Growing epidemic of coronary heart disease in low- and middle-income countries.
Growing epidemic of coronary heart disease in low- and middle-income countries.
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DOI：
10.1016/j.cpcardiol.2009.10.002
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发表时间：
2010-02
影响因子：
4.2
通讯作者：
Murphy, Adrianna
中科院分区：
文献类型：
--
作者：
Gaziano, Thomas A.;Bitton, Asaf;Anand, Shuchi;Abrahams-Gessel, Shafika;Murphy, Adrianna
冠心病（CHD）是发达国家最大的单一死亡原因，也是发展中国家疾病负担的主要原因之一。2001年，全世界有730万人死于CHD。全球四分之三的冠心病死亡发生在中低收入国家。在大多数低收入和中等收入国家，CHD负担的迅速增加是由于社会经济变化、寿命延长和生活方式相关风险因素的增加。然而，CHD死亡率在发展中国家之间差异很大。不同的发病率、患病率和死亡率反映了不同水平的风险因素、其他竞争性死亡原因、对抗心血管疾病的资源可用性以及每个国家或地区所处的流行病学过渡阶段。CHD的经济负担同样巨大，但存在管理这种日益增长的负担的解决方案。
Coronary heart disease (CHD) is the single largest cause of death in the developed countries and is one of the leading causes of disease burden in developing countries. In 2001, there were 7.3 million deaths due to CHD worldwide. Three-fourths of global deaths due to CHD occurred in the low and middle-income countries. The rapid rise in CHD burden in most of the low and middle and income countries is due to socio-economic changes, increase in life span and acquisition of lifestyle related risk factors. The CHD death rate, however, varies dramatically across the developing countries. The varying incidence, prevalence, and mortality rates reflect the different levels of risk factors, other competing causes of death, availability of resources to combat CVD, and the stage of epidemiologic transition that each country or region finds itself. The economic burden of CHD is equally large but solutions exist to manage this growing burden.
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