The Third Plenary Session of the 20th Central Committee of the Communist Party of China clearly stated that it is necessary to"implement the health-first strategy and improve the public health system",which is the foundation for promoting the development of China's health services and also points out the development direction of China's health services in the future.Lifestyle medicine is an inevitable choice following the development mode of modern medicine and the change of disease spectrum,and lifestyle intervention is the most effective and economical means of disease prevention.At present,the development of lifestyle medicine in China faces significant challenges,majoring in the following four respects:lack of mechanism researches and evidence-based researches,difficulty to get paid for provided services,shortage of professionals,and lack of effective promotion and popularization measures.In view of this,we propose five major initiatives to promote the popularization of healthy lifestyle:It is recommended to vigorously promote the national healthy lifestyle campaign;It is recommended to set up lifestyle medicine departments in all public hospitals with the potential capacity;It is recommended that all medical schools and medical colleges in China should establish lifestyle medicine majors;It is suggested to cooperate with social forces to promote the development of lifestyle medicine industry;It is recommended to hold the national healthy lifestyle medicine conference.

The National Report on the Services,Quality and Safety in Medical Care System-Cardiovascular Disease Specialty Volume 2024(hereinafter referred to as the report)was organized and compiled by the National Center for Cardiovascular Quality Improvement.Based on representative national medical quality monitoring and survey data,it comprehensively analyzes and presents the current status and changing trends of medical services and quality safety in the cardiovascular disease specialty in China,and proposes future key work directions and improvement suggestions for weak links and common problems.The main content of the report is divided into two parts.The first part covers the overall situation of medical services for cardiovascular disease,mainly analyzing the overall medical service volume,patient characteristics,and the implementation of key diagnostic and treatment technologies.The second part covers the analysis of key quality control indicators for cardiovascular disease subspecialties,which analyzes the medical service volume,patient characteristics,process quality control indicators,and outcome quality control indicators for 12 specialties including coronary heart disease,heart failure,hypertension,atrial fibrillation,pulmonary hypertension,cardiomyopathy,cardiac surgery,major vascular surgery,structural heart disease intervention,arrhythmia intervention,extracorporeal circulation and extracorporeal life support,and cardiovascular imaging.The analysis focuses on key points of medical quality control and makes in-depth comparisons of regional differences in medical quality and the homogeneity of medical quality among hospitals within regions.The report provides evidence-based support for health administrative departments at all levels to formulate corresponding policies and offers important data support for enhancing the scientific and refined management of medical quality and safety of cardiovascular disease in China.

Objectives:To establish the Chinese Healthy Lifestyle Index(CHLI),which can be applied to comprehensively assess healthy level of lifestyle among Chinese population.Methods:Potential indicators were screened through literature review.Enrolled indicators were determined by the Delphi expert consultation method and the weight of the indicator was assessed by the analytic hierarchy process(AHP).Finally,the CHLI was obtained though weighted sum.Results:In both rounds of correspondence,the positive coefficients were 92.9% and 93.8%,and the expert authority coefficients were 0.846±0.027 and 0.861±0.030,respectively.The coordination coefficients Kendall's W of the importance scores on primary/secondary indicators were 0.482/0.451 and 0.535/0.557 for the first and second round of consultation,respectively(all P<0.001),indicating a good coordination between expert opinions.The final index system of CHLI includes 5 primary indicators and 28 secondary indicators.Regarding the weights of primary indicators,the highest weight was assigned to diet(0.239),followed by psychological health(0.220),physical activity(0.198),nicotine exposure(0.175)and sleep health(0.167).The combined weights of the secondary indicators ranged from 0.009 to 0.198.The consistency ratios of the AHP judgment matrices were all less than 0.1,indicating the results were credible.Conclusions:The CHLI can be used to comprehensively evaluate the healthy level of lifestyle among Chinese population.

The"Report on Cardiovascular Health and Diseases in China"is compiled by the National Center for Cardiovascular Diseases under the guidance of the National Health Commission.Since its inception in 2005,the report has spanned two decades.It has consistently adhered to the principles of professionalism,cutting-edge insights,representativeness,and authority.By continuously collecting,analyzing,and disseminating data on changes in cardiovascular health-related factors and disease trends,the report serves as a critical reference for policymakers in formulating public health strategies,identifying priority intervention areas,evaluating the effectiveness of prevention and control measures,and optimizing resource allocation.Cardiovascular diseases(CVD)remain the leading cause of death among urban and rural residents in China,accounting for 48.98%of rural deaths and 47.35%of urban deaths in 2021,and 2 out of every 5 deaths were CVD-related.The Healthy China 2030 initiative includes a dedicated"Cardiovascular and Cerebrovascular Disease Prevention and Control Action"among its 15 key campaigns,setting a clear target:reducing CVD mortality to 190.7 per 100 000 or lower by 2030.To achieve this goal,more refined action plans and high-quality multidimensional data are needed to track the CVD prevention progress.This includes not only monitoring and reporting CVD incidence,prevalence,mortality,disease burden,and healthcare quality but also actively promoting and tracking improvements in cardiovascular health indicators,such as tobacco consumption,diet,physical activity,sleep,body mass index(BMI),blood pressure,cholesterol,blood glucose,and environmental factors.

The National Report on the Services,Quality and Safety in Medical Care System-Cardiovascular Disease Specialty Volume 2024(hereinafter referred to as the report)was organized and compiled by the National Center for Cardiovascular Quality Improvement.Based on representative national medical quality monitoring and survey data,it comprehensively analyzes and presents the current status and changing trends of medical services and quality safety in the cardiovascular disease specialty in China,and proposes future key work directions and improvement suggestions for weak links and common problems.The main content of the report is divided into two parts.The first part covers the overall situation of medical services for cardiovascular disease,mainly analyzing the overall medical service volume,patient characteristics,and the implementation of key diagnostic and treatment technologies.The second part covers the analysis of key quality control indicators for cardiovascular disease subspecialties,which analyzes the medical service volume,patient characteristics,process quality control indicators,and outcome quality control indicators for 12 specialties including coronary heart disease,heart failure,hypertension,atrial fibrillation,pulmonary hypertension,cardiomyopathy,cardiac surgery,major vascular surgery,structural heart disease intervention,arrhythmia intervention,extracorporeal circulation and extracorporeal life support,and cardiovascular imaging.The analysis focuses on key points of medical quality control and makes in-depth comparisons of regional differences in medical quality and the homogeneity of medical quality among hospitals within regions.The report provides evidence-based support for health administrative departments at all levels to formulate corresponding policies and offers important data support for enhancing the scientific and refined management of medical quality and safety of cardiovascular disease in China.

Objectives:To establish the Chinese Healthy Lifestyle Index(CHLI),which can be applied to comprehensively assess healthy level of lifestyle among Chinese population.Methods:Potential indicators were screened through literature review.Enrolled indicators were determined by the Delphi expert consultation method and the weight of the indicator was assessed by the analytic hierarchy process(AHP).Finally,the CHLI was obtained though weighted sum.Results:In both rounds of correspondence,the positive coefficients were 92.9% and 93.8%,and the expert authority coefficients were 0.846±0.027 and 0.861±0.030,respectively.The coordination coefficients Kendall's W of the importance scores on primary/secondary indicators were 0.482/0.451 and 0.535/0.557 for the first and second round of consultation,respectively(all P<0.001),indicating a good coordination between expert opinions.The final index system of CHLI includes 5 primary indicators and 28 secondary indicators.Regarding the weights of primary indicators,the highest weight was assigned to diet(0.239),followed by psychological health(0.220),physical activity(0.198),nicotine exposure(0.175)and sleep health(0.167).The combined weights of the secondary indicators ranged from 0.009 to 0.198.The consistency ratios of the AHP judgment matrices were all less than 0.1,indicating the results were credible.Conclusions:The CHLI can be used to comprehensively evaluate the healthy level of lifestyle among Chinese population.

The"Report on Cardiovascular Health and Diseases in China"is compiled by the National Center for Cardiovascular Diseases under the guidance of the National Health Commission.Since its inception in 2005,the report has spanned two decades.It has consistently adhered to the principles of professionalism,cutting-edge insights,representativeness,and authority.By continuously collecting,analyzing,and disseminating data on changes in cardiovascular health-related factors and disease trends,the report serves as a critical reference for policymakers in formulating public health strategies,identifying priority intervention areas,evaluating the effectiveness of prevention and control measures,and optimizing resource allocation.Cardiovascular diseases(CVD)remain the leading cause of death among urban and rural residents in China,accounting for 48.98%of rural deaths and 47.35%of urban deaths in 2021,and 2 out of every 5 deaths were CVD-related.The Healthy China 2030 initiative includes a dedicated"Cardiovascular and Cerebrovascular Disease Prevention and Control Action"among its 15 key campaigns,setting a clear target:reducing CVD mortality to 190.7 per 100 000 or lower by 2030.To achieve this goal,more refined action plans and high-quality multidimensional data are needed to track the CVD prevention progress.This includes not only monitoring and reporting CVD incidence,prevalence,mortality,disease burden,and healthcare quality but also actively promoting and tracking improvements in cardiovascular health indicators,such as tobacco consumption,diet,physical activity,sleep,body mass index(BMI),blood pressure,cholesterol,blood glucose,and environmental factors.

The Third Plenary Session of the 20th Central Committee of the Communist Party of China clearly stated that it is necessary to"implement the health-first strategy and improve the public health system",which is the foundation for promoting the development of China's health services and also points out the development direction of China's health services in the future.Lifestyle medicine is an inevitable choice following the development mode of modern medicine and the change of disease spectrum,and lifestyle intervention is the most effective and economical means of disease prevention.At present,the development of lifestyle medicine in China faces significant challenges,majoring in the following four respects:lack of mechanism researches and evidence-based researches,difficulty to get paid for provided services,shortage of professionals,and lack of effective promotion and popularization measures.In view of this,we propose five major initiatives to promote the popularization of healthy lifestyle:It is recommended to vigorously promote the national healthy lifestyle campaign;It is recommended to set up lifestyle medicine departments in all public hospitals with the potential capacity;It is recommended that all medical schools and medical colleges in China should establish lifestyle medicine majors;It is suggested to cooperate with social forces to promote the development of lifestyle medicine industry;It is recommended to hold the national healthy lifestyle medicine conference.

Since 1990,significant progress has been achieved on solving the problem of"treatment difficulty"of cardiovascular diseases(CVD)in China.There are huge population with CVD risk factors due to the prevalent unhealthy lifestyle among Chinese residents,this situation is further worsened due to accelerated aging of the population in China.CVD remains one of the greatest threats to the health of Chinese residents.In terms of proportions of disease mortality among urban and rural residents in China,CVD still ranks the first.In 2021,CVD accounted for 48.98%and 47.35%of deaths in rural and urban areas,respectively.Two out of every five deaths are due to CVD.In order to implement the national policy of"focusing on the primary health institute and emphasizing prevention"and truly achieve the shift of the CVD prevention and treatment from hospitals to communities,the National Center for Cardiovascular Diseases has organized experts from relevant fields across the country to compile the"Report on Cardiovascular Health and Diseases in China"annually since 2005.This year's report is established based on representative,published,and high-quality big-data research results from cross-sectional and cohort population epidemiological surveys,randomized controlled clinical studies,large sample registry studies,and typical community prevention and treatment cases,present report also includes data from some of the projects undertaken by the National Center for Cardiovascular Diseases.These first hand data not only enrich the content of the current report but also provide a more timely and comprehensive reflection of the status of CVD prevention and treatment in China.

The left ventricular assist device(LVAD)is an effective treatment modality for patients with advanced heart failure and has been gradually promoted in China in recent years.This expert consensus summarizes the latest understanding and diagnostic and treatment standards for intensive care management of patients with LVAD during the early post-implantation period,including handover upon admission to the intensive care unit(ICU),ICU evaluation,ventricular assist device related parameters and issues,pump speed regulation,hemodynamic monitoring and treatment,mechanical ventilation management,coagulation management,anti-infective prevention and treatment,arrhythmia and right heart failure management aiming to guide standardized ICU management after LVAD implantation,reduce early postoperative mortality and incidence of complications,and improve long-term prognosis.