Interpretation of Report on Cardiovascular Health and Diseases in China 2023

doi:10.12114/j.issn.1007-9572.2024.0293

Abstract

Abstract:

The prevalence of cardiovascular disease (CVD) in China is on the rise. It is estimated that there are 330 million people with CVD, including 13 million cases of stroke, 11.39 million cases of coronary heart disease (CHD), 8.9 million cases of heart failure (HF), 5 million cases of pulmonary heart disease, 4.87 million atrial fibrillation, 2.5 million cases of rheumatic heart disease, 2 million cases of congenital heart disease, 45.3 million cases of peripheral arterial disease (PAD), and 245 million cases of hypertension. In 2021, the total number of discharges of patients with cardiovascular and cerebrovascular diseases in China was 27 649 800, accounting for 15.36% of the total number of discharges (including all inpatient diseases) in the same period, including 14 872 300 CVDs, accounting for 8.26%, and 12 777 500 cerebrovascular diseases, accounting for 7.10%. The economic burden of CVD on residents and society still increases, and the inflection point of CVD prevention and treatment has not yet arrived.

Key words: Cardiovascular diseases, Epidemiology, Burden of disease, Risk factors, Prevalence, Mortality, Rehabilitation, Basic research, Medical device development, Expense

摘要：

中国心血管病（CVD）患病率处于持续上升阶段。推算CVD现患人数3.3亿，其中卒中1 300万，冠心病（CHD）1 139万，心力衰竭（HF）890万，肺源性心脏病500万，心房颤动487万，风湿性心脏病250万，先天性心脏病200万，外周动脉疾病（PAD）4 530万，高血压2.45亿。2021年中国心脑血管疾病患者出院总人次数为2 764.98万，占同期出院总人次数（包括所有住院病种）的15.36%，其中CVD 1 487.23万人次，占8.26%，脑血管病1 277.75万人次，占7.10%。CVD给居民和社会带来的经济负担仍在加重，CVD防治的拐点尚未到来。

关键词: 心血管疾病, 流行病学, 疾病负担, 危险因素, 患病率, 死亡率, 康复, 基础研究, 器械研发, 费用

CLC Number:

R 541

LIU Mingbo,HE Xinye,YANG Xiaohong, et al. Interpretation of Report on Cardiovascular Health and Diseases in China 2023[J]. Chinese General Practice, 2025, 28(01): 20-38. DOI: 10.12114/j.issn.1007-9572.2024.0293.
刘明波,何新叶,杨晓红等. 《中国心血管健康与疾病报告2023》要点解读[J]. 中国全科医学, 2025, 28(01): 20-38. DOI: 10.12114/j.issn.1007-9572.2024.0293.

Figures/Tables 20

Figure 1 Proportion of major causes of death among rural Chinese residents in 2021

Figure 2 Proportion of major causes of death among urban Chinese residents in 2021

Figure 3 Changes in cardiovascular mortalities in urban and rural Chinese residents from 2000 to 2021

Figure 4 Mortality rate of coronary heart disease in urban and rural Chinese populations by gender in 2021

Figure 5 Changes in coronary heart diseases mortalities in urban and rural Chinese residents from 2002 to 2021

Figure 6 Changes in acute myocardial infarction mortalities in urban and rural Chinese residents from 2002 to 2021

Figure 7 Incidence rate of stroke among Chinese residents aged 18 and above from 2021 to 2022

Figure 8 Crude mortality rate of cerebrovascular disease in urban and rural Chinese populations by gender in 2021

Figure 9 Trends of crude mortalities of cerebrovascular disease in urban and rural Chinese residents from 2003 to 2021

Figure 10 Dietary micronutrient deficiency rate among Chinese adults based on estimated average requirement（EAR） or adequate intake（AI）

Figure 11 Overweight，obesity，and central obesity rates among residents by gender and age group

Figure 12 Hypertension prevalence among residents by gender and age group

Figure 13 Changes in awareness，treatment，and control rates of hypertension among Chinese adults from 2004 to 2018

Figure 14 Changes in blood lipid levels among Chinese adults aged 18 and above from 2002 to 2015

Figure 15 Dyslipidemia prevalence among residents by gender and age group

Figure 16 Prevalence of different types of dyslipidemia among Chinese adults

Figure 17 Number of hospital discharges of patients with Chinese cardiovascular and cerebrovascular diseases from 1980 to 2021

Figure 18 Hospital discharges of patients with Chinese cardiovascular and cerebrovascular diseases and diabetes mellitus from 1980 to 2021

Figure 19 Disease components of total coronary heart disease hospitalization costs in 2022

Figure 20 Average per-hospitalization costs for different types of cardiovascular diseases in 2022

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