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Published on: February 11, 2022

The current state of cardiology in China

Tsung O Cheng1

  • 1The George Washington University Medical Center, 2150 Pennsylvania Avenue, NW, Washington, DC 20037, USA. tcheng@mfa.gwu.edu

International Journal of Cardiology
|August 11, 2004
PubMed

Insights

Coronary artery disease is rising in China due to lifestyle changes, despite advances in interventional cardiology. Strategies are needed to balance modernization with maintaining low cardiovascular disease rates.

Area of Science:

  • Cardiovascular Medicine
  • Public Health
  • Epidemiology

Background:

  • Cardiology in China has undergone significant transformation over the past decade.
  • Interventional cardiology has advanced, particularly in managing coronary artery disease (CAD).
  • CAD incidence is increasing in China, a country with a historically low prevalence.

Purpose of the Study:

  • To highlight the changing landscape of cardiology in China.
  • To identify factors contributing to the rise in CAD.
  • To discuss the implications of modernization on cardiovascular health.

Main Methods:

  • The abstract does not specify methods but discusses epidemiological trends and contributing factors.
  • It analyzes comparative data on coronary mortality and acute myocardial infarction (AMI) incidence and mortality between China and Western countries.
  • It reviews the prevalence of CAD in the Chinese population relative to Caucasians.

Main Results:

  • Despite advances in interventional cardiology, CAD incidence is rising due to increased affluence, westernized diets, and smoking.
  • Current Chinese coronary mortality is one-sixth of Western rates, with AMI incidence and mortality significantly lower.
  • CAD prevalence in China (3-7%) is approximately one-quarter of that in Western Caucasians, but this is expected to increase.

Conclusions:

  • Modernization in China comes with a price, including an increasing burden of cardiovascular disease.
  • There is a need to mitigate the negative health impacts of lifestyle changes associated with development.
  • The study poses a question about achieving a balance between adopting modern lifestyles and preserving low ancestral rates of CAD.

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