美国人口中心血管疾病的10年和30年风险
Kamil F Faridi1, Devesh Malik2, Mohammed Essa3
1Section of Cardiovascular Medicine, Department of Medicine, Yale School of Medicine, New Haven, Connecticut, USA; Center for Outcomes Research and Evaluation, Yale New Haven Health, New Haven, Connecticut, USA.
Journal of the American College of Cardiology
|June 11, 2025
概括
在美国,十分之三的成年人已经患有心血管疾病 (CVD) 或10年高风险. 三分之二的中年成年人面临30年心血管疾病风险升高,男性和黑人/西班牙裔成年人风险更高.
科学领域:
- 心血管流行病学心血管流行病学
- 公共卫生 公共卫生
- 预防医学 预防医学
背景情况:
- 美国心脏协会的PREVENT方程估计了心血管疾病 (CVD) 的风险,包括动脉样硬化心血管疾病 (ASCVD) 和心力衰竭 (HF).
- 美国人口中的长期心血管疾病风险在很大程度上是未知的.
研究的目的:
- 在美国成年人群中确定总心血管疾病,ASCVD和HF的长期风险.
- 根据年龄,性别,种族和种族对心血管疾病风险进行分层.
主要方法:
- 利用了来自2011-2020年国家健康和营养检查调查的14184名美国成年人 (30-79岁) 的数据.
- 使用PREVENT方程计算了总CVD,ASCVD和HF的10年和30年风险.
- 确定年龄标准化和调查加权的风险患病率,按人口统计学分层.
主要成果:
- 20.2%的美国成年人 (160.6万) 患有高 (≥7.5%) 10年心血管疾病风险;9.6%患有现有的心血管疾病.
- 10年心血管疾病风险增加的患病率随着年龄的增长而显著增加 (66.3%的65-79岁人群相对于1.0%的30-44岁人群).
- 男人,黑人和西班牙裔成年人对总CVD,ASCVD和HF的10年和30年风险更高.
结论:
- 近三分之一的30-79岁的美国成年人患有现有的心血管疾病或10年心血管疾病风险升高.
- 三分之二的中年成人 (30-59岁) 没有心血管疾病的30年风险增加,突出了预防策略的急需.
- 针对性干预对高风险群体至关重要,包括男性和黑人/西班牙裔人口,以减轻长期的CVD负担.
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