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心血管疾病、相关风险因素及当前治疗方案简述

A Brief Review of Cardiovascular Diseases, Associated Risk Factors and Current Treatment Regimes.

作者信息

Flora Gagan D, Nayak Manasa K

机构信息

Department of Internal Medicine, University of Iowa, Iowa City, IA 52242, United States.

出版信息

Curr Pharm Des. 2019;25(38):4063-4084. doi: 10.2174/1381612825666190925163827.

Abstract

Cardiovascular diseases (CVDs) are the leading cause of premature death and disability in humans and their incidence is on the rise globally. Given their substantial contribution towards the escalating costs of health care, CVDs also generate a high socio-economic burden in the general population. The underlying pathogenesis and progression associated with nearly all CVDs are predominantly of atherosclerotic origin that leads to the development of coronary artery disease, cerebrovascular disease, venous thromboembolism and, peripheral vascular disease, subsequently causing myocardial infarction, cardiac arrhythmias or stroke. The aetiological risk factors leading to the onset of CVDs are well recognized and include hyperlipidaemia, hypertension, diabetes, obesity, smoking and, lack of physical activity. They collectively represent more than 90% of the CVD risks in all epidemiological studies. Despite high fatality rate of CVDs, the identification and careful prevention of the underlying risk factors can significantly reduce the global epidemic of CVDs. Beside making favorable lifestyle modifications, primary regimes for the prevention and treatment of CVDs include lipid-lowering drugs, antihypertensives, antiplatelet and anticoagulation therapies. Despite their effectiveness, significant gaps in the treatment of CVDs remain. In this review, we discuss the epidemiology and pathology of the major CVDs that are prevalent globally. We also determine the contribution of well-recognized risk factors towards the development of CVDs and the prevention strategies. In the end, therapies for the control and treatment of CVDs are discussed.

摘要

心血管疾病(CVDs)是人类过早死亡和残疾的主要原因,其发病率在全球范围内呈上升趋势。鉴于它们对医疗保健费用不断攀升的巨大影响,心血管疾病也给普通人群带来了沉重的社会经济负担。几乎所有心血管疾病的潜在发病机制和进展主要源于动脉粥样硬化,进而导致冠状动脉疾病、脑血管疾病、静脉血栓栓塞和外周血管疾病的发生,随后引发心肌梗死、心律失常或中风。导致心血管疾病发病的病因风险因素已得到充分认识,包括高脂血症、高血压、糖尿病、肥胖、吸烟和缺乏体育锻炼。在所有流行病学研究中,它们共同构成了超过90%的心血管疾病风险。尽管心血管疾病死亡率很高,但识别并谨慎预防潜在风险因素可显著减少全球心血管疾病的流行。除了进行有益的生活方式改变外,心血管疾病预防和治疗的主要方法包括降脂药物、抗高血压药物、抗血小板和抗凝治疗。尽管这些方法有效,但心血管疾病治疗仍存在重大差距。在本综述中,我们讨论了全球普遍存在的主要心血管疾病的流行病学和病理学。我们还确定了公认的风险因素对心血管疾病发展的影响以及预防策略。最后,讨论了心血管疾病的控制和治疗方法。

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