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Changing pattern of heart diseases in Shanghai from the 1950s to 1980s

H Chen1, W Fan, X Jin

  • 1Zhong Shan Hospital, Shanghai Medical University and Shanghai Institute of Cardiovascular Diseases, Shanghai, China.

Chinese Medical Journal
|October 12, 2001
PubMed

Insights

Heart disease incidence in China increased over four decades, with non-infectious conditions like coronary heart disease rising and infection-related diseases declining. This highlights changing patterns for public health reference.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Heart disease patterns evolve with societal changes.
  • Understanding these shifts is crucial for effective healthcare strategies in China.

Purpose of the Study:

  • To analyze the dynamic changes in heart disease types over four decades (1950s-1980s).
  • To provide a reference for the treatment and prevention of heart diseases in China.

Main Methods:

  • Retrospective analysis of adult cardiac patients admitted to two major hospitals from 1948 to 1989.
  • Comparison of the constituent ratios of different heart diseases across four decades.

Main Results:

  • The overall percentage of heart diseases among medical inpatients rose from 9.89% to 23.54% between the 1950s and 1980s.
  • Coronary heart disease became the most prevalent, followed by rheumatic and congenital heart diseases.
  • Increases observed in congenital heart disease, myocarditis, cardiomyopathy, and dysrhythmia; decreases in rheumatic, pulmonary, and hypertensive heart diseases.

Conclusions:

  • China faces an increasing incidence and changing patterns of heart disease.
  • Non-infectious heart diseases are rising, while those linked to bacterial infections are decreasing.
  • These trends reflect demographic shifts, including an aging population and increased life expectancy.
Abstract

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