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Cardiovascular disease death rates decline, but risk factors still exact heavy toll
Date:12/20/2007

ople ages 1217 begin smoking every day.

The 2008 Update includes enhanced content for diabetes, a major cardiovascular risk factor, and end-stage renal disease and chronic kidney disease, which are commonly associated with diabetes and high blood pressure. Based on 19842004 National Health and Nutrition Examination Studies, it is projected that diabetes prevalence will more than double from 2005 to 2050. (Diabetes is defined as a fasting blood glucose level of 126 milligrams per deciliter or more.) About a third of the more than 15.1 million people with diabetes dont know they have it, and another 59.7 million have prediabetes (a fasting blood glucose level between 100 and 125 milligrams per deciliter), which greatly increases the risk of diabetes. The Update cites a 2007 report in Circulation: Journal of the American Heart Association, which suggests that the increasing prevalence of diabetes is leading to an increasing prevalence of CVD morbidity and mortality. (At least 65 percent of people with diabetes die from some type of cardiovascular disease.) Kidney disease is also on the rise. A projection by the U.S. Renal Data System says the number of people requiring treatment for kidney failure could increase 60 percent between 2001 and 2010. End-stage renal disease is most often caused by diabetes and/or high blood pressure.

The Update includes continued good news on improvements in the quality of care CVD patients receive at the nations hospitals. According to the ADHERE study, among 159,168 patients treated for heart failure at 285 U.S. hospitals in 200204, there were improvements in clinical outcomes and in the number of patients receiving counseling at discharge, smoking cessation counseling, prescription of beta blockers, and assessment of left ventricular function.

The American Heart Association also reports continued improvements in quality of care, through its Get With The Guidelinessm (GWTG) program, which works with participating
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Contact: Cathy Lewis
cathy.lewis@heart.org
214-706-1324
American Heart Association
Source:Eurekalert

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