Navigation Links
Massive decline in rates of coronary death in Iceland are largely attributed to risk factor reductions in the population
Date:5/8/2009

In the 25 years between 1981 and 2006 mortality rates from coronary heart disease (CHD) in Iceland decreased by a remarkable 80% in men and women aged between 25 and 74 years. How could such a huge decline be explained? Were the health services of Iceland so much better, or were its citizens reducing their risks?1

To find out Dr Thor Aspelund and colleagues from the Icelandic Heart Association and the University of Iceland applied a validated CHD analysis model (the IMPACT mortality model) to official Icelandic death statistics, national quality registers, published trials and meta-analyses, clinical audits and a series of national population surveys.2

Results of the study are presented at EuroPRevent 2009 and show that approximately three-quarters of the mortality decrease in Iceland was attributable to reductions in risk factors throughout the general population. These were principally (36%) in the reduction of cholesterol levels, smoking (20%) and systolic blood pressure (26%) and in the greater uptake of physical activity (5%).

In addition, approximately one quarter of the decrease in CHD deaths in Iceland was attributable to treatment in individuals - 7% to secondary prevention (ie, medical treatment or surgery following a heart attack or other CHD event), 6% to treatments for heart failure, 5% to initial treatments of acute coronary syndrome, and 1% to treating hypertension.

However, not all risk factor profiles improved. Negative trends were found in the prevalence of diabetes (increasing by 5%) and in obesity (increasing by 4%).

"Approximately three-quarters of the large coronary heart disease mortality decrease in Iceland between 1981 and 2006 was attributable to reductions in major cardiovascular risk factors in the population," says Dr Aspelund. "These were mainly in total serum cholesterol, smoking and blood pressure levels. The findings emphasise the value of a comprehensive strategy that promotes tobacco control and a healthier diet. It also highlights the potential importance of effective, evidence-based medical treatments."

Comparable results have also been found when the IMPACT model was applied in other countries. For example, a fall in CHD deaths in England and Wales between 1981 and 2000 was explained by both an improvement in risk factors in the general population (71%) and treatments in individuals (41%) though offset by worsening population trends in body weight, exercise and diabetes.3

A similar pattern was found in the USA: improved population risk factors explaining 65% (mainly blood pressure, smoking and cholesterol) and treatments 47% - but this was offset by worsening risk factors for 17%.4 Overall, the results show that approximately 50-75% of the CHD mortality fall in most European countries and USA between 1980 and 2000 was attributable to reductions in major risk factors.


'/>"/>

Contact: ESC Press Office
press@escardio.org
33-049-294-8627
European Society of Cardiology
Source:Eurekalert

Related medicine news :

1. RADinfo SYSTEMS(TM) Completes a Massive 22 Clinic Urgent Care PACS Installation
2. Golds Gym Passes Massive $22 Billion Fitness Stimulus Package
3. Massive Nationwide Pro-Life Postcard Campaign Underway
4. Massive Cuts to Medicare Home Oxygen Therapy Benefit Taking Effect January 1 Creating Acute Anxiety Among Beneficiary and Provider Communities
5. Home Oxygen Community Braces for Massive Cuts to Medicares Home Oxygen Benefit Starting January 09
6. UT researchers to study massive transfusion at major trauma centers
7. Ohio Sales Reps Information Launched Massive Government Investigation of Cephalon
8. Nurses, Healthcare Workers Launch Massive Drive to Inform 1 Million Caregivers in Key States on Obama and McCain Healthcare Plans
9. Bulging prison system called massive intervention in American family life
10. International Rescue Committee Mobilizes More Emergency Teams for Myanmar; Warns of Massive Health Disaster Unless Aid Reaches Cyclone Survivors Fast
11. Massive Medicaid Cuts Will Impact All Floridians, Safety Net Hospital Leaders Warn
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... ... Bruton Memorial Library on June 21 due to a possible lice infestation, as reported by ... lice: the parasite’s ability to live away from a human host, and to infest common ... the event that lice have simply gotten out of control. , As lice are a ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern Californian, Dr. ... his M.D from the David Geffen School of Medicine at UCLA. He trained in ... to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he ...
(Date:6/25/2016)... Montreal, Canada (PRWEB) , ... June 25, 2016 , ... ... the pursuit of success. In terms of the latter, setting the bar too high ... low, risk more than just slow progress toward their goal. , Research from ...
(Date:6/24/2016)... ... 2016 , ... June 19, 2016 is World Sickle Cell Observance Day. In ... benefits of holistic treatments, Serenity Recovery Center of Marne, Michigan, has issued ... Sickle Cell Disease (SCD) is a disorder of the red blood cells, which can ...
(Date:6/24/2016)... Fla. (PRWEB) , ... June 24, 2016 , ... Global ... Trend magazine’s 2016 Legal Elite. The attorneys chosen by their peers for this recognition ... Florida. , Seven Greenberg Traurig Shareholders received special honors as members of this year’s ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016 ... Market by Type (Standard Pen Needles, Safety Pen Needles), ... (Insulin, GLP-1, Growth Hormone), Mode of Purchase (Retail, Non-Retail) ... MarketsandMarkets, This report studies the market for the forecast ... to reach USD 2.81 Billion by 2021 from USD ...
(Date:6/24/2016)... 24, 2016  Arkis BioSciences, a leading innovator ... more durable cerebrospinal fluid treatments, today announced it ... funding is led by Innova Memphis, followed by ... private investors.  Arkis, new financing will accelerate the ... market release of its in-licensed Endexo® technology. ...
(Date:6/23/2016)... -- Any dentist who has made an implant supported denture ... of them do not even offer this as a viable ... costs involved. And those who ARE able to offer that ... cost that the majority of today,s patients would not be ... , founder of Dental Evolutions Inc. and inventor of Implanova ...
Breaking Medicine Technology: