美国心血管大流行：一个百年历史

English | ISBN: 1476685126 | 2021 | 257 pages | PDF | 13 MB

As Americans and citizens of other industrializing countries began to enjoy lives of increasing affluence and ease during the first half of the 20th century, a rising tide of heart attacks and strokes displaced infectious diseases as the leading cause of death, killing millions in the United States and throughout the world. Although cardiovascular disease remains serious and widespread, the significant decline of per capita deaths is one of the greatest accomplishments of modern public health and medicine. Death rates from heart attack and stroke have fallen dramatically by 80% in the past 50 years – the progress has been hard won by a combination of basic and applied laboratory research, broad and far-reaching epidemiological studies by physicians, scientists, and public health experts. Cardiovascular disease is no longer viewed as an as an inevitable feature of the natural course of aging, and complacency has given way to hope. This book focuses on developments that influenced the rise and decline of cardiovascular mortality since 1900, but also includes insider insights from the author, a 42-year NIH employee.

在二十世纪初期，美国人和其他工业化国家的公民开始享受日益富裕和舒适的生活时，一波心肌梗死和中风病例取代了传染病成为了导致死亡的主要原因，使数百万美国人在全世界范围内丧生。尽管心血管疾病仍然严重且普遍，现代公共卫生与医学取得的最大成就之一就是人均死亡率显著下降。过去50年里，心脏病发作和中风的死亡率已经下降了80%——这一进步是基于基础性研究与应用型实验室研究相结合、由医生、科学家以及公共卫生专家进行的广泛而深远流行病学调查的结果。现在，心血管疾病不再被视为老化自然进程中的不可避免特征，人们对这种疾病的恐惧让位于希望。这本书关注自1900年以来影响心血管死亡率上升和下降的发展动向，同时也包括了作者——一位42年NIH资深员工——所具有的内部视角。

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