The principle of 'sick individuals vs. sick population', a concept pioneered by Geoffrey Rose 35 years ago, is particularly applicable to heart failure (HF). This perspective article summarizes and expands on the Geoffrey Rose lecture given at the European Society of Cardiology meeting held in conjunction with the World Congress of Cardiology, in Paris, 2019. This article focuses on the fact that, clearly, HF not only affects a large spectrum of the population globally, but it occurs in all ages and equally in both genders. Heart failure, in most parts of the world, is clearly not a disease of the elderly. There are multiple and complex pathways leading to HF which include various risk factors (including communicable diseases and exposure to indoor and environmental pollutants), poverty and overcrowding, as well as sub-optimal access to health care systems due to socioeconomic inequities. Reflecting on Geoffrey Rose's concept 35 years later motivates us to confront our global responsibility to address the population distribution of risk factors more effectively, instead of focusing solely on interventions that target high-risk individuals.

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心力衰竭会影响每个人：ESC Geoffrey Rose 讲座

Geoffrey Rose 在 35 年前首创的“患病个体与患病人群”原则特别适用于心力衰竭 (HF)。这篇透视文章总结并扩展了 Geoffrey Rose 在与 2019 年巴黎世界心脏病学大会同时举行的欧洲心脏病学会会议上的演讲。全球人口谱，但它发生在所有年龄段，男女平等。在世界大部分地区，心力衰竭显然不是老年人的疾病。导致 HF 的途径多种多样，包括各种风险因素（包括传染病和暴露于室内和环境污染物）、贫困和过度拥挤、以及由于社会经济不平等而无法获得最佳的医疗保健系统。35 年后反思 Geoffrey Rose 的概念，激励我们面对全球责任，更有效地解决风险因素的人口分布问题，而不是仅仅关注针对高危人群的干预措施。