Friday, February 19, 2010

Trends in Cardiovascular Disease

I recently happened across two studies which focused on hospital mortality rates associated with patients presenting with acute coronary ischemia. One study performed by the National Health and Nutrition Examination Survey (NHANES) noted a .6% decline in death in men (ages 35-44) and 1.3% decline in men (ages 45-54).

The other study from the National Registry of Myocardial Infarction (examining hospital mortality for men and women presenting with acute coronary ischemia) between the years of 1994-2006 noted decreases in associated mortality as well. Specifically, among the oldest men and women (over the age of 85) hospital mortality decreased 8.7%! The bad news for women is that in the later cohort-hospital mortality remained higher among women-especially those under the age of 60.

Although the reduction in hospital related mortality has dropped, the modest improvement in survival of the patients overall suggests that it is extremely important to continue focusing on modifying factors that lead to cardiovascular risk and progression. The risk factors, for young and old, continue to include; control of blood pressure, lipids, and weight and a lifestyle with consistent physical activity, along with controlled co-morbid factors such as diabetes.


"Walking is the best possible exercise. Habituate yourself to walk very far"

Thomas Jefferson (1743-1826)


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