Prevalence and associated risk factors of carotid plaque and artery stenosis in China: a population-based study  

作　　者：Qingjia Zeng Chongyang Zhang Xinyao Liu Shengmin Yang Muyuan Ma Jia Tang Tianlu Yin Shanshan Zhao Wenjun Tu Hongpu Hu 

机构地区：[1]Institute of Medical Information/Medical Library,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing,100020,China [2]Key Laboratory of Endocrinology of National Health Commission,Department of Endocrinology,State Key Laboratory of Complex Severe and Rare Diseases,Peking Union Medical College Hospital,Chinese Academy of Medical Science and Peking Union Medical College,Beijing,100730,China [3]Department of Earth System Science,Ministry of Education Key Laboratory for Earth System Modeling,Institute for Global Change Studies,Tsinghua University,Beijing,100084,China [4]Department of Infectious Diseases,Peking Union Medical College Hospital,Peking Union Medical College and Chinese Academy of Medical Sciences,Beijing,100730,China [5]Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing,100070,China

出　　处：《Frontiers of Medicine》2025年第1期64-78,共15页医学前沿(英文版)

摘　　要：Stroke is a critical health issue in China, and carotid artery stenosis and plaque play key roles in its prevalence. Despite the acknowledged significance of this condition, detailed information regarding the prevalence of carotid artery stenosis and plaque across the Chinese population has been scarce. This study analyzed data from the China Stroke High-risk Population Screening and Intervention Program for 2020–2021, focusing on 194 878 Chinese adults aged 40 years and above. It assessed the prevalence of carotid artery stenosis and plaque and identified their associated risk factors. Results revealed a standardized prevalence of 0.40% for carotid artery stenosis and 36.27% for carotid plaque. Notably, the highest rates of stenosis were observed in north and south China at 0.61%, while southwestern China exhibited the highest plaque prevalence at 43.17%. Key risk factors included older age, male gender, hypertension, diabetes, stroke, smoking, and atrial fibrillation. This study highlights significant geographical and demographic disparities in the prevalence of these conditions, underlining the urgent need for targeted interventions and policy reforms. These measures are essential for reducing the incidence of stroke and improving patient outcomes, addressing this significant health challenge in China.

关 键 词：carotid plaque carotid artery stenosis PREVALENCE risk factors Bigdata Observatory Platform for stroke in China 

分 类 号：R74[医药卫生—神经病学与精神病学]