亚太地区膜心脏病的流行病学
Kent Chak-Yu So1, Jonathan Yap2, Guang-Yuan Song3
1Division of Cardiology, Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, HKSAR, China.
JACC. Asia
|May 21, 2025
概括
膜心脏病在亚太地区是一个越来越大的挑战. 加强合作至关重要,以解决不同的疾病模式,并改善对先进的透管干预措施的获取,以获得更好的患者结果.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 膜心脏病 (VHD) 是亚太地区的一个重大健康问题,其流行病学受社会经济因素的影响多样化.
- 风湿性心脏病 (RHD) 持续存在于低收入地区,而退行性VHD在发达地区的老龄化人口中增加.
- 获得医疗保健的差异导致VHD患者的临床结果变化.
研究的目的:
- 审查亚太地区目前的膜心脏病情景.
- 突出不断变化的流行病学和管理挑战.
- 强调在采用跨导管干预措施方面需要区域合作.
主要方法:
- 对亚太地区膜心脏病流行病学现有文献的综述.
- 对风湿性和退行性膜疾病趋势的分析.
- 评估采用跨导管干预的情况.
主要成果:
- 亚太地区的VHD流行率和类型存在显著差异.
- 与人口老龄化相关的退行性VHD的出现.
- 近年来,跨导管干预措施的采用速度缓慢,但越来越多.
- 持续存在的医疗保健获取差异影响了患者的治疗结果.
结论:
- 亚太地区面临着RHD和新兴退行性VHD的双重负担.
- 过导管干预提供了一个有希望的管理策略,但需要更广泛的实施.
- 加强区域合作对于管理预计的VHD增加和改善护理标准至关重要.
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