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Coronary heart disease mortality, social determinants of cardiovascular health

Stephen Sidney, Michael E Sorel, Charles P Quesenberry, Marc G Jaffe, Matthew D Solomon, Mai N Nguyen-Huynh, Alan S Go, Jamal S Rana
OBJECTIVES: Heart disease and stroke remain among the leading causes of death nationally. We examined whether differences in recent trends in heart disease, stroke, and total mortality exist in the United States and Kaiser Permanente Northern California (KPNC), a large integrated healthcare delivery system. METHODS: The main outcome measures were comparisons of US and KPNC total, age-specific, and sex-specific changes from 2000 to 2015 in mortality rates from heart disease, coronary heart disease, stroke, and all causes...
April 2, 2018: American Journal of Medicine
Nitasha Khullar, Johnson Ukken, Mary Froehlich, A Jeff Caseja, Takashi Yamashita, Xibei Liu, Ji Won Yoo
We read with interest the study by Yelin et al.1 that poverty results in higher mortality in lupus patients by increasing disease damage accumulation. We suggest some alternative mechanisms for the contribution of poverty to higher mortality. First, cardiovascular disease (CVD) is the leading cause of death in lupus patients, and lupus itself is an independent CVD risk factor.2 Risk of CVD-specific death has declined and is projected to continue declining due to better control of risk factors such as hypertension and diabetes...
April 2, 2018: Arthritis Care & Research
Vyacheslav M Zhdan, Irina A Holovanova, Valentina L Filatova, Maxim V Khorosh
INTRODUCTION: Nowadays cardiovascular disease occupies a leading place in the structure of the prevalence, incidence, disability causes and mortality of the adult population in Ukraine and in the whole world. The prevalence of hypertension in the adult population ranges from 25 - 40%, coronary heart disease is almost 20% of people aged 50-59 years while 24.3% of them have a form of silent coronary artery disease. The feasibility of study is justified by the need to perform health institutions Law of Ukraine dated 07...
2017: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
Lisandro D Colantonio, Christopher M Gamboa, Joshua S Richman, Emily B Levitan, Elsayed Z Soliman, George Howard, Monika M Safford
BACKGROUND: Blacks have higher coronary heart disease (CHD) mortality compared with whites. However, a previous study suggests that nonfatal CHD risk may be lower for black versus white men. METHODS: We compared fatal and nonfatal CHD incidence and CHD case-fatality among blacks and whites in the Atherosclerosis Risk in Communities study (ARIC), the Cardiovascular Health Study (CHS), and the Reasons for Geographic and Racial Differences in Stroke study (REGARDS) by sex...
July 11, 2017: Circulation
Christina E Kure, Yih-Kai Chan, Chantal F Ski, David R Thompson, Melinda J Carrington, Simon Stewart
OBJECTIVE: To explore the psychosocial determinants and interhospital variability on a major acute cardiovascular event (MACE), during follow-up of a multicenter cohort of patients hospitalised with heart disease, participating in a nurse-led secondary prevention programme. METHODS: Outcome data were retrospectively analysed from 602 cardiac inpatients randomised to postdischarge standard care (n=296), or home-based intervention (n=306), with prolonged follow-up of individualised multidisciplinary support...
2016: Open Heart
Damian K Francis, Nadia R Bennett, Trevor S Ferguson, Anselm J M Hennis, Rainford J Wilks, E Nigel Harris, Marlene M Y MacLeish, Louis W Sullivan
BACKGROUND: Cardiovascular diseases (CVD) are the predominant cause of death globally. The large health disparities in the distribution of the burden of disease seen in developed and developing countries are of growing concern. Central to this concern is the poor outcome which is seen disproportionately in socially disadvantaged groups and racial/ethnic minorities. The aim of the study was to conduct a systematic literature review to investigate the nature of cardiovascular disease health disparities among Afro-Caribbean origin populations and identify current knowledge gaps...
2015: BMC Public Health
Lanas Fernando, Serón Pamela, Lanas Alejandra
Cardiovascular diseases (CVD) produce almost a million deaths a year in Latin America (LA), becoming the main cause of death in the last years, and it is estimated that the number of deaths in the region attributable to CVD will increase in the near future. This new epidemic is a consequence of the demographic, economic and social changes observed in LA in recent years. Coronary heart disease and stroke causes 42.5% and 28.8%, respectively of the CVD mortality in the region. Chagas heart involvement and rheumatic heart disease, once a major health problem, are responsible of only 1% of the mortality each...
November 2014: Progress in Cardiovascular Diseases
M Justin S Zaman, Pete Philipson, Ruoling Chen, Ahmed Farag, Martin Shipley, Michael G Marmot, Adam D Timmis, Harry Hemingway
OBJECTIVE: To determine whether the effect of South Asian ethnicity differs between studies of incidence and prognosis of coronary disease. DESIGN: Systematic literature review and meta-analysis, and cohort analysis from a national acute coronary syndrome (ACS) registry linked to mortality (National Institute of Cardiovascular Outcomes Research/Myocardial Infarction National Audit Project). SETTING: International for the review, and England and Wales for the cohort analysis...
May 2013: Heart: Official Journal of the British Cardiac Society
Joel W Hotchkiss, Carolyn Davies, Linsay Gray, Catherine Bromley, Simon Capewell, Alastair H Leyland
OBJECTIVES: To examine secular and socio-economic changes in cardiovascular disease risk factor prevalences in the Scottish population. This could contribute to a better understanding of why the decline in coronary heart disease mortality in Scotland has recently stalled along with a widening of socio-economic inequalities. DESIGN: Four Scottish Health Surveys 1995, 1998, 2003 and 2008 (6190, 6656, 5497 and 4202 respondents, respectively, aged 25-64 years) were used to examine gender-stratified, age-standardised prevalences of smoking, alcohol consumption, physical activity, fruit and vegetable consumption, discretionary salt use and self-reported diabetes or hypertension...
August 9, 2011: BMJ Open
Nicolas Danchin, Anke Neumann, Philippe Tuppin, Christine De Peretti, Alain Weill, Philippe Ricordeau, Hubert Allemand
BACKGROUND: The type of medical coverage in patients with acute myocardial infarction (AMI) may affect their treatment and outcome. METHODS AND RESULTS: We used the reimbursement database from the French National Health Insurance to determine the impact of full medical coverage (Couverture Médicale Universelle Complémentaire, CMUC), a free supplemental insurance for low-income earners <60 years of age, on treatment and outcomes of patients with AMI. The population comprised consecutive patients <60 years of age hospitalized for AMI from January to June 2006 in France...
November 1, 2011: Circulation. Cardiovascular Quality and Outcomes
Osvaldo P Almeida, Helman Alfonso, Leon Flicker, Graeme J Hankey, Paul E Norman
BACKGROUND: Existing evidence from observational studies suggests that cardiovascular diseases (CVD) and depression may be causally related, although the direction of this association and its etiologic relevance remain uncertain. One way to further elucidate the nature of this relationship is by determining the joint effect of CVD and depression on a common outcome, such as mortality. AIMS: To determine if CVD and depression interact to increase mortality in older men...
May 2012: American Journal of Geriatric Psychiatry
Thomas Rutledge, Sarah E Linke, B Delia Johnson, Vera Bittner, David S Krantz, Kerry S Whittaker, Jo-Ann Eastwood, Wafia Eteiba, Carol E Cornell, Carl J Pepine, Diane A Vido, Marian B Olson, Leslee J Shaw, Viola Vaccarino, C Noel Bairey Merz
OBJECTIVE: To determine the association between self-rated health and major cardiovascular events in a sample of women with suspected myocardial ischemia. Previous studies showed that self-rated health is a predictor of objective health outcomes, such as mortality. METHOD: At baseline, 900 women rated their health on a 5-point scale ranging from poor to excellent as part of a protocol that included quantitative coronary angiography, cardiovascular disease (CVD) risk factor assessment, cardiac symptoms, psychotropic medication use, and functional impairment...
July 2010: Psychosomatic Medicine
M A José Medrano, Raquel Boix, Roberto Pastor-Barriuso, Margarita Palau, Javier Damián, Rebeca Ramis, José Luis Del Barrio, Ana Navas-Acien
BACKGROUND: High-chronic arsenic exposure in drinking water is associated with increased cardiovascular disease risk. At low-chronic levels, as those present in Spain, evidence is scarce. In this ecological study, we evaluated the association of municipal drinking water arsenic concentrations during the period 1998-2002 with cardiovascular mortality in the population of Spain. METHODS: Arsenic concentrations in drinking water were available for 1721 municipalities, covering 24...
July 2010: Environmental Research
Snorri B Rafnsson, Raj S Bhopal
BACKGROUND: Data on differences by ethnicity in cardiovascular diseases (CVDs) and diabetes, reflecting the influence of diverse cultural, social and religious factors, are important to providing clues to disease aetiology and directing public health interventions and health care resources. METHODS: Through a network of European public health researchers and searches of bibliographic databases and internet sites, we determined the availability and characteristics of ethnically relevant data on mortality and morbidity from coronary heart disease (CHD), stroke and diabetes, in current European Union countries; data from the four countries comprising the UK were assessed separately...
October 2009: European Journal of Public Health
R L Antikainen, T Grodzicki, D G Beevers, J Webster, J J Jokelainen, C J Bulpitt
In view of the low sensitivity of Sokolow-Lyon voltage criteria in the assessment of electrocardiographic left ventricular hypertrophy (ECG LVH) in overweight subjects, we determined its clinical utility in 1840 lean and 3555 overweight subjects with hypertension. They were followed prospectively over an average of 11 years by the Department of Health and Social Security Hypertension Care Computer Project. LVH was determined at baseline using the Sokolow-Lyon criterion that is, the amplitude voltage SV1+(max RV5 or RV6) > or =3...
January 2009: Journal of Human Hypertension
Hermann Nabi, Mika Kivimäki, Marie Zins, Marko Elovainio, Silla M Consoli, Sylvaine Cordier, Pierre Ducimetière, Marcel Goldberg, Archana Singh-Manoux
BACKGROUND: Majority of studies on personality and physical health have focused on one or two isolated personality traits. We aim to test the independent association of 10 personality traits, from three major conceptual models, with all-cause and cause-specific mortality in the French GAZEL cohort. METHODS: A total of 14,445 participants, aged 39-54 in 1993, completed the personality questionnaires composed of the Bortner Type-A scale, the Buss-Durkee Hostility Inventory (for total, neurotic and reactive hostility) and the Grossarth-Maticek-Eysenck Personality Stress Inventory that assesses six personality types [cancer-prone, coronary heart disease (CHD)-prone, ambivalent, healthy, rational, anti-social]...
April 2008: International Journal of Epidemiology
R L Antikainen, T Grodzicki, A J Palmer, D G Beevers, J Webster, C J Bulpitt
The clinical usefulness of the Sokolow-Lyon voltage criteria in the assessment of electrocardiographic left ventricular hypertrophy (ECG LVH) is addressed. We prospectively studied 3,338 women and 3,330 men referred with hypertension, with an average follow-up of 11.2 years. The voltage amplitude sum SV1+max (RV5 or RV6) was calculated and ECG LVH was defined as a sum >or=3.5 mV. We adjusted survival for age, treatment status before presentation and a previous myocardial infarction or cerebrovascular accident...
June 2006: Journal of Human Hypertension
Maria Rosvall, Basile Chaix, John Lynch, Martin Lindström, Juan Merlo
BACKGROUND: To more efficiently reduce social inequalities in mortality, it is important to establish which causes of death contribute the most to socioeconomic mortality differentials. Few studies have investigated which diseases contribute to existing socioeconomic mortality differences in specific age groups and none were in samples of the whole population, where selection bias is minimized. The aim of the present study was to determine which causes of death contribute the most to social inequalities in mortality in each age group in the whole population of Scania, Sweden...
2006: BMC Public Health
Bruna Galobardes, George Davey Smith, John W Lynch
PURPOSE: Adverse socioeconomic circumstances in childhood may confer a greater risk for adult cardiovascular disease (CVD). The purpose of this review is to systematically evaluate evidence for an association between socioeconomic circumstances during childhood and specific CVD subtypes, independent of adult socioeconomic conditions. METHODS: We systematically retrieved individual-level studies of morbidity and mortality from CVD and specific CVD subtypes linked to early life influences, including coronary heart disease (CHD), ischemic and hemorrhagic stroke, peripheral vascular disease, markers of atherosclerosis (carotid intima-media thickness and stenosis), and rheumatic heart disease...
February 2006: Annals of Epidemiology
Chris Metcalfe, George Davey Smith, Jonathan A C Sterne, Pauline Heslop, John Macleod, Carole L Hart
BACKGROUND: The aim of this study was to investigate the association of childhood and adulthood social class with the occurrence of specific diseases, including those not associated with a high mortality rate, and to investigate daily stress as the mechanism for that part of any association which cannot be accounted for by established risk factors. METHODS: This was a prospective cohort study with 25 years of follow-up for cause-specific morbidity and mortality...
June 2005: European Journal of Public Health
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