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'Disquieting' slow down in heart disease deaths among under 55s
July 19, 2007The fall in deaths from heart disease among younger Britons is slowing down, pointing to a "disquieting" trend, indicates research published ahead of print in the journal Heart.
The authors assessed death rates for coronary artery heart disease in England and Wales between1984 and 2004, using national figures.
They used the data to calculate heart disease death rates grouped by age for British adults aged 35 years and older.
The results showed that, overall, deaths from coronary heart disease fell by almost 55% among men and by 48% among women over the two decades.
The average annual decline in heart deaths steadily increased every decade to reach almost 5.5% for men and over 4% for women from 2000 onwards.
But when the figures were unpicked by age, they showed that death rates from heart disease among younger Britons were lower and now seem to be levelling off.
For 35 to 44 year old men the decline in death rates was 35%, and for those aged 45 to 54 it was 47%.
And between 2000 and 2004, there was virtually no fall in death rates from heart disease among those aged between 35 and 44.
In 45 to 54 year old women, the annual decline in death rates was 38%, and while rates in those aged 35 to 44 continued to fall, the numbers of heart attacks were few.
Thanks to lifestyle changes and effective treatments, deaths from coronary heart disease have been steadily falling since the late 1960s, say the authors.
But rising trends in obesity and diabetes threaten to halt or even reverse the "hard fought gains" in cutting deaths from heart disease, they warn.
And these trends are much more likely to become apparent among younger Britons first, say the authors.
A similar pattern has emerged in the United States, where rates of obesity and diabetes are also soaring.
"The party is over, and complacency runs a high risk," they conclude. "The flattening trends in [coronary heart disease] mortality rates among younger adults suggest that the cardiovascular disease epidemic is not being controlled."
BMJ Specialty Journals
The results showed that, overall, deaths from coronary heart disease fell by almost 55% among men and by 48% among women over the two decades.
The average annual decline in heart deaths steadily increased every decade to reach almost 5.5% for men and over 4% for women from 2000 onwards.
But when the figures were unpicked by age, they showed that death rates from heart disease among younger Britons were lower and now seem to be levelling off.
For 35 to 44 year old men the decline in death rates was 35%, and for those aged 45 to 54 it was 47%.
And between 2000 and 2004, there was virtually no fall in death rates from heart disease among those aged between 35 and 44.
In 45 to 54 year old women, the annual decline in death rates was 38%, and while rates in those aged 35 to 44 continued to fall, the numbers of heart attacks were few.
Thanks to lifestyle changes and effective treatments, deaths from coronary heart disease have been steadily falling since the late 1960s, say the authors.
But rising trends in obesity and diabetes threaten to halt or even reverse the "hard fought gains" in cutting deaths from heart disease, they warn.
And these trends are much more likely to become apparent among younger Britons first, say the authors.
A similar pattern has emerged in the United States, where rates of obesity and diabetes are also soaring.
"The party is over, and complacency runs a high risk," they conclude. "The flattening trends in [coronary heart disease] mortality rates among younger adults suggest that the cardiovascular disease epidemic is not being controlled."
BMJ Specialty Journals
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Carvedilol shown to have unique characteristics among beta blockers
In a new study, researchers report that a class of heart medications called beta-blockers can have a helpful, or harmful, effect on the heart, depending on their molecular activity.
ESC to give talks on Diabetes in three cities in China
As a result of successful events organised last year, a second Joint Scientific Forum, organised by the European Society of Cardiology (ESC) and the European Association for the Study of Diabetes (EASD), two of the most respected professional medical organisations in Europe, will be held from 27-29 November at three venues across China - Beijing, Shanghai and Guangzhou.
Saving the single cysteine: new antioxidant system found
We've all read studies about the health benefits of having a life partner. The same thing is true at the molecular level, where amino acids known as cysteines are much more vulnerable to damage when single than when paired up with other cysteines.
Drug for erectile dysfunction improves heart function in young heart-disease patients
Heart function significantly improved in children and young adults with single-ventricle congenital heart disease who have had the Fontan operation following treatment with sildenafil, a drug used to treat erectile dysfunction and pulmonary hypertension, say researchers from The Children's Hospital of Philadelphia.
Study raises concerns about outdoor second-hand smoke
Indoor smoking bans have forced smokers at bars and restaurants onto outdoor patios, but a new University of Georgia study in collaboration with the Centers for Disease Control and Prevention suggests that these outdoor smoking areas might be creating a new health hazard.
Night Beat, Overtime and a Disrupted Sleep Pattern Can Harm Officers' Health
A police officer who works the night shift, typically from 8 p.m. to 4 a.m., already is at a disadvantage when it comes to getting a good "night's" sleep.
Your Own Stem Cells Can Treat Heart Disease
The largest national stem cell study for heart disease showed the first evidence that transplanting a potent form of adult stem cells into the heart muscle of subjects with severe angina results in less pain and an improved ability to walk. The transplant subjects also experienced fewer deaths than those who didn't receive stem cells.
Vitamin B niacin offers no extra benefit to statin therapy in seniors already diagnosed with CAD
The routine prescription of extended-release niacin, a B vitamin (1,500 milligrams daily), in combination with traditional cholesterol-lowering therapy offers no extra benefit in correcting arterial narrowing and diminishing plaque buildup in seniors who already have coronary artery disease, a new vascular imaging study from Johns Hopkins experts shows.
Heart and bone damage from low vitamin D tied to declines in sex hormones
Researchers at Johns Hopkins are reporting what is believed to be the first conclusive evidence in men that the long-term ill effects of vitamin D deficiency are amplified by lower levels of the key sex hormone estrogen, but not testosterone.
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