2015REPORT ON CARDIOVASCULAR DISEASES IN CHINA 2015

Encyclopedia of China Publishing House

National Center for Cardiovascular Diseases, China

CIP

. 2015/.2016.1

ISBN 978-7-5000-9803-4

. . .2015 .R54

CIP2016020507

17 100037 010-88390634

http://www.ecph.com.cn

289

8891194 1/1611:300

20161

14000

ISBN 978-7-5000-9803-4

:125.00

2015

2015

2

10

44.6%42.51%

201251520122015

2005

,

AAAAAI/RABIACEIACSAMIII ARBBMICABGCADCCB CCEPCDSCHNSCVDCHDCICKDCNDMDSCOPDCRTCTEPHDALYECMOESRDEVARGFRHbA1cHcyHDL-CHF

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1

2015 .......................................1

..................................13

1.1 ........................................................... 13

1.2 ........................................................... 13

..........................................17

2.1 ..................................................................... 17

2.2 ....................................................................... 31

2.3 ................................................................... 40

2.4 .................................................................... 52

2.5 ................................................................. 55

2.6 ............................................................... 61

2.7 ................................................................. 64

2.8 ................................................................. 69

2.9 ................................................................... 72

2015

2

.....................................................76

3.1 ................................................................... 76

3.2 ..................................................................... 82

3.3 ................................................................... 94

3.4 .................................................................. 102

3.5 .................................................................. 108

3.6 ................................................................ 116

3.7 ................................................................ 132

3.8 ................................................................ 133

.........................................138

4.1 .................................................. 138

4.2 .............................................. 139

....................................143

5.1 ............................................ 143

5.2 ........................................................ 145

5.3 ........................................................ 147

5.4 .............................................. 148

5.5 ................................................ 149

1

2015

1

2014CVD

CVD20092014CVD295.63/10

143.72/10151.91/1074.51/10

45.30/10CVD261.99/10136.21/10

125.78/1052.25/1041.99/10CVD

44.60%42.51%52CVD

CDC2013GBD 2013

19901615

2013275IHD2013

CVD199021%

28.8%37.7%20131990CVD

CVD

2013199046%IHD90.9%

47.7%

2

2.1

CVD2010

204.3115.488.924.6%2013

31 8696.61%

2015

2

11958195919791980199120024

155.1%7.7%13.6%17.6%

2015630201218

25.2%20102.7

219912009CHNS

1991199319972000200420062009187

199129.4%200938.7%

319912009CHNS9187

2009

26.1%22.8%6.1%

4

TCHDL-C

519912009

19917.1%200913.8%0.47%

201019717

201014.5%16.1% 12.9%

6/

3

60%2010GATS-

1552.9%2.4%1569

40%36.5%13

55.9%57.0%203452.7%20

7.38

201020 .9%

44.8%2.0% 5055

30.5%27.7% VS 16.3%

20121859

32.5%55.3%1.9%

58.6%15.615.710.3

68.7%76.4%

200822%

3.2%2.7%

21519969.42%2002

11.5%201016.9%1 5002010GATS

16.1%12

3407423.9%

2.4%37.5%

31.3%CVD24.1%CVD

1.1%1.1%4.0%

198620009.5

1.3995%CI 1.151.67

2.3

120103118

TCTG2002TC 4.06 mmol/L4.03 mmol/LTG

1.45 mmol/L1.21 mmol/LTC6.22mmol/L3.4%

2015

4

3.2%455960

TG2.26mmol/L13.8%8.6%

2014meta200320131418TC

7.9%LDL-C7.6%TG13.7%HDL-C

11.0%

22007200820

TC6.22mmol/L8.7%9.3%

27.6%20.7%21.4%14.0%18.3%11.2%

88.1%78.4%

3201139%

LDL-C25.8%

19.9%21.1%2012-DYSIS-

China88.9%38.5%LDL-C

2.4

12010/2

9.7%HbA1c

11.6%

6060

220

51%2043%

3.623CVD41%

29%

CVD

2356.5%20.3%CVD

47.5%49.7%CVD

3

CVD3.56.9

5

33B104225 81772%

/5.6%

2.5 /

120

+199124.7%201144.0%

2010

30.6%12.0%40.7%200260

32.1%12.4%

20022004200720101869

2002201015.8%16.6%

12.9%23.7%

2198520105

20109.6%5.0%19851.1%0.1%8.738.1

32010

1.8714%

4WHtR0.50CHNS

2009WHtR0.50CVD

2.6

1199120111860

1991382 MET-h/2011

264 MET-h/31%420 MET-h/243 MET-h/42%

20117 MET-h/3 MET-h/

19.9%40%

201011.9%

2544

2

2015

6

IHD

2.7

CVD

4.7g/d

12.0g/d2/

2.8

2002CHNSCDSATP

186.6%13.8%

2.9

PMCVDPM2.5

PMCVD

PM2.5SO2NOx

PM2.5SO2NOxCVD

20102012PM2.596.2g/m10g/mIHD

0.27%PM2.5IHDPM2.512

3IHD65PM2.5

3

3.1

120032014

2014125.78/10151.91/10

2010201483.73102.34

7

220072010109

200779 894201085 4743.16%

2.30%20072010

319921998

1999200520062012124.5/10

190.0/10318.2/106.5%4565

12%199220123.3

42010TIA2.27%TIA

TIA3.08%5.02%4.07%

5

1

6

Hcy

3.2

120022014

2014107.5/10 105.37/10 2013

2 20022014AMI2005

AMI2007200920112012

201320142014AMI55.32/10

68.6/10AMI40

3PCIPCI2014

500 9462014

4

CAMI AMICVD

2015

8

/AMI

STEMI

PCI 165 130

3.3

12014201453 382

20133.2%51.1%

39.8%67%2 918

2014ICD 1 959 20132.9%ICD67.1%ICD32.9%

ICD52.1%47.9%201242.7%2013

45%

2014CRT 2 37920138.2%CRT-D55%CRT-P45%

97CRT736

92.7%85%15%

36

20148.82RFCA19.7%2008

77.1%22.9%5.3%

220041035590.77%

0.78%0.76%19.0%30.9%60

2.0%1.6%3

4.0/1 0001%

CVD

202 01654.8%

30.7%22.4%46.9%

16.2%68.4%

41.4%26.4%INR2.03.0

3ICD

9

3.4

1200035740.9%0.7%1.0%

26615

54.5%III-IV84.7%

54.6%49.4%

29.7%45.9%

26.0%23.1%

26.1%ARB24.6

55.4%50.6%

3ACS20063631

653 168ACSSTEMI

1 329NSTEMI 3481 49170622.3%

3.5

1200740COPD8.2%8.8%

7.8%12.4% vs 5.1%4 300COPD

2008COPD

19902008COPD

21997200860

16 972 1820.1%

319892008504CTEPH

CTEPH10

94.60%1590.96%1081.4%15

56.43%CTEPH

2015

10

3.6

1102013

2014209 765CPB2007201475.9%

159 1081 7041 534

2014CHD82 882

39.5%60 48541 636

11 01337012ECMO

711

2CHD

CHD75%80%

pmVSD

3.7

120099201091347 20418

CKDCKD10.8%eGFR30mg/g9.4%CKD1.2

22011201228450/17 70845

CKD-CeGFR

11

4381

60.3%66.7%56.2%

IMT

4

11969CVD

50%40CVD

2

2006

EHR2007

202007

198%

201110

2012

EHR

5

1980

20002004

GDP

2015

12

1

20141 793.86

12.75%6.63%6.12%

36.53%29.66%

2013320.44

1980201410.10%

6.33%12.30%IHD

11.74%9.76%AMI8.12%8.06%

5.82%1980201414.18%

2

2014AMI133.75207.07

470.35200432.02%18.90%24.96%

2014AMI24 706.015 929.78 841.4

20048.72%6.63%2.81%

13

1.1

20156302015[1]

1825.2%2010

2.7

1.2

1.2.1 [2,3]

2014CVD1-2-11-2-2CVD

20091-2-3

2014CVD295.63/10143.72/10

151.91/1074.51/1045.30/10CVD261.99/10

136.21/10125.78/1052.25/10

41.99/10

[1] 2015. http://www.labagd.com/Item/14257.aspx. [2] .2009-2012. :.[3] .2015.:.

2015

14

1-2-1 19902014

1-2-2 19902014

1-2-3 19902014

1/10

15

1.2.2 [1]

CVD2014CVD

44.60%42.51%1-2-41-2-552CVD

1-2-4 2014%

1-2-5 2014%

1.2.3 [2]

CDC2013GBD 2013

199016

152IHD2013

275IHD19902013

IHD

[1] .2015.:.[2] Zhou MG, Wang HD, Zhu J, et al. Cause-specific mortality for 240 causes in China during 19902013: a systematic subnational analysis for the Global Burden of Disease Study 2013. Lancet,Published Online October 26, 2015.

2015

16

1990CVD389.93/102013307.18/1021%71.2%20.9%41.3%IHD2.6%91.9%28.8%37.7%IHDCVD

CVDCVD2013199046%IHD90.9%47.7%

IHD

IHD

1-2-1 20131990

1/10

1990 2013 % 1990 2013 %

145 306

115 228175 059 72 912

55 33090 95549.9

57.641.6*19.77

15.7523.845.71

4.327.0871.2

75.466.6*

745 373

663 800874 9091 394 366

1 061 4791 563 77890.9

42.7116.3*115.40

102.60135.21115.89

88.02129.32 2.6

23.5 14.9

1 306 055

1 191 7111 436 9291 920