ABSTRACT
Objective To analyze the mortality level, death causes and trend of residents in Heqing Community of Pudong New District，Shanghai，and to provide a basis for formulating disease prevention and control plans. Methods Data of death surveillance of registered population in Heqing Community, Shanghai from January 1, 2013, to December 31, 2019 were collected. Descriptive epidemiological method was used to analyze the population structure, mortality rate, death cause composition and cause order of death of the residents in Heqing Community from 2013 to 2019. Results From 2013 to 2019, the aging level of residents in Heqing Community of Pudong New District each year was much higher than the aging level (16.15%) of the Sixth National Census, and the aging level remained an increasing trend. The death rates of residents in Heqing Community, Shanghai from 2013 to 2019 were 772.62/100 000, 751.59/100 000, 814.37/100 000, 814.43/100 000, 803.64/100 000, 736.52/100 000, and 757.81/100 000, respectively. The average annual mortality rate was 778.51/100 000, and there was significant difference between the male and the female (P<0.05). From 2013 to 2019, the top four causes of death were circulatory system diseases, malignant tumors, respiratory diseases, injuries and poisonings. There were significant differences in malignant tumors and respiratory diseases between the male and the female. Conclusion The aging of residents in Heqing Community of Pudong New District was serious, and the main cause of death of the population was chronic non-communicable diseases, which suggests that local health departments need to strengthen prevention and treatment of chronic diseases, and at the same time，pay attention to other external hazards such as traffic accidents and accidental falls.
ABSTRACT
Objective To explore the effect of different type of atrial fibrillation(AF) on plasma brain natriuretic peptide(BNP) level in male patients.Methods Fifty-eight hospitalized male patients with AF were enrolled,including 35 cases with paroxysmal AF,14 cases with persistent AF,and 9 cases with permanent AF.All subjects had the examination of echocardiography/electrocardiogram within 24 h after admission.Venous blood sample were collected in a quiet prostration state on the next early morning for BNP detection.The plasma BNP level was determined by radioimmunology-assay(RIA).Results The average level of plasma BNP in male patients with permanent AF(2343.25 ± 820.24)μg/L was significantly higher than those with persistent AF([576.43 ± 223.07]μg/L,t=8.74,P＜0.001) and paroxysmal AF([632.74 ± 103.93]μg/L,t=8.73,P＜0.001),but there was no significant difference between the last two groups(t=0.59,P＞0.05).Conclusion BNP is a sensitive indicator of early heart function impairment related with AF,particularly elevates in male patients with permanent AF.
ABSTRACT
Objective To explore the clinical feature of acute coronary syndromes (ACS) in senior populations and provide reference for the clinical diagnosis and treatment. Methods Clinical data of 175 elder patients of ACS and 65 non-elder patients of ACS were collected from September,2006 to September,2009. Clinical data were compared between the two groups. Results The elder ACS patients had higher prevalence of hypertension,cerebro-vascular disorder and renal inadequacy (68.6%, 18.3% and 32.6%, respectively) than those in the non-elder ACS patients (46.2% ,3.1% and 10.8%, respectively) (P<0.01). The level of hemoglobin, cholesterol, LDL and tri-glyceride in the elder ACS patients ((120.93±30.02) g/L, (4.47±1.29) mmol/L, (2.42±1.05) mmol/L and (1.31±0.87)mmol/L,respectively) were lower than those in the non-elder ACS patients ((141.02±17.16)g/L, (4.98±1.01 ) mmol/L, (2.71±0.99) mmol/L and (1.78±1.2) mmol/L, respectively) (P<0.01, P<0.05). However,the level of fibrinogen was higher in the elder ACS patients ((381.01±150.94) μg/L vs ( 338.91± 138.65) μg/L , P<0.05). Conclusions Hypertension, cerebrovascular disorder, hypohemoglobinemia and renal inadequacy are highly correlated with ACS in senior populations. These factors should be considered in chnical diag-nosis and treatment. Early diagnose and treatment in time may decline the case-fatality rate.