央视网消息：近期，全国多地气温骤降，医院接诊的心脑血管疾病患者明显增多，记者对北京安贞医院急诊科进行了探访。 临床研究显示，温度每降低1摄氏度，患脑卒中的风险就会升高1.13%。而冬季摄入的更多高热量食物，也可能引起胆固醇和血脂升高。 那我们该如何及时识别脑卒中症状？出现症状又该如何正确应对呢？ ...

（央视财经《正点财经》）最近几天，在今年下半年来最强冷空气影响下，我国大部地区气温频繁刷新立秋后新 低。气温骤降让心脑血管面临"考验"，脑梗等心脑血管疾病患者明显增加。 首都医科大学宣武医院神经内科医生 吴隆飞：在途中120会联系我们，大夫会提前准备等患者到，黄金时间段是4 个半小时之内溶栓或取栓，越早越好。尽量打通绿色通道，大夫胸前都有一个绿色的标志，这样的话交钱、做 CT、做检查优先不排队，就为了争分夺秒，缩短院内延误时间。 转载请注明央视财经 编辑：王一帆 这几天，首都医科大学宣武医院急诊科接诊的脑梗患者明显增多，一位患者来自门头沟区，一个半小时前发病。 经过查体和CT检查，医生判断这位患者是急性脑梗。由于症状有所缓解，采取保守治疗。 医生提醒，出现半边身体不能动、手脚发麻、说不出话等症状，就要怀疑是脑梗或脑出血，要及时就医，大多数 医院都开通了卒中急救绿色通道。 ...

Core Insights - The public's awareness of carotid artery plaques has increased significantly, with detection rates of 40% in individuals over 40 years old and up to 100% in those over 60 in China [1] Group 1: Understanding Carotid Artery Plaques - Carotid artery plaques are accumulations of fat, cholesterol, calcium, and cellular debris on the inner walls of the carotid arteries, which can narrow the passage for blood flow to the brain [1] - A study by Peking University found that approximately 20% of over 10 million surveyed adults in China have carotid artery plaques, indicating a widespread health concern [1] Group 2: Causes of Carotid Artery Plaques - The formation of carotid artery plaques is closely linked to lifestyle choices, genetic factors, and aging [2][3] - High-fat and high-salt diets, lack of exercise, and a family history of cardiovascular diseases increase the risk of plaque formation [3] Group 3: Detection and Management - Ultrasound examinations are the most common method for detecting hidden plaques, and regular health check-ups are recommended [4] - Carotid artery plaques can be reversed through lifestyle changes such as a balanced diet rich in fruits, vegetables, and whole grains, along with regular moderate exercise [5] - Regular health check-ups are crucial for individuals with a family history of cardiovascular diseases or chronic conditions like hypertension and diabetes [6] - Adjusting lifestyle, including dietary changes and exercise, can help manage and control carotid artery plaques, reducing the risk of cardiovascular diseases [6]

Core Insights - The prevalence of carotid artery plaques is increasing, with detection rates of 40% in individuals over 40 years old and up to 100% in those over 60 years old in China [1][4] - Carotid artery plaques are formed by the accumulation of substances like fat, cholesterol, calcium, and cellular debris, which can narrow blood vessels and potentially lead to serious health issues such as stroke and cardiovascular diseases [1][3] Summary by Sections What are Carotid Artery Plaques? - Carotid artery plaques are akin to impurities that accumulate in the arteries, similar to scale buildup in pipes, which can obstruct blood flow to the brain [1][3] How are Carotid Artery Plaques Formed? - The formation of carotid artery plaques is closely linked to lifestyle choices, genetic factors, and aging [5][6] - High-fat and high-salt diets, lack of exercise, and a family history of cardiovascular diseases increase the risk of plaque formation [6] Detection and Management of Carotid Artery Plaques - Ultrasound examinations are the most common method for detecting hidden plaques, and regular health check-ups are recommended [8][10] - Lifestyle changes, including a balanced diet rich in fruits, vegetables, and whole grains, along with regular moderate exercise, can help reduce harmful cholesterol levels and prevent plaque formation [8][10] - Regular health screenings are crucial for individuals with a family history of cardiovascular diseases, hypertension, or diabetes [10] - In cases of severe blockage or high stroke risk, medical interventions such as carotid endarterectomy or stenting may be recommended to restore blood flow [11]

Core Insights - The article highlights the increasing prevalence of coronary heart disease (CHD) in China, particularly among younger individuals, driven by unhealthy lifestyle choices and societal pressures [1][2][3]. Group 1: Prevalence and Trends - Coronary heart disease patients in China have exceeded 11 million, growing at an annual rate of approximately 2.5% [1]. - There is a concerning trend of younger individuals being diagnosed with CHD, attributed to unhealthy lifestyles and various environmental and psychological factors [1][2][3]. Group 2: Lifestyle Factors - Unhealthy lifestyle choices, such as a Westernized diet high in calories, fats, and sugars, along with reduced physical activity, are significant contributors to the rising rates of CHD among the youth [2][3]. - Factors like prolonged sitting, lack of exercise, sleep deprivation, and high stress levels further exacerbate the risk of developing cardiovascular diseases [3][4]. Group 3: Prevention and Management - Emphasis is placed on preventive measures for individuals under 35, including adopting healthy habits, regular health check-ups, and maintaining a balanced diet [2][4]. - Key recommendations for prevention include low-salt and low-fat diets, regular exercise, weight management, and stress control [2][4][5]. Group 4: Treatment Approaches - Drug therapy is considered the cornerstone of CHD treatment, aimed at alleviating symptoms, slowing plaque progression, and preventing thrombosis [7][8]. - Surgical options include percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG), with the choice depending on the severity and extent of the disease [7][9]. Group 5: Advances in Treatment - New drug developments, such as PCSK9 inhibitors, show promise in significantly lowering lipid levels and improving patient outcomes compared to traditional statins [8][9]. - The integration of advanced technologies, including AI and imaging techniques, is enhancing the precision of CHD diagnosis and treatment [9].

Core Viewpoint - The article discusses the phenomenon known as "Autumn Tiger," which refers to a period of high temperatures persisting after the official start of autumn, particularly in southern China, where temperatures have reached up to 40°C [1][3]. Group 1: Weather Patterns - The Central Meteorological Observatory predicts that regions such as Jianghan, Jianghuai, Jiangnan, and eastern Sichuan Basin will continue to experience high temperatures in the coming week [1]. - "Autumn Tiger" is characterized by a sudden rise in temperatures above 35°C during the transition from summer to autumn, often occurring after a brief cooling period [3]. Group 2: Meteorological Factors - The main cause of "Autumn Tiger" is attributed to the abnormal control of the subtropical high-pressure system, which blocks cold air from the north and leads to prolonged sunny and hot weather [5]. - The weakening of summer winds and reduced rainfall contribute to lower humidity levels, making the weather feel drier and more comfortable, although high temperatures persist in certain regions until mid-September [3][5]. Group 3: Health Implications - The significant temperature variations during the "Autumn Tiger" period can increase the risk of cardiovascular diseases, particularly among the elderly [7]. - Medical professionals recommend that individuals with pre-existing health conditions maintain a healthy lifestyle, stay hydrated with 1500 to 2000 milliliters of water daily, and monitor their health regularly [7].

Group 1 - Insulin resistance is a condition where the body's sensitivity to insulin decreases, leading to impaired glucose regulation and potential health issues [1][5][12] - Insulin plays a crucial role in managing blood sugar levels by facilitating the uptake of glucose into cells for energy [1][12] - Common methods to assess insulin resistance include measuring fasting insulin levels and conducting glucose clamp tests [1] Group 2 - Body Mass Index (BMI) is a widely used indicator for assessing body weight, with values of 24 or higher indicating overweight and 28 or higher indicating obesity [2][4] - Abdominal obesity is defined by waist circumference measurements of 90 cm or more for men and 85 cm or more for women [2][4] Group 3 - Genetic factors significantly influence the likelihood of developing insulin resistance, particularly in individuals with a family history of diabetes [5] - Age is another critical factor, as the risk of insulin resistance increases with age, although it can also occur in children and adolescents [5] Group 4 - Environmental and lifestyle factors contributing to insulin resistance include overweight and obesity, particularly central obesity, which affects insulin sensitivity [6][8] - Sedentary behavior and lack of physical activity reduce glucose utilization by muscle cells, further exacerbating insulin resistance [8] - Unhealthy dietary habits, such as high-energy diets rich in refined carbohydrates and sugars, can lead to increased insulin resistance [9] Group 5 - Insulin resistance is associated with several health risks, including the development of type 2 diabetes, obesity, cardiovascular diseases, and fatty liver disease [12][13][15][16] - The condition creates a vicious cycle where high insulin levels promote fat accumulation, which in turn worsens insulin sensitivity [13] Group 6 - Improving insulin resistance can be achieved through healthy dietary habits, such as reducing refined carbohydrate intake and increasing the consumption of whole grains and quality proteins [17][19] - Regular physical activity is essential, with recommendations of at least 150 minutes of moderate-intensity aerobic exercise per week, combined with strength training [19] - Medical intervention may be necessary for individuals showing prediabetic symptoms, emphasizing the importance of professional guidance [20]

Core Viewpoint - The ongoing extreme heat has led to a significant increase in cases of heatstroke and cardiovascular diseases, particularly affecting vulnerable populations such as the elderly and outdoor workers [1][2][5]. Group 1: Heatstroke Incidents - There has been a noticeable rise in emergency calls related to heatstroke, especially among delivery workers and sanitation workers [1]. - Heatstroke can occur even in indoor environments with high humidity, emphasizing the need for awareness among the elderly who may not recognize the symptoms [3][4]. Group 2: Cardiovascular Disease Surge - The number of patients with cardiovascular diseases has increased by approximately one-third since July, with cases of acute heart attacks rising significantly [5]. - High temperatures can lead to blood thickening and increased risks of heart and brain attacks due to emotional fluctuations and blood pressure instability [6][8]. Group 3: Recommendations for Safety - Experts recommend maintaining hydration, managing emotional stress, and avoiding drastic temperature changes to mitigate health risks during high temperatures [9]. - For outdoor sports enthusiasts, it is advised to adjust exercise plans, avoid outdoor activities during peak heat hours, and stay hydrated with electrolyte drinks [10].

Core Concept - Insulin resistance is a growing concern, often linked to difficulties in weight loss and metabolic health issues, affecting many individuals who struggle with weight management [1][28]. Group 1: Understanding Insulin Resistance - Insulin is a hormone secreted by the pancreas that regulates blood sugar levels by facilitating the uptake of glucose into cells for energy [3][5]. - Insulin resistance occurs when the body's sensitivity to insulin decreases, requiring more insulin to achieve the same effect, which can lead to pancreatic fatigue and potentially diabetes [5][6]. Group 2: Causes of Insulin Resistance - Genetic factors play a significant role, with individuals having a family history of diabetes being more susceptible [6]. - Age is another critical factor, as metabolic functions decline with age, increasing the risk of insulin resistance [6]. - Environmental and lifestyle factors, such as obesity, sedentary behavior, unhealthy diets, and certain medications, also contribute to the development of insulin resistance [8][10][11][13]. Group 3: Symptoms and Assessment - Insulin resistance often lacks specific symptoms but is commonly associated with obesity and abnormal blood sugar levels [15]. - Clinical assessments for insulin resistance include measuring fasting insulin levels and using various anthropometric indicators [16][17][19]. Group 4: Health Implications - Insulin resistance can lead to several health issues, including diabetes, obesity, cardiovascular diseases, and fatty liver disease [20][21][22][23]. - There is also emerging evidence linking insulin resistance to chronic conditions such as Alzheimer's disease and certain cancers, although further research is needed [24]. Group 5: Management Strategies - Adopting healthy dietary habits, such as reducing refined carbohydrates and unhealthy fats while increasing protein intake, can help manage insulin resistance [25][26]. - Regular physical activity is essential, as it enhances muscle mass and improves glucose utilization, with recommendations for at least 150 minutes of moderate-intensity exercise weekly [26]. - Medical intervention may be necessary for individuals showing prediabetic symptoms, emphasizing the importance of lifestyle changes alongside medication [28].