Pay attention to vascular health and understand pan-vascular diseases

In the face of the huge threat of cardiovascular disease to human life and health and the dilemma of over-focusing on local lesions caused by the subdivision of disciplines, scholars at home and abroad in recent years have proposed “

/span>panvascular disease” and advocates the concept of systematic prevention and control to provide patients with a more comprehensive and comprehensive treatment to achieve cardiovascular The early arrival of the inflection point of events.

I. The concept of panvascular disease

pan Blood vessels refer to the vascular system of the human body, which is a complex network composed of arteries, veins, lymphatic vessels, etc. ” and the “lifeline” of human health. Panvascular diseases are a group of systemic vascular diseases with vascular lesions (95% of which are atherosclerosis) as a common pathological feature, which mainly endanger important organs such as the heart, brain, kidneys, limbs and large arteries. The broad panvascular disease also includes small, microvascular, venous, and tumor, diabetes, and immune-related vascular diseases.

II. Significance and status of panvascular research

< span>The high incidence and mortality of vascular diseases are becoming increasingly prominent worldwide, which seriously threatens human health. The occurrence and development of vascular diseases mostly originate from the interaction of various factors in the internal and external environment of the body, and are rarely the result of one-way action of a certain factor. In today’s increasingly complex and microscopic research, the commonalities and characteristics of vascular diseases are rarely addressed comprehensively, and the research results are often fragmented and relatively isolated. From a block-based research model that takes a single target organ as the research object to an integrated research model with “pan-vascular” as the platform, it can systematically solve the key scientific problems in the occurrence and development of pan-vascular diseases and the repair of target organ damage, highlighting the Systematic transformation of a series of innovative achievements to effectively curb the spread of the pan-vascular health crisis.

Three, the concept of prevention and treatment of panvascular diseases

Although The cardiovascular system is a complex network system, but from embryogenesis, arteries, veins, microcirculatory vessels and lymphatic vessels all originate from primitive vascular cells differentiated from blood islands. Common risk factors for panvascular disease include hypertension, diabetes, hyperlipidemia, smoking, and obesity. Atherosclerosis is the main pathological change of panvascular diseases. Treatment options for panvascular disease are also similar, including lifestyle modification, risk factor control, anti-atherosclerotic drugs, antithrombotic drugs, endovascular intervention, and surgical vascular bypass grafting. Regardless of vascular origin, risk factors, or prevention and control strategies, panvascular diseases have similar characteristics in general. Therefore, from the perspective of systems biology, it is of great significance to re-understand the occurrence, development and characteristics of vascular diseases.

Panvascular disease is a systemic disease, and the concept of prevention and control reflects the unity of commonality and individuality, that is, systematic prevention and treatment It is unified with the targeted intervention of vascular disease. Systematic prevention and treatment starts from the whole process of the occurrence, development and characteristics of vascular diseases, from the screening of individual organs to the assessment and risk stratification of comprehensive risk factors and polyvascular diseases, and the overall prevention and control of systemic factors. A new disease management model that emphasizes multidisciplinary cooperation and interdisciplinary integration provides patients with a more comprehensive and comprehensive treatment. The overall and comprehensive evaluation of blood vessels, timely intervention, prevention and even reversal of vascular lesions will bring great changes to the prevention, diagnosis and treatment of heart and vascular diseases.

References

[1 ] Yang Jing, Wang Keqiang, Huo Yong, Wang Yongjun, Ge Junbo. Scientific statement on the comprehensive prevention and treatment of panvascular diseases [J]. China Circulation Journal, 2019,34(11):1041-1046.

[2] Fu Weiguo, Yang Jing, Ge Junbo. How to understand panvascular medicine[J]. China Medical Information Bulletin, 2020,35(17):20- 20.

[3] Ge Junbo. Deepening the concept of systems biology and promoting the development of pan-vascular medicine[J]. Chinese Journal of Cardiovascular Diseases, 2016, 44(05):373-374.

[4] You Liang Zhen, Zhao Chen, Zhang Xiaoyu, Shang Hongcai, Wang Yongyan.Theoretical basis and implementation ideas of integrated traditional Chinese and western medicine for prevention and treatment of panvascular diseases under the theory of disease and collaterals[J].Chinese Journal of Integrative Medicine:1-4

Written by: Ma Dan, Xu Hao

Beauty Editor: Wang Tongxin


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Expert Profile

Xu Hao, MD, Chief Physician, Professor, doctoral supervisor, currently the vice president of Xiyuan Hospital of the Chinese Academy of Chinese Medical Sciences, concurrently the vice chairman and secretary general of the Cardiovascular Professional Committee of the World Federation of Chinese Medicine Societies, the chairman of the Chinese Society of Integrative Medicine and the chairman of the professional committee for promoting blood circulation and removing blood stasis, Vice-Chairman of the Medical Professional Committee. He was selected into the third batch of national outstanding TCM clinical talents, won the honorary titles such as National Talents of Hundreds of Thousands of Talents, Young and Middle-aged Scientific and Technological Innovation Leaders of the Ministry of Science and Technology, and Famous Young and Middle-aged Chinese Medicine Doctors in the Capital, and enjoys special government allowances from the State Council.

Good at: Integrated traditional Chinese and Western medicine in the treatment of coronary heart disease, hypertension, heart failure, premature beats, bradycardia, paroxysmal atrial fibrillation, myocarditis sequelae, hyperlipidemia, arteriosclerosis Plaque, cardiac neurosis, etc.; insomnia, headache, dizziness, cough and asthma, stomach pain, constipation, spontaneous sweating and night sweating and other medical miscellaneous diseases and sub-health state Chinese medicine conditioning.

Visit time: Xiyuan Hospital, Chinese Academy of Chinese Medical Sciences

  • Expert clinic: Tuesday morning
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