[Epidemiology of acute coronary syndrome].
[Epidemiology of acute coronary syndrome].
复制标题
急性冠状动脉综合征的流行病学。
DOI：
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发表时间：
2006
期刊：
影响因子：
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通讯作者：
K. Tamakoshi
中科院分区：
文献类型：
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作者：
K. Matsushita;H. Yatsuya;K. Tamakoshi
我们回顾了日本急性冠脉综合征（ACS）的流行病学研究结果。日本是世界上ACS发病率和死亡率最低的国家。然而，2003年急性心肌梗死的粗死亡率比1970年增加了大约两倍，这很可能是由于人口老龄化。更重要的是，尽管对危险因素的干预导致ACS发病率明显降低，但日本的几项前瞻性研究未能证明年龄校正的ACS发病率下降。特别是，一项研究暗示80岁以上的ACS患者增加。鉴于日本血脂异常、糖尿病和肥胖症的患病率增加，我们应该奋进改变这些危险因素，特别是在老年人中。
We reviewed epidemiological findings of acute coronary syndrome (ACS) in Japan. Japan has the lowest mortality and morbidity of ACS in the world. However, the crude mortality of acute myocardial infarction in 2003 increased approximately as twice as that in 1970, most likely due to an aging of population. More importantly, several Japanese prospective studies have failed to demonstrate the decline of the age-adjusted incidence of ACS despite the obvious reduction of ACS incidence caused by the intervention to the risk factors. Particularly, one study implied the increase of ACS patients aged more than 80. Given that the prevalence of dyslipidemia, diabetes, and obesity has increased in Japan, we should endeavor to modify these risk factors, especially in the elderly.