冠状动脉疾病

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AHalf-CenturyofProgressinHealthheNationalAcademyofMedicineat50

半个世纪的健康进步:50医院

ConqueringAtheroscleroticCardiovascularDisease—50YearsofProgress

征服动脉粥样硬化性心血管疾病-50年的进展

GaryH.Gibbons,M.D.,ChristineE.Seidman,M.D.,andEricJ.Topol,M.D.

翻译:猫,校对:叮当丸子麻

Thetrajectory发展轨迹ofcardiovasculardiseaseisshapedbytheinteractionbetweenpolygenicfactorsandenvironmentalinfluences.Longitudinalstudies纵向研究haveprovidedevidencethatduringchildhoodandearlyadulthood,exposuretoneighborhood-levelfactorssuchassocialdeprivation社会剥夺andracialsegregation种族隔离,limitedaccesstoahealthydiet,lackofopportunitiesforregularexercise,andsuboptimal次选的healthcarecanaffectthetrajectoryofcardiovasculardiseaseoverthelifecourse.Theinfluenceofsocialdeterminantsofhealthandtheexacerbationofhealthinequitieshavepreventedfurtherprogressagainstcardiovasculardisease.Addressinginequitieswillbeanimportantnextstepineffortstoalleviatetheburdensofcardiovasculardisease.Thisstepwillrequireacollectiveapproachinvolvingacademicresearchers,clinicians,andmanyotherpartnersthatengagesthe

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