<International Circulation>: As we all know， cardiovascular disease is a great problem all over the world， especially in China.  China has a lot， and rapidly growing number， of heart disease patients.  Would you like to introduce the main cardiovascular preventions.

  《国际循环》：众所周知，心血管疾病在世界各地都是一个大问题，尤其是在中国。中国有很多心脏病患者，且数量还在迅速增加。您想介绍一下主要的心血管疾病预防吗？
    Prof Hu:  I think this is the time for change.  For the last 20-30 years cardiology in China mainly has focused on end-stages of disease.  The number of stents placed increased tremendously over the last decade or so， with 2009 until now， each year increasing by nearly 30%.  The number of stents is really staggering， currently increasing by around 60，000 each year.  Already the total number has reached 300，000 in 2010.  Unfortunately， the mortality of cardiovascular diseases has concurrently increased.  Also， the mortality rate of heart attack in China is 2-3 times when compared with other Asian countries like Japan， and the mortality rate of stroke is 30 times higher.  This is really a big problem.  Also a problem is the rate of recurrence.   The number of stents is increasing rapidly， total mortality rate is increasing， and CVD mortality is increasing， these are all important issues that must be addressed.  A big problem is that dietary habits， from a young age among Chinese， are not optimal.  Also， the mortality rate during the acute phase of disease is much higher than in other countries.  The rate of hospitalization due to recurrent events in China is also much higher than other countries.  We can notice from these statistics that the problem is not only money， stents， or imaging equipment， the problem our system of prevention and education.  We need to work harder to address cardiovascular risks before patients get a more serious problem.  Smoking is an enormous problem in China.

    胡大一教授：我认为现在到了改变的时候了。过去20~30年中，中国的心脏病学一直着重于疾病的终末期。在过去10年左右，置入支架的数量大幅增加，2009年至今，每年增加近30%。支架置入的数量着实令人震惊，目前每年增加约60 000。2010年总数量已经达到300 000。不幸的是，心血管疾病的死亡率也同时升高。此外，中国心脏病发作的死亡率是其他亚洲国家如日本的2~3倍，且卒中的死亡率高出30倍。这的确是个大问题。此外一个问题是复发率。支架置入的数量在快速增加，总死亡率在升高，且CVD死亡率在升高，这些都是必须要解决的重要问题。一个重大问题是中国人从年轻时开始饮食习惯就不是最佳的。此外，疾病急性期期间的死亡率远高于其他国家。在中国由于复发事件所致住院率也远高于其他国家。我们从这些统计数字中可以看到，问题不只是金钱、支架或影像设备，还有我们的预防和教育系统。我们需要更加努力的工作以在患者面临更严重的问题之前解决心血管风险。吸烟在中国是一个巨大的问题。

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