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:1/17/2017)... ... 2017 , ... Peoples Health is pleased to announce that ... 1, 2016. Peoples Health, a Metairie-based Medicare Advantage company, serves more than 55,000 ... our provider network, and the addition will benefit our members in the Greater ...
(Date:1/17/2017)... NJ (PRWEB) , ... January 17, 2017 , ... Neil ... and financial planning assistance to communities throughout the region, is launching a charity drive ... Heart disease is by far the deadliest killer in America, and is responsible for ...
(Date:1/17/2017)... ... January 17, 2017 , ... Seceon ... cyber threats in real-time, today announced a strategic partnership with TechLab Security, ... Joining other Seceon partners, TechLab Security has become a strategic partner and a ...
(Date:1/17/2017)... CA (PRWEB) , ... January 17, 2017 , ... Many people make New Year’s resolutions ... Robert Mondavi is making it easier for people who want to kick off ... both new and existing patients. , These special offers include: , ...
(Date:1/16/2017)... ... January 17, 2017 , ... Recently, patients and staff ... Michigan, joined other volunteers and organizations in support of the annual Binder Park Zoo ... families dressed up in colorful costumes of all designs coming out to enjoy games, ...
Breaking Medicine News(10 mins):
(Date:1/17/2017)... 2017  From the company that brought a full line of ... comes a new line of companion animal pet first aid kits.  ... equine first aid, has developed two sizes of small pet first ... Inc. Featuring a small and a large companion pet ... family, is not a newcomer to working with small animals either. ...
(Date:1/17/2017)... YORK , Jan. 17, 2016  Attorney Advertising -- ... behalf of purchasers of Anthera Pharmaceuticals, Inc. ("Anthera" or the ... to obtain additional information and assist the investigation by visiting ... concerns whether Anthera and certain of its officers and/or directors ... Act of 1934. ...
(Date:1/17/2017)... -- Research and Markets has announced the addition of ... (Captive, Merchant), Synthesis (Synthetic, Biotech), Product (mAb, Hormone) Drug (OTC, Rx), ... report to their offering. ... The global active pharmaceutical ingredients market is expected to ... 2016, growing at a CAGR of 6.3% from 2016 to 2021. ...
Breaking Medicine Technology: