International Circulation:  I am here at ESC 2009 with Professor Ferrari president of the ESC and Professor Hu Da Yi， president of the Chinese Society of Cardiology.  As president of the ESC 2009 could you discuss a little bit about what perhaps are some of the important highlights here at ESC 2009 or did you have any special programs here at ESC 2009?

国际循环：我正在ESC 2009会场，身边就是ESC主席Ferrari教授和中国心血管学会主席胡大一教授。作为ESC 2009的主席，请您谈谈ESC 2009的会议主题将是什么，或您在ESC 2009上有何特殊计划？

Professor Ferrari:  Well the theme of this Barcelona meeting was prevention， from cell to man to society.  So we did discuss quite extensively the issue of prevention because the ESC thinks that prevention will be the future.  We realize that we as cardiologists are very good at treating cardiovascular disease but we will not modify cardiovascular modalities if we are not really getting into prevention because drugs and intervention can not count only to 33 to 55% of the reduction of cardiovascular mortalities during the last years.  If we want to really tackle cardiovascular disease we need to do prevention and in particular primary prevention but that is a difficult issue because primary prevention does not stay only in the hand of cardiologists but we need politicians， we need the regulators， we need the government， and we need the cities involved.  Quite interestingly at this congress we had several examples of cities who are really putting all their forces together in order to promote prevention of cardiovascular disease.  Also as every year we do have very important hotlines when new results are provided and this year the hotline and the studies which impress me more were the RELY study because it is now available and drugs which to avoid to take and sampling to adjust the therapy so that was a fantastic innovation.  In addition we expect the coumadin， this drug is much more efficacious in preventing thrombosis in patients with atrial fibrillation and it has significantly less side effects.  We also found alternatives and that also is quite important because now there are compounds which are able to further reduce the cardiovascular mortality after interventions such as angioplasty and also in the area of heart failure， if we treat this now it is now clear that instead of inserting the CRTs only to the patient it is better to insert the CRTs with an ICD because of the important effect on sudden death.

Ferrari教授：此次巴塞罗那会议的主题是如何从细胞-人-社会层面预防心血管病。重点将详细讨论预防这个话题，因为ESC认为预防可以对将来的事情进行筹划。虽然心血管病专家擅长于治疗心血管疾病，但无法改变心血管疾病的发展模式，药物和医疗干预只能降低33%-55%的心血管死亡率，因此重点还是应转移到预防上。若想真正解决心血管疾病这一难题，就需要实施预防策略，尤其是初级预防。但这很难做到，因为初级预防不仅仅需要心血管专家的策划，还需要政治家、宏观调控家、中央政府和市政府的支持。本届会议上，我们列举了几个城市成功策划预防心血管病的案例，他们通过各方努力促进心血管疾病的预防政策。如同每年热线会议公布新结果一样，今年的热线会上公布的RELY研究结果使我印象深刻，因为它可以提供修正疗法样本和避免服用的药物，这样的改革是惊人的。此外，香豆素类药物可以更有效的预防房颤患者的血栓事件，同时可以显著降低其不良反应。替代疗法也很重要，因为它可以更进一步降低心血管造影等介入术后尤其是伴心衰时的心血管死亡率。目前已证明，患者不仅仅要注射CRTs，最好还要联合注射ICD，这样可以更好的预防猝死。