Explanation for the Decline in Coronary Heart Disease Mortality Rates in Auckland, New Zealand, Between 1982 and 1993

Capewell, Simon; Beaglehole, Robert; Seddon, Mary; McMurray, John J.V.

doi:10.1161/01.cir.102.13.1511

Cited by 208 publications

(144 citation statements)

References 27 publications

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“…[47][48][49][50] However, preventive health receives only sporadic attention in the context of office visits for acute and chronic medical problems in Lebanon. Based on this study, it is important to stress the need for prevention and health education for all age groups and both genders.…”

Section: Discussionmentioning

confidence: 99%

The prevalence of hypertension and its association with other cardiovascular disease risk factors in a representative sample of the Lebanese population

2005

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Hypertension is a well-known major risk factor for cardiovascular diseases. This study has been designed to assess the prevalence of hypertension, its cooccurrence with other cardiovascular risk factors and its association with cardiovascular diseases in a representative sample of Lebanese population. A pretested questionnaire was administered to 2125 adults aged equal or above 30 years old from all regions in Lebanon and proportionate with the respective population density. Data revealed that 23.1% of the respondents admitted being hypertensive, with no statistically significant difference between male and female patients. Prevalence of hypertension increased with age (Po0.01) and hypertension tended to occur more in the less educated and the unemployed (Po0.01). Only 45.7% of hypertensive patients followed a low fat diet while 14.7% exercised daily. The prevalence of hypertension increased significantly with an increase in body mass index particularly in female patients. Among the hypertensive respondents, 23.9% were diabetic, 38.1% were hyperlipidaemic and 9.1% were both diabetic and hyperlipidaemic. Co-occurrence of hypertension with diabetes, hyperlipidaemia or both was more common in female patients compared to male patients. In addition, stroke, myocardial infarction (MI) and atherothrombosis occurred in hypertensive respondents at rates of 2.4, 4.3 and 9.5%, respectively. Hypertensive female patients reported more stroke and atherothrombotic episodes compared to male patients, whereas hypertensive male patients had more MIs. Based on these results it is very important to address the issue of lifestyle modification for the prevention and treatment of hypertension and awareness campaigns should stress the fact that cardiovascular diseases are not only restricted to men.

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Section: Discussionmentioning

confidence: 99%

The prevalence of hypertension and its association with other cardiovascular disease risk factors in a representative sample of the Lebanese population

2005

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“…Although the trend has tended to reach a plateau since 1990, the overall mortality rates for CVD and CHD have fallen in most developed countries (by 24-50%) since the 1975 (7,26,46,50,(80)(81)(82)(83)(84)(85)(86)(87). The causes for reduction in CHD mortality were evaluated in adults aged 25-84 years in the USA during the 1980-2000 period (85), and the following main findings arose.…”

Section: Chd: Cause Of Deathmentioning

confidence: 99%

Epidemiology of coronary heart disease and acute coronary syndrome

Sanchís-Gomar¹,

Pérez-Quilis²,

Leischik³

et al. 2016

Ann. Transl. Med.

995

617

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The aim of this review is to summarize the incidence, prevalence, trend in mortality, and general prognosis of coronary heart disease (CHD) and a related condition, acute coronary syndrome (ACS). Although CHD mortality has gradually declined over the last decades in western countries, this condition still causes about one-third of all deaths in people older than 35 years. This evidence, along with the fact that mortality from CHD is expected to continue increasing in developing countries, illustrates the need for implementing effective primary prevention approaches worldwide and identifying risk groups and areas for possible improvement.

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“…The success of primary-care research is also especially clear in relation to disease prevention. For example, more than half the observed reduction in coronary heart disease mortality has been attributed to primary and secondary prevention, 12 and many of the clinical trials underpinning preventive care of this and other important public health problems were done in a primary-care setting. 13-15 The primary-care-based Cochrane smoking addiction review group, which was stimulated by an early review done by researchers involved in the general practice smoking cessation trials, 16 now provides the evidence-base that underpins governmental policy internationally.…”

Section: Primary-care Research Can Affect Clinical Practicementioning

confidence: 99%