Abstract
Cardiovascular disease (CVD) remained the leading cause of death in 2018, accounting for 46.66% and 43.81% of all deaths in 
environmental and lifestyles factors. The core of primordial prevention concept refers that we should not only treat the CVD risk 
million, 45.3 million and 245 million, respectively. Due to the widespread prevalence of unhealthy lifestyle factors such as unhealthy 
is related to dyslipidemia, smoking, and higher blood pressure, glucose levels, and body mass index, the implication of primordial 
China.
diet, insufficient physical activity, and smoking etc, the absolute number of people suffering from hypertension, dyslipidemia, 
Key words cardiovascular disease; epidemiology; health influencing factors; risk factors; prevalence; mortality; 
diabetes, and obesity in China is still on the rise, which will further increase the morbidity and mortality of CVD in China. The 
prevention strategy must start early in life. This strategy might provide enormous potential for future reductions in CVD rates in 
factors, but more importantly we should also try our best to prevent CVD risk factors. Because atherosclerosis starts in youth and 
disease, peripheral artery disease and hypertension were 13 million, 1139 million, 5 million, 89 million, 487 million, 25 million, 2 
communitybased prevention and control; rehabilitation; basic research; medical device development
rural and urban areas, respectively. It is estimated that about 330 million people suffered from CVD. The number of patients suffering 
from stroke, coronary heart disease, pulmonary heart disease, heart failure, atrial fibrillation, rheumatic heart disease, congenital heart 
prevention of CVD should transit from the attempts of primary prevention by targeting the risk factors of CVD to targeting the 
(Chinese Circulation Journal, 2021, 36: 521.)

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