韩国心血管疾病和糖尿病统计:全国数据2010年至2019年
Jin Hwa Kim1, Junyeop Lee2, Kyungdo Han3
1Department of Endocrinology and Metabolism, Chosun University Hospital, Chosun University College of Medicine, Gwangju, Korea.
Diabetes & metabolism journal
|November 29, 2024
概括
韩国成年患有2型糖尿病 (T2DM) 的心血管疾病 (CVD) 发病率下降,除了心力衰竭 (HF),其增加. 风险因素的管理和先进药物的使用仍然很低.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 心血管疾病 (CVD) 对患有糖尿病的成年人构成重大威胁.
- 对韩国成年糖尿病患者心血管疾病发病率和管理的最新见解至关重要.
研究的目的:
- 提供有关韩国成人2型糖尿病 (T2DM) 主要心血管疾病 (CVD) 发生率的最新国家估计.
- 评估心血管疾病风险因素的管理以及在该群体中使用先进疗法的情况.
主要方法:
- 利用了韩国国家健康保险服务和韩国国家健康和营养检查调查的数据.
- 分析了因年龄和性别标准化的缺血性心脏病 (IHD),缺血性中风,外周动脉疾病 (PAD) 和心力衰竭 (HF) 的发病率.
- 评估了血糖,血压和脂质水平的控制,以及高强度他类药物,SGLT2抑制剂 (SGLT2i) 和GLP-1受体激动剂 (GLP-1RA) 的处方率.
主要成果:
- 从2010年到2019年,心血管疾病,缺血性中风和PAD的发生率下降,而HF的发生率上升.
- 在T2DM和CVD的成年人中,只有4.96%的成年人实现了所有三个主要风险因素的最佳控制.
- 2019年观察到高强度他类药物使用率低 (8.84%-9.15%) 和SGLT2i (7.10%-11.87%) 和GLP-1RA (0.79%-1.08%) 的使用率更低.
结论:
- 虽然大多数心血管疾病发生率下降,但心力衰竭在韩国成年T2DM患者中越来越令人担忧.
- 对心血管风险因素的低最佳控制仍然存在.
- 基于证据的先进疗法,如高强度他类药物,SGLT2i和GLP-1RA的利用率仍然很低,这表明在最佳心血管疾病管理方面存在重大差距.
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