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Trends in the prevalence of heart diseases over a ten-year period from single-center observations based on a large echocardiographic database |
Hao Lu1,Wen-zhi Pan1,Quan Wan2,Lei-lei Cheng2,?(),Xian-hong Shu2,Cui-zhen Pan2,Ju-ying Qian1,Jun-bo Ge1,?() |
1 Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China 2 Department of Echocardiography, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China |
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Abstract There is a paucity of data regarding trends in the incidence of heart disease in China during recent years. Using a large echocardiography database in our center, we analyzed trends in the prevalence of several common heart diseases from Dec. 2003. This study retrospectively analyzed the echocardiographic database in our Department from 2003 to 2012. A total of 385 682 cases were included in the study. The prevalence of rheumatic heart disease decreased over the 10-year period, from 4.04% in 2003 to 3.06% in 2012 (P<0.01). Infective endocarditis also decreased, from a mean prevalence of 0.37% in July 2003 to 0.27% in Dec. 2008 (P<0.001). The prevalence of hypertrophic cardiomyopathy, which includes 20% apical hypertrophic cardiomyopathy and 20% hypertrophic obstructive cardiomyopathy, was about 1.8%. The prevalence of the three most common adult congenital heart diseases (CHDs) decreased by about 10% from July 2003 to Dec. 2008 (all P<0.001). The prevalence of moderate pulmonary arterial hypertension (PAH) or left ventricular systolic dysfunction (LVSD) decreased during the 10-year period (P<0.001), but there was no change in the prevalence of severe PAH or LVSD (P>0.05). The present study indirectly demonstrates that the prevalence of several common heart diseases in China has declined in recent years.
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Received: 01 June 2015
Published: 01 January 2016
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Fund: Project supported by the National Natural Science Foundation of China(Nos. 81400318, 81300209) |
Corresponding Authors:
Lei-lei Cheng,Jun-bo Ge
E-mail: cheng.leilei@zs-hospital.sh.cn;jbge@zs-hospital.sh.cn
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[1] |
Douglas PS, Garcia MJ, Haines DE. Appropriate use criteria for echocardiography. J Am Soc Echocardiogr. 2011, 24(3):229-267. (Available from: http://dx.doi.org/10.1016/j.echo.2010.12.008)
doi: 10.1016/j.echo.2010.12.008
|
|
|
[2] |
Chen HZ, Fan WH, Jin XJ. Changing trends of etiologic characteristics of cardiovascular diseases among inpatients in Shanghai: a retrospective observational study from 1948 to 1999. Chin J Intern Med. 2003, 42(12):829-832. (in Chinese)
pmid: 14728870
|
|
|
[3] |
Eriksson MJ, Sonnenberg B, Woo A. Long-term outcome in patients with apical hypertrophic cardiomyopathy. J Am Coll Cardiol. 2002, 39(4):638-645. (Available from: http://dx.doi.org/10.1016/S0735-1097(01)01778-8)
doi: 10.1016/S0735-1097(01)01778-8
pmid: 11849863
|
|
|
[4] |
He J, Gu D, Wu X. Major causes of death among men and women in China. N Engl J Med. 2005, 353(11):1124-1134. (Available from: http://dx.doi.org/10.1056/NEJMsa050467)
doi: 10.1056/NEJMsa050467
|
|
|
[5] |
Li J, Li X, Wang Q. ST-segment elevation myocardial infarction in China from 2001 to 2011 (the China PEACE-Retrospective Acute Myocardial Infarction Study): a retrospective analysis of hospital data. Lancet. 2014, 385(9966):441-451
|
|
|
[6] |
Maron BJ, Gardin JM, Flack JM. Prevalence of hypertrophic cardiomyopathy in a general population of young adults: echocardiographic analysis of 4111 subjects in the CARDIA Study. Circulation. 1995, 92(4):785-789. (Available from: http://dx.doi.org/10.1161/01.CIR.92.4.785)
doi: 10.1161/01.CIR.92.4.785
|
|
|
[7] |
Mitchell SC, Korones SB, Berendes HW. Congenital heart disease in 56,109 births. Incidence and natural history. Circulation. 1971, 43(3):323-332. (Available from: http://dx.doi.org/10.1161/01.CIR.43.3.323)
doi: 10.1161/01.CIR.43.3.323
pmid: 5102136
|
|
|
[8] |
Moro E, D'Angelo G, Nicolosi GL. Long-term evaluation of patients with apical hypertrophic cardiomyopathy. Correlation between quantitative echocardiographic assessment of apical hypertrophy and clinical-electrocardiographic findings. Eur Heart J. 1995, 16(2):210-217
|
|
|
[9] |
NCCD (National Center for Cardiovascular Disease of China) Report on Cardiovascular Disease in China (2008–2009). 2010. Encyclopedia of China Publishing House. 7 (in Chinese)
|
|
|
[10] |
Sakamoto T, Tei C, Murayama M. Giant T wave inversion as a manifestation of asymmetrical apical hypertrophy (AAH) of the left ventricle: echocardiographic and ultrasono-cardiotomographic study. Jpn Heart J. 1976, 17(5):611-629. (Available from: http://dx.doi.org/10.1536/ihj.17.611)
doi: 10.1536/ihj.17.611
pmid: 136532
|
|
|
[11] |
Warnes CA, Liberthson R, Danielson GK. Task force 1: the changing profile of congenital heart disease in adult life. J Am Coll Cardiol. 2001, 37(5):1170-1175. (Available from: http://dx.doi.org/10.1016/S0735-1097(01)01272-4)
doi: 10.1016/S0735-1097(01)01272-4
pmid: 11300418
|
|
|
[12] |
Wigle ED, Sasson Z, Henderson MA. Hypertrophic cardiomyopathy: the importance of the site and extent of hypertrophy: a review. Prog Cardiovasc Dis. 1985, 28(1):1-83. (Available from: http://dx.doi.org/10.1016/0033-0620(85)90024-6)
doi: 10.1016/0033-0620(85)90024-6
|
|
|
[13] |
World Health Organization. Preventing chronic diseases: a vital investment. 2005 Available from: [Accessed on Apr. 10, 2015]
|
|
|
[14] |
World Health Organization. World health statistics 2009. 2009 Geneva: World Health Organization. Available from [Accessed on Apr. 10, 2015]
|
|
|
[15] |
Yang G, Kong L, Zhao W. Emergence of chronic non-communicable diseases in China. Lancet. 2008, 372(9650):1697-1705. (Available from: http://dx.doi.org/10.1016/S0140-6736(08)61366-5)
doi: 10.1016/S0140-6736(08)61366-5
pmid: 18930526
|
|
|
[16] |
Yang XY, Li XF, Lü XD. Incidence of congenital heart disease in Beijing, China. Chin Med J (Engl). 2009, 122(10):1128-11132
doi: 10.3760/cma.j.issn.0366-6999.2009.10.002
pmid: 19493457
|
|
|
[17] |
Wang ZM, Zou YB, Song L. Prevalence of chronic rheumatic heart disease in Chinese adults. Int J Cardiol. 2006, 107(3):356-359. (Available from: http://dx.doi.org/10.1016/j.ijcard.2005.03.048)
doi: 10.1016/j.ijcard.2005.03.048
pmid: 16503258
|
|
|
[18] |
Zoghbi WA, Enriquez-Sarano M, Foster E. Recommendations for evaluation of the severity of native valvular regurgitation with two-dimensional and Doppler echocardiography. J Am Soc Echocardiogr. 2003, 16(7):777-802. (Available from: http://dx.doi.org/10.1016/S0894-7317(03)00335-3)
doi: 10.1016/S0894-7317(03)00335-3
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