献。为了在减少心血管疾病导致的过早死亡和残疾方面取得类似的成果，印度需要实施人口层面的政策，同时加强和整合其地方、区域和国家卫生系统。实现包括财务风险保护在内的全民健康覆盖仍应是帮助所有印度人实现其健康权的一个目标。
This review describes trends in the burden of cardiovascular diseases (CVDs) and risk factors in India compared with the United States; provides potential explanations for these differences; and describes strategies to improve cardiovascular health behaviors, systems, and policies in India. The prevalence of CVD in India has risen over the past 2 decades due to population growth, aging, and a stable age-adjusted CVD mortality rate. Over the same time period, the United States has experienced an overall decline in age-adjusted CVD mortality, although the trend has begun to plateau. These improvements in CVD mortality in the United States are largely due to favorable population-level risk factor trends, specifically with regard to tobacco use, cholesterol, and blood pressure, although improvements in secondary prevention and acute care have also contributed. To realize similar gains in reducing premature death and disability from CVD, India needs to implement population-level policies while strengthening and integrating its local, regional, and national health systems. Achieving universal health coverage that includes financial risk protection should remain a goal to help all Indians realize their right to health.
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影响因子：
7.7
作者：
Antonisamy, B.;Raghupathy, P.;Fall, Caroline H. D.
通讯作者：
Fall, Caroline H. D.
DOI：
10.1161/circoutcomes.115.001994
发表时间：
2015-11
期刊：
Circulation. Cardiovascular quality and outcomes
影响因子：
--
作者：
Basu S;Bendavid E;Sood N
通讯作者：
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影响因子：
158.5
作者：
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通讯作者：
Gregg, Edward W.
影响因子：
24
作者：
Alexander, Thomas;Mullasari, Ajit S.;Nallamothu, Brahmajee K.
通讯作者：
Nallamothu, Brahmajee K.
影响因子：
5.4
作者：
Ajay, Vamadevan S.;Jindal, Devraj;Prabhakaran, Dorairaj
通讯作者：
Prabhakaran, Dorairaj