Acute cardiac and cerebral vascular events in household population in Zhongshan City, 2014
HUANG Guo-xian, HU Kai-xuan, FAN Mu-geng
Department of Chronic Non-communicable Disease Prevention and Treatment, Zhongshan Municipal Center for Disease Prevention and Control, Zhongshan, Guangdong 528403, China
Abstract：Objective To investigate the incidence and epidemiological characteristics of acute cardiac and cerebral vascular events among household population in Zhongshan City so as to provide the baseline data for formulating prevention and control strategies for acute cardiac and cerebral vascular diseases and evaluating prevention and control effectiveness. Methods We collected the social demographic characteristics and disease information of acute cardiac and cerebral vascular events from all medical institutions with the ability to diagnose acute cardiac and cerebral vascular diseases in Zhongshan City in 2014 and from national death-cause registration report system. Results A total of 9,885 cases of acute cardiac and cerebral vascular events were collected among the household population, including 7,734 (78.24%) cases from the medical institutions and 2,151 (21.76%) from the national death-cause registration report system. The age standardized incidence rate of acute cardiac and cerebral vascular events in the household population was 594.3/100,000 (standardized by the age data according to the Sixth National Census in 2010), of which the age standardized incidence rates of sudden cardiac death (SCD), acute myocardial infarction (AMI) and cerebral apoplexy were 1.8/100,000, 100.4/100,000 and 445.3/100,000 respectively. The incidence rate of acute cardiac and cerebral vascular events was higher in males than in females, and the incidence ratio of male to female was 1.77:1. The incidence rate of cerebral apoplexy was higher than that of acute myocardial infarction, and the incidence ratio was 4.1:1. The pre-hospital death rate of acute cardiovascular events was higher than that of cerebral apoplexy. The incidence rate of pre-hospital sudden cardiac death was as high as 85.19%, while the mortality rate of acute myocardial infarction was 48.82%. Most of the cerebral apoplexy cases were ischemic stroke (80.6%), and hemorrhagic stroke accounted for 19.0%. The acute cardiac and cerebral vascular events were most likely to occur in January, and 95.99% cases were over 45 years old. Conclusions The incidence rate of acute cardiac and cerebral vascular events in household population in Zhongshan City is influenced significantly by gender and age. We should focus on finding out the possible risk factors and taking corresponding health intervention in the key population so as to eventually reduce the morbidity, mortality and disability rate of acute cardiac and cerebral vascular events.
黄国贤,胡凯旋,范木耿. 2014年中山市户籍人口急性心脑血管事件调查[J]. 实用预防医学, 2017, 24(4): 442-445.
HUANG Guo-xian, HU Kai-xuan, FAN Mu-geng. Acute cardiac and cerebral vascular events in household population in Zhongshan City, 2014. , 2017, 24(4): 442-445.
2017, Vol. 24 
