Choroba serca
Epidemiologia

Choroby serca pozostają główną przyczyną zgonów globalnie, odpowiadając za około 17,9 miliona zgonów rocznie (32% wszystkich zgonów w 2019 r.), w tym 702 880 zgonów w USA w 2022 roku (20% wszystkich zgonów). Obciążenie chorobami serca jest nierównomierne geograficznie i demograficznie, z wyższą śmiertelnością w krajach o niskim i średnim dochodzie (około 75% globalnych zgonów) oraz w określonych grupach etnicznych, np. południowoazjatyckich. Najważniejsze modyfikowalne czynniki ryzyka to nadciśnienie tętnicze, hipercholesterolemia, palenie tytoniu, otyłość, cukrzyca, niezdrowa dieta i brak aktywności fizycznej. W krajach rozwiniętych obserwuje się spadek standaryzowanych wskaźników umieralności dzięki poprawie profilaktyki i leczenia, jednak całkowita liczba przypadków rośnie z powodu starzenia się populacji i wzrostu liczby ludności. Choroby serca generują znaczne koszty ekonomiczne, np. w USA koszty medyczne i utraconej produktywności przekraczają 400 miliardów dolarów rocznie.

Epidemiologia choroby serca

Choroby serca stanowią główną przyczynę zgonów na całym świecie, odpowiadając za około jedną trzecią wszystkich zgonów globalnie. W 2022 roku z powodu chorób serca zmarło 702 880 osób w Stanach Zjednoczonych, co stanowiło około 20% wszystkich zgonów.1 Na skalę światową szacuje się, że choroby układu sercowo-naczyniowego (CVD) odpowiadają za około 17,9 miliona zgonów rocznie.23 Obciążenie chorobami serca nie jest równomiernie rozłożone – obserwuje się znaczące różnice między poszczególnymi regionami geograficznymi, grupami etnicznymi oraz w zależności od płci i wieku.

Globalne trendy w epidemiologii chorób serca

W ciągu ostatnich dekad zaobserwowano znaczący wzrost całkowitej liczby zgonów z powodu chorób serca – z około 14 milionów w 2000 roku do blisko 18 milionów w 2019 roku.4 Ten wzrost jest częściowo związany ze starzeniem się populacji oraz wzrostem liczby ludności na świecie. Jednocześnie w wielu krajach rozwiniętych odnotowano spadek standaryzowanych współczynników umieralności dzięki poprawie profilaktyki i leczenia.5

Co najmniej trzy czwarte światowych zgonów z powodu chorób serca ma miejsce w krajach o niskim i średnim dochodzie.6 Różnice w obciążeniu chorobami serca między regionami wynikają z wielu czynników, w tym dostępności do opieki zdrowotnej, rozpowszechnienia czynników ryzyka oraz struktury wiekowej populacji.7 Warto zauważyć, że w niektórych regionach, takich jak Azja Południowa, choroby serca stanowią szczególne wyzwanie – szacuje się, że 60% światowego obciążenia chorobami układu krążenia będzie przypadać na ten region, mimo że zamieszkuje go tylko 20% światowej populacji.8

Rozpowszechnienie chorób serca w różnych populacjach

Według Amerykańskiego Towarzystwa Kardiologicznego (AHA), około 82,6 miliona osób w Stanach Zjednoczonych ma jedną lub więcej form chorób układu sercowo-naczyniowego.910 W Wielkiej Brytanii z chorobą wieńcową żyje około 2,3 miliona osób (około 1,5 miliona mężczyzn i 830 000 kobiet).11

Istnieją znaczące różnice w występowaniu chorób serca między płciami. W wielu krajach mężczyźni mają wyższy wskaźnik zachorowalności i umieralności z powodu choroby wieńcowej w porównaniu do kobiet. Na przykład w Wielkiej Brytanii mężczyźni umierają z powodu choroby wieńcowej ponad dwukrotnie częściej niż kobiety.12 Jednakże choroby układu krążenia pozostają główną przyczyną zgonów wśród kobiet w wielu krajach.13

Różnice obserwuje się również między grupami etnicznymi. Na przykład w Wielkiej Brytanii osoby pochodzenia południowoazjatyckiego (Hindusi, Banglijczycy, Pakistańczycy i Lankijczycy) mają wyższy wskaźnik przedwczesnych zgonów z powodu choroby wieńcowej – o 46% wyższy dla mężczyzn i 51% wyższy dla kobiet.14 W Stanach Zjednoczonych choroby serca są główną przyczyną zgonów dla większości grup rasowych i etnicznych.15

Koszty ekonomiczne i społeczne chorób serca

Choroby serca generują ogromne koszty ekonomiczne i społeczne na całym świecie. W Stanach Zjednoczonych bezpośrednie i pośrednie koszty chorób układu sercowo-naczyniowego szacowane są na ponad 286 miliardów dolarów rocznie.16 Według nowszych danych, w latach 2019-2020 bezpośrednie koszty medyczne związane z chorobami serca przekroczyły 422,3 miliarda dolarów.17

W Wielkiej Brytanii koszty opieki zdrowotnej związane z chorobami układu krążenia szacuje się na około 9 miliardów funtów rocznie, a całkowite koszty dla gospodarki (w tym przedwczesne zgony, niepełnosprawność i koszty nieformalne) – na około 19 miliardów funtów rocznie.18

W Stanach Zjednoczonych odnotowano ponad 120 miliardów dolarów rocznych kosztów medycznych związanych z chorobami serca (zabiegi, hospitalizacje, rehabilitacja) oraz dodatkowe 132 miliardy dolarów z powodu utraconej produktywności wynikającej z przedwczesnych zgonów w latach 2019-2020.19

Systemy nadzoru nad chorobami serca

Nadzór nad chorobami serca jest kluczowym elementem zdrowia publicznego, umożliwiającym monitorowanie trendów, identyfikację grup wysokiego ryzyka oraz formułowanie efektywnych strategii profilaktyki i kontroli.20 Obejmuje on ilościowe określenie zmieniającego się obciążenia populacji chorobami serca i czynnikami ryzyka jako początkowy etap oparty na danych, a następnie wdrożenie strategii interwencyjnych mających na celu złagodzenie tego obciążenia w populacji docelowej.21

Obecne systemy nadzoru i ich ograniczenia

Pomimo wielokrotnych wezwań do utworzenia dedykowanego krajowego systemu nadzoru nad chorobami układu sercowo-naczyniowego w ciągu ostatnich 15 lat, taki system obecnie nie istnieje w Stanach Zjednoczonych.22 Kilka trwających inicjatyw dostarcza cennych wskaźników związanych z chorobami serca, ale brakuje kompleksowego, ogólnokrajowego podejścia.23

Idealny krajowy system nadzoru nad chorobami serca powinien efektywnie kosztowo monitorować dużą, reprezentatywną grupę mieszkańców przez dłuższy czas, śledząc szeroki zakres wskaźników, aby uzyskać kompleksowy obraz zdrowia sercowo-naczyniowego populacji.24

Obecnie wiele krajów polega na fragmentarycznych danych z różnych źródeł, takich jak:

  • Badania populacyjne i kohorty (np. Framingham Heart Study)25
  • Rejestry chorób
  • Dane administracyjne i szpitalne
  • Badania ankietowe

Wykorzystanie elektronicznej dokumentacji medycznej w nadzorze

W ostatnich latach wzrosło zainteresowanie wykorzystaniem elektronicznej dokumentacji medycznej (EHR) w nadzorze nad chorobami serca. Dane z EHR mają kilka kluczowych zalet:2627

  • Powszechność EHR i wynikająca z tego możliwość stworzenia bardziej ogólnokrajowego systemu nadzoru
  • Istnienie wspólnej infrastruktury danych w sektorze opieki zdrowotnej w odniesieniu do domen danych i nomenklatury
  • Długość i szczegółowość danych longitudinalnych
  • Szeroki zakres wyników, które można monitorować za pomocą EHR

Jednakże wykorzystanie EHR w nadzorze nad chorobami serca ma również istotne ograniczenia:28

  • Niepełne pozyskiwanie informacji zdrowotnych związanych z zachowaniami poszukiwania opieki zdrowotnej i odłączenie danych opieki zdrowotnej generowanych w oddzielnych organizacjach
  • Wątpliwa jakość danych wynikająca z domyślnych procesów gromadzenia informacji
  • Wątpliwa zdolność do nadzoru nad pacjentami za pomocą EHR w przypadku braku udokumentowanych interakcji
  • Trudności w interpretacji trendów czasowych w zakresie wskaźników zdrowotnych, które mogą być zaciemnione przez zmieniające się procesy kliniczne i administracyjne

Przykłady krajowych systemów nadzoru

Kilka krajów rozwinęło systemy nadzoru nad chorobami serca, które mogą służyć jako modele dla innych:2930

Kanada – Kanadyjski System Nadzoru Chorób Przewlekłych (CCDSS) wykorzystuje dane zdrowotne z prowincji i terytoriów do lepszego zrozumienia chorób przewlekłych poprzez szacowanie:

  • Częstości występowania (liczba osób z daną chorobą)
  • Zapadalności (liczba nowych przypadków)
  • Wszystkich przyczyn śmiertelności
  • Wykorzystania usług zdrowotnych

System ten ma na celu zapewnienie spójności i porównywalności danych nadzorczych między jurysdykcjami.31

Georgia (USA) – System nadzoru nad chorobami układu krążenia w Georgii odpowiada za:32

  • Monitorowanie wyników zdrowotnych, zachowań i polityk w regularnych odstępach czasu w miejscach pracy, społecznościach i placówkach opieki zdrowotnej
  • Gromadzenie informacji o chorobach układu krążenia
  • Opracowywanie narzędzi i gromadzenie danych dotyczących polityk i środowisk profilaktycznych
  • Dostarczanie danych o chorobowości, śmiertelności oraz politykach i środowiskach profilaktycznych programowi zdrowia układu krążenia

Czynniki ryzyka i dane epidemiologiczne

Zrozumienie czynników ryzyka chorób serca jest kluczowe dla skutecznej profilaktyki. Choroby serca mają etiologię wieloczynnikową, z interakcją między czynnikami genetycznymi, stylem życia i środowiskowymi.33

Główne czynniki ryzyka

Najważniejsze modyfikowalne czynniki ryzyka chorób serca to:3435

  • Wysokie ciśnienie krwi (nadciśnienie)
  • Wysoki poziom cholesterolu
  • Palenie tytoniu
  • Niezdrowa dieta
  • Brak aktywności fizycznej
  • Cukrzyca
  • Nadwaga i otyłość
  • Nadmierne spożycie alkoholu

Wśród czynników środowiskowych istotnym czynnikiem ryzyka jest zanieczyszczenie powietrza.36 Wpływ behawioralnych czynników ryzyka może przejawiać się u osób jako podwyższone ciśnienie krwi, podwyższony poziom glukozy we krwi, podwyższony poziom lipidów we krwi oraz nadwaga i otyłość.

Nadciśnienie jest jednym z najważniejszych czynników ryzyka chorób serca. Badanie Framingham Heart Study jako jedno z pierwszych wykazało, że nadciśnienie nie jest łagodnym elementem starzenia się, ale jednym z najważniejszych czynników ryzyka choroby wieńcowej serca.37

Trendy w czynnikach ryzyka

Obserwuje się zmiany w rozpowszechnieniu czynników ryzyka chorób serca w różnych regionach świata:3839

  • W wielu krajach o niskim i średnim dochodzie odnotowuje się odwrócenie gradientów społeczno-ekonomicznych – używanie tytoniu i niska konsumpcja owoców i warzyw stały się bardziej powszechne wśród osób o niższym statusie społeczno-ekonomicznym
  • W krajach rozwijających się, takich jak Chiny, obserwuje się wzrost zachorowalności na choroby serca w miarę upowszechniania się zachodniego stylu życia i diety
  • Zmiany demograficzne, w tym starzenie się populacji, przyczyniają się do wzrostu całkowitej liczby przypadków chorób serca, mimo spadku standaryzowanych według wieku współczynników w niektórych regionach

Dane o śmiertelności i zachorowalności

Choroby układu krążenia odpowiadały za 813 804 zgony w Stanach Zjednoczonych w 2007 roku, co oznacza, że średnio ponad 2200 Amerykanów traciło życie z powodu chorób układu krążenia każdego dnia.40 Nowsze dane wskazują, że w 2022 roku z powodu chorób serca zmarło 702 880 osób w USA.41

W Europie choroby układu krążenia są główną przyczyną zgonów, odpowiadając za 4,1 miliona zgonów (2,2 mln u kobiet, 1,9 mln u mężczyzn) rocznie, co stanowi 47% wszystkich zgonów wśród kobiet i 39% wśród mężczyzn.42 Choroba niedokrwienna serca i choroba naczyń mózgowych są najczęstszymi przyczynami zgonów z powodu chorób układu krążenia, a choroba niedokrwienna serca odpowiada za 1,67 miliona zgonów, co odpowiada 17% i 18% wszystkich zgonów odpowiednio u mężczyzn i kobiet.

W Wielkiej Brytanii choroby układu krążenia odpowiadają za około 28% wszystkich zgonów, a choroba wieńcowa serca jest odpowiedzialna za 16% wszystkich zgonów mężczyzn i 10% wszystkich zgonów kobiet.43

Globalne i regionalne dane epidemiologiczne dotyczące chorób serca
Region/Kraj Liczba zgonów (rok) Odsetek wszystkich zgonów Główne czynniki ryzyka
Globalnie ~17,9 miliona (2019) 32% Nadciśnienie, wysoki cholesterol, palenie tytoniu
USA 702 880 (2022) 20% Nadciśnienie, wysoki cholesterol, palenie, otyłość
Europa 4,1 miliona (rocznie) 47% (kobiety), 39% (mężczyźni) Nadciśnienie, palenie, wysoki cholesterol, otyłość
Wielka Brytania ~114 000 (CHD, 2003) 28% (CVD ogółem) Palenie, dieta, brak aktywności fizycznej, nadciśnienie
Kanada >50 000 (rocznie) Druga przyczyna zgonów Nadciśnienie, wysoki cholesterol, cukrzyca
Kraje o niskim i średnim dochodzie ~75% globalnych zgonów z powodu CVD Zróżnicowany Ograniczony dostęp do opieki zdrowotnej, późne wykrycie

Trendy geograficzne i czasowe

Analiza trendów geograficznych i czasowych w epidemiologii chorób serca dostarcza cennych informacji dla planowania opieki zdrowotnej i interwencji w zakresie zdrowia publicznego.44

Różnice geograficzne

Występują znaczące różnice geograficzne w częstości występowania chorób serca:4546

  • W Wielkiej Brytanii standaryzowane według wieku wskaźniki umieralności z powodu chorób układu krążenia wykazują wyraźny trend wyższych wskaźników w Szkocji i północnej Anglii oraz niższych wskaźników w południowej Anglii
  • Rozpowszechnienie choroby wieńcowej jest również najwyższe w północnej Anglii (4,5% w północno-wschodniej części) i Szkocji (4,3%)
  • W Wielkiej Brytanii mężczyźni i kobiety mieszkający w zachodniej Szkocji są prawie sześciokrotnie bardziej narażeni na przedwczesną śmierć z powodu choroby wieńcowej serca niż mężczyźni i kobiety mieszkający w południowo-zachodniej Anglii

W Stanach Zjednoczonych Minnesota miała najniższy ogólny wskaźnik zgonów z powodu chorób serca w każdym roku od 2000 do 2022.47 Jednakże w obrębie stanu istnieją znaczące różnice – w grupie wiekowej 45-64 lat dorośli czarnoskórzy lub afroamerykanie umierają z powodu chorób serca w tempie prawie dwukrotnie wyższym niż wszyscy mieszkańcy Minnesoty w tym samym wieku.

Trendy czasowe

W wielu krajach rozwiniętych zaobserwowano spadek wskaźników umieralności z powodu chorób serca w ostatnich dekadach:4849

  • Wskaźniki umieralności z powodu chorób układu krążenia w Wielkiej Brytanii spadły o 68% między 1980 a 2013 rokiem
  • W Kanadzie w latach 2000/2001 do 2017/2018 liczba dorosłych Kanadyjczyków nowo zdiagnozowanych z chorobą serca spadła z 217 600 do 162 730, a wskaźnik zgonów zmniejszył się o 21%
  • Standaryzowany według wieku wskaźnik umieralności z powodu choroby niedokrwiennej serca zmniejszył się o 30,8% w ciągu ostatnich 30 lat globalnie

Jednakże mimo spadku standaryzowanych według wieku wskaźników, całkowita liczba przypadków i zgonów z powodu chorób serca wzrasta ze względu na starzenie się populacji i wzrost populacji.50 Ponadto w krajach o niskim i średnim dochodzie obserwuje się wzrost obciążenia chorobami serca.51

Trendy w hospitalizacjach i obciążeniu systemów opieki zdrowotnej

Pomimo spadku wskaźników umieralności, obciążenie systemów opieki zdrowotnej z powodu chorób serca pozostaje znaczące lub nawet wzrasta:5253

  • Liczba przyjęć do szpitala z powodu chorób układu krążenia wzrosła o ponad 46 000 między 2010/2011 a 2013/2014 w Unii Europejskiej, z czego ponad 36 500 to zwiększone przyjęcia mężczyzn
  • W 2021 roku pacjenci z chorobami układu krążenia spędzili łącznie 69 milionów dni w szpitalach w całej UE
  • W 2022 roku w Niemczech przeprowadzono 317 800 angioplastyk wieńcowych
  • W Stanach Zjednoczonych, mimo spadku wskaźnika śmiertelności, zachorowalność na choroby serca wydaje się rosnąć

Wyzwania i przyszłe kierunki

Pomimo postępów w zrozumieniu epidemiologii chorób serca, wciąż istnieją znaczące wyzwania, które należy przezwyciężyć w celu skutecznego zmniejszenia globalnego obciążenia tymi chorobami.54

Wyzwania w nadzorze nad chorobami serca

Do głównych wyzwań w nadzorze nad chorobami serca należą:5556

  • Brak ujednoliconych definicji i metod oceny chorób serca, co prowadzi do trudności w porównywaniu danych między badaniami i regionami
  • Ograniczenia w istniejących źródłach danych, takich jak badania ankietowe, rejestry i bazy danych administracyjne
  • Trudności w integracji danych z różnych źródeł
  • Ograniczenia w monitorowaniu trendów w czasie z powodu zmieniających się metod diagnostycznych i definicji chorób
  • Nierówności w dostępie do opieki zdrowotnej, co wpływa na wykrywalność i raportowanie chorób serca

Priorytety w nadzorze nad chorobami serca

Aby poprawić nadzór nad chorobami serca, niezbędne jest podjęcie następujących działań:5758

  • Rozwój kompleksowych, ogólnokrajowych systemów nadzoru nad chorobami serca, integrujących dane z różnych źródeł
  • Poprawa standaryzacji definicji i metod oceny chorób serca
  • Wzmocnienie zdolności do gromadzenia danych na poziomie lokalnym, aby umożliwić rozwój interwencji skierowanych na unikalne warunki specyficzne dla określonych obszarów geograficznych i podpopulacji
  • Wykorzystanie nowoczesnych technologii, takich jak elektroniczna dokumentacja medyczna, do poprawy nadzoru
  • Promowanie międzynarodowej współpracy w zakresie nadzoru nad chorobami serca

Przyszłe kierunki w epidemiologii chorób serca

Przyszłe kierunki badań i działań w epidemiologii chorób serca powinny koncentrować się na:5960

  • Lepszym zrozumieniu czynników ryzyka chorób serca i ich wzajemnych oddziaływań
  • Identyfikacji nowych biomarkerów i czynników ryzyka
  • Rozwoju skutecznych strategii profilaktyki pierwotnej i wtórnej
  • Zmniejszeniu nierówności w występowaniu chorób serca i dostępie do opieki
  • Ocenie skuteczności interwencji populacyjnych i klinicznych
  • Wykorzystaniu nowych technologii, takich jak sztuczna inteligencja i analiza big data, do poprawy nadzoru i predykcji ryzyka

Inicjatywy takie jak Healthy People 2030 w Stanach Zjednoczonych i Million Hearts 2027 wyznaczają ambitne cele związane z poprawą zdrowia sercowo-naczyniowego, w tym zmniejszenie liczby zgonów z powodu choroby wieńcowej serca i udaru, poprawę kontroli ciśnienia krwi u dorosłych oraz zwiększenie leczenia cholesterolu u dorosłych.61

Wnioski

Choroby serca pozostają główną przyczyną zgonów na całym świecie, stanowiąc ogromne obciążenie dla systemów opieki zdrowotnej i społeczeństw.62 Mimo znaczących postępów w zrozumieniu epidemiologii chorób serca i rozwoju skutecznych strategii profilaktyki i leczenia, wciąż istnieją znaczące wyzwania, szczególnie w krajach o niskim i średnim dochodzie.63

Skuteczny nadzór nad chorobami serca jest kluczowy dla monitorowania trendów, identyfikacji grup wysokiego ryzyka i oceny skuteczności interwencji.64 Rozwój kompleksowych, ogólnokrajowych systemów nadzoru, wykorzystujących różnorodne źródła danych, w tym elektroniczną dokumentację medyczną, może znacząco przyczynić się do poprawy naszego zrozumienia epidemiologii chorób serca i skuteczniejszego reagowania na to globalne wyzwanie zdrowotne.65

Osiągnięcie sukcesu w zmniejszaniu globalnego obciążenia chorobami serca będzie wymagało skoordynowanych działań na wielu frontach, w tym wzmocnienia systemów nadzoru, poprawy profilaktyki i leczenia oraz zmniejszenia nierówności w dostępie do opieki zdrowotnej.66 Tylko poprzez kompleksowe i skoordynowane podejście możemy mieć nadzieję na znaczące zmniejszenie obciążenia chorobami serca w przyszłości.

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Heart Disease Facts | Heart Disease | CDC
    https://www.cdc.gov/heart-disease/data-research/facts-stats/index.html
    Heart disease is the leading cause of death for men, women, and people of most racial and ethnic groups. […] In 2022, 702,880 people died from heart disease. That’s the equivalent of 1 in every 5 deaths. […] Heart disease is the leading cause of death for people of most racial and ethnic groups in the United States. […] High blood pressure, high blood cholesterol, and smoking are key risk factors for heart disease. […] Several other medical conditions and lifestyle choices can also put people at a higher risk for heart disease, including diabetes, overweight and obesity, unhealthy diet, physical inactivity, and excessive alcohol use.
  • #2
    https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
    Cardiovascular diseases (CVDs) are the leading cause of death globally. An estimated 17.9 million people died from CVDs in 2019, representing 32% of all global deaths. Of these deaths, 85% were due to heart attack and stroke. Over three quarters of CVD deaths take place in low- and middle-income countries. Out of the 17 million premature deaths (under the age of 70) due to noncommunicable diseases in 2019, 38% were caused by CVDs. Most cardiovascular diseases can be prevented by addressing behavioural and environmental risk factors such as tobacco use, unhealthy diet and obesity, physical inactivity, harmful use of alcohol and air pollution. It is important to detect cardiovascular disease as early as possible so that management with counselling and medicines can begin. […] The most important behavioural risk factors of heart disease and stroke are unhealthy diet, physical inactivity, tobacco use and harmful use of alcohol. Amongst environmental risk factors, air pollution is an important factor. The effects of behavioural risk factors may show up in individuals as raised blood pressure, raised blood glucose, raised blood lipids, and overweight and obesity. These intermediate risks factors can be measured in primary care facilities and indicate an increased risk of heart attack, stroke, heart failure and other complications.
  • #3
    https://www.who.int/health-topics/cardiovascular-diseases
    Cardiovascular diseases (CVDs) are the leading cause of death globally, taking an estimated 17.9 million lives each year. […] The most important behavioural risk factors of heart disease and stroke are unhealthy diet, physical inactivity, tobacco use and harmful use of alcohol. […] Cessation of tobacco use, reduction of salt in the diet, eating more fruit and vegetables, regular physical activity and avoiding harmful use of alcohol have been shown to reduce the risk of cardiovascular disease. […] Identifying those at highest risk of CVDs and ensuring they receive appropriate treatment can prevent premature deaths. […] The risk factors for CVD include behaviours such as tobacco use, an unhealthy diet, harmful use of alcohol and inadequate physical activity. They also include physiological factors, including high blood pressure (hypertension), high blood cholesterol and high blood sugar or glucose, which are linked to underlying social determinants and drivers such as ageing, income and urbanization.
  • #4 Cardiovascular Diseases – Our World in Data
    https://ourworldindata.org/cardiovascular-diseases
    Cardiovascular diseases cover all diseases of the heart and blood vessels including heart attacks and strokes, atherosclerosis, ischemic heart disease, hypertensive diseases, cardiomyopathy, and others. […] Together, cardiovascular diseases are the most common cause of death globally. […] In 2000, around 14 million people died from cardiovascular diseases globally, while in 2019, close to 18 million died. […] The rising death toll is largely due to a growing and aging global population. […] Death rates from cardiovascular diseases have actually fallen in many countries as our ability to prevent and treat them has improved. […] Yet large disparities remain globally. […] Cardiovascular diseases are the most common cause of death worldwide. […] The global death toll from cardiovascular diseases has grown.
  • #5 Cardiovascular Diseases – Our World in Data
    https://ourworldindata.org/cardiovascular-diseases
    Death rates from cardiovascular diseases have declined in many countries. […] There are large disparities in death rates from cardiovascular diseases worldwide. […] A range of factors heighten the risk of cardiovascular diseases. […] High blood pressure, or hypertension, is the number one risk factor.
  • #6
    https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
    Cessation of tobacco use, reduction of salt in the diet, eating more fruit and vegetables, regular physical activity and avoiding harmful use of alcohol have been shown to reduce the risk of cardiovascular disease. Health policies that create conducive environments for making healthy choices affordable and available, as well as improving air quality and reducing pollution, are essential for motivating people to adopt and sustain healthy behaviours. […] In addition, drug treatment of hypertension, diabetes and high blood lipids are necessary to reduce cardiovascular risk and prevent heart attacks and strokes among people with these conditions. […] At least three-quarters of the world’s deaths from CVDs occur in low- and middle-income countries. People living in low- and middle-income countries often do not have the benefit of primary health care programmes for early detection and treatment of people with risk factors for CVDs. People in low- and middle-income countries who suffer from CVDs and other noncommunicable diseases have less access to effective and equitable health care services which respond to their needs. As a result, for many people in these countries detection is often late in the course of the disease and people die at a younger age from CVDs and other noncommunicable diseases, often in their most productive years.
  • #7 What are Heart Disease and Stroke? | Texas DSHS
    https://www.dshs.texas.gov/heart-disease-stroke/what-are-heart-disease-stroke
    Heart disease and stroke are part of a group of cardiovascular diseases. Heart disease is the leading cause of death for both men and women. These diseases affect your heart and blood vessels. Stroke is a condition in which the brain cant get enough blood flow. This happens because one or more blood vessels leading to the brain are blocked or have burst. […] Heart disease is a serious condition. There is one main way to prevent or reduce the effects of heart disease; live a healthy lifestyle, no matter how old you are. […] If you have high cholesterol, high blood pressure, or diabetes, there are steps you can take to lower your risk for heart disease.
  • #8 Cardiovascular disease – Wikipedia
    https://en.wikipedia.org/wiki/Cardiovascular_disease
    Cardiovascular diseases are the leading cause of death worldwide and in all regions except Africa. In 2008, 30% of all global death was attributed to cardiovascular diseases. Death caused by cardiovascular diseases are also higher in low- and middle-income countries as over 80% of all global deaths caused by cardiovascular diseases occurred in those countries. It is also estimated that by 2030, over 23 million people will die from cardiovascular diseases each year. […] It is estimated that 60% of the world’s cardiovascular disease burden will occur in the South Asian subcontinent despite only accounting for 20% of the world’s population. This may be secondary to a combination of genetic predisposition and environmental factors. Organizations such as the Indian Heart Association are working with the World Heart Federation to raise awareness about this issue.
  • #9 Cardiovascular Disease – A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK83160/
    Epidemiological data on heart disease, stroke, and associated risk factors are compiled and published annually in the Heart Disease and Stroke Statistical Update. This publication is a collaborative effort of the American Heart Association (AHA), the Centers for Disease Control and Prevention, the National Institutes of Health, and other government agencies. This chapter draws from the most recent edition of the report, the Heart Disease and Stroke Statistics 2011 Update, in addition to other resources to provide an overview of the burden of cardiovascular diseases in the United States. […] The AHA reports that approximately 82.6 million people in the United States currently have one or more forms of cardiovascular disease (CVD), making it a leading cause of death for both men and women.
  • #10 2 Cardiovascular Disease | A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases | The National Academies Press
    https://nap.nationalacademies.org/read/13145/chapter/4
    Epidemiological data on heart disease, stroke, and associated risk factors are compiled and published annually in the Heart Disease and Stroke Statistical Update. This publication is a collaborative effort of the American Heart Association (AHA), the Centers for Disease Control and Prevention, the National Institutes of Health, and other government agencies. This chapter draws from the most recent edition of the report, the Heart Disease and Stroke Statistics 2011 Update, in addition to other resources to provide an overview of the burden of cardiovascular diseases in the United States. […] The AHA reports that approximately 82.6 million people in the United States currently have one or more forms of cardiovascular disease (CVD), making it a leading cause of death for both men and women.
  • #11 Epidemiology of Coronary Heart Disease | Doctor
    https://patient.info/doctor/epidemiology-of-coronary-heart-disease
    Healthcare costs relating to cardiovascular diseases (CVD) are estimated at 9 billion each year. CVD’s cost to the UK economy (including premature death, disability and informal costs) is estimated to be 19 billion each year. […] There are 2.3 million people in the UK living with CHD (about 1.5 million men and 830,000 women). […] Coronary heart disease (CHD) is the most common cause of death (and premature death) in the UK. […] Coronary heart disease (CHD) is the one of the UKs leading causes of death and the most common cause of premature death. CHD is responsible for about 66,000 deaths in the UK each year. […] In 2019, CHD caused 13% of male and 8% of female deaths. It was the leading cause of death worldwide in 2019. In the UK, one in eight men and one in 14 women die from coronary heart disease.
  • #12 Epidemiology of Coronary Heart Disease | Doctor
    https://patient.info/doctor/epidemiology-of-coronary-heart-disease
    Healthcare costs relating to cardiovascular diseases (CVD) are estimated at 9 billion each year. CVD’s cost to the UK economy (including premature death, disability and informal costs) is estimated to be 19 billion each year. […] There are 2.3 million people in the UK living with CHD (about 1.5 million men and 830,000 women). […] Coronary heart disease (CHD) is the most common cause of death (and premature death) in the UK. […] Coronary heart disease (CHD) is the one of the UKs leading causes of death and the most common cause of premature death. CHD is responsible for about 66,000 deaths in the UK each year. […] In 2019, CHD caused 13% of male and 8% of female deaths. It was the leading cause of death worldwide in 2019. In the UK, one in eight men and one in 14 women die from coronary heart disease.
  • #13 The epidemiology of cardiovascular disease in the UK 2014 | Heart
    https://heart.bmj.com/content/101/15/1182
    Cardiovascular disease (CVD) presents a significant burden to the UK. This review presents data from nationally representative datasets to provide up-to-date statistics on mortality, prevalence, treatment and costs. […] In 2012, CVD was the most common cause of death in the UK for women (28% of all female deaths), but not for men, where cancer is now the most common cause of death (32% of all male deaths). Mortality from CVD varies widely throughout the UK, with the highest age-standardised CVD death rates in Scotland (347/100000) and the North of England (320/100000 in the North West). Prevalence of coronary heart disease is also highest in the North of England (4.5% in the North East) and Scotland (4.3%). Overall, around three times as many men have had a myocardial infarction compared with women. Treatment for CVD is increasing over time, with prescriptions and operations for CVD having substantially increased over the last two decades. The National Health Service in England spent around 6.8 billion on CVD in 2012/2013, the majority of which came from spending on secondary care. Despite significant declines in mortality in the UK, CVD remains a considerable burden, both in terms of health and costs. Both primary and secondary prevention measures are necessary to reduce both the burden of CVD and inequalities in CVD mortality and prevalence.
  • #14 Epidemiology of Coronary Heart Disease | Doctor
    https://patient.info/doctor/epidemiology-of-coronary-heart-disease
    Regular exposure to passive smoking increases CHD risk by up to 25-30%. […] World Health Organization (WHO) research estimates that over 20% of CVD is due to smoking. […] A WHO report in 2003 stated that a diet high in fat (particularly saturated fat), sodium and sugar and low in complex carbohydrates, fruit and vegetables increases the risk of CVD. […] Physical activity reduces the risk of CHD. […] The 2002 World Health Report estimated that over 20% of CHD in developed countries was due to physical inactivity. […] For adults aged 40 to 69 years, each 20 mm Hg rise in usual systolic blood pressure or 10 mm Hg rise in diastolic blood pressure doubles the risk of death from CHD. […] CHD risk is related to cholesterol levels. […] Obesity is an independent risk factor for CHD. […] Men with type 2 diabetes have a 2 to 4 times greater annual risk of CHD; women have a 3 to 5 times greater risk. […] South Asian people living in the UK (people from India, Pakistan, Bangladesh and Sri Lanka) have a higher premature death rate from CHD (46% higher for men; 51% higher for women). […] First-degree relatives of patients with premature myocardial infarction have double the risk themselves.
  • #15 Heart Disease Facts | Heart Disease | CDC
    https://www.cdc.gov/heart-disease/data-research/facts-stats/index.html
    Heart disease is the leading cause of death for men, women, and people of most racial and ethnic groups. […] In 2022, 702,880 people died from heart disease. That’s the equivalent of 1 in every 5 deaths. […] Heart disease is the leading cause of death for people of most racial and ethnic groups in the United States. […] High blood pressure, high blood cholesterol, and smoking are key risk factors for heart disease. […] Several other medical conditions and lifestyle choices can also put people at a higher risk for heart disease, including diabetes, overweight and obesity, unhealthy diet, physical inactivity, and excessive alcohol use.
  • #16 2 Cardiovascular Disease | A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases | The National Academies Press
    https://nap.nationalacademies.org/read/13145/chapter/4
    Cardiovascular diseases claimed 813,804 lives in 2007. On average, more than 2,200 Americans lose their lives to cardiovascular disease each day. Cardiovascular diseases are consistently ranked as the leading cause of death in the United States, exceeding all forms of cancer. […] The overall mortality rate (per 100,000) due to cardiovascular diseases was 251.2 in 2007; the rate for men was 300.3, and for women it was 211.6. […] Data from the Strong Heart Study found that incidence of stroke was 6.8 per 1,000 persons (age- and sex-adjusted) in American Indians. […] The direct and indirect costs of cardiovascular diseases and stroke in the United States are estimated at more than $286 billion. […] Cardiovascular disease is multifactorial; some risk factors are modifiable, and some (age, heredity, and male sex) cannot be modified.
  • #17 Explore Cardiovascular Diseases in the United States | AHR
    https://www.americashealthrankings.org/explore/measures/CVD/CVD_civilian
    Percentage of adults who reported ever being told by a health professional that they had angina or coronary heart disease, a heart attack or myocardial infarction, or a stroke. […] Cardiovascular diseases (CVDs) refer to several conditions resulting from plaque building up in arteries, including coronary artery disease, heart attack and stroke. Heart disease and stroke were the first- and fifth-leading causes of death in the United States in 2022, respectively. […] Risk factors for CVDs include high blood pressure, high cholesterol, obesity, physical inactivity, unhealthy diet, diabetes, smoking, excessive alcohol consumption and family history of heart disease or stroke. […] The direct and indirect costs of cardiovascular disease for the 2019-2020 fiscal year totaled approximately $422.3 billion.
  • #18 Epidemiology of Coronary Heart Disease | Doctor
    https://patient.info/doctor/epidemiology-of-coronary-heart-disease
    Healthcare costs relating to cardiovascular diseases (CVD) are estimated at 9 billion each year. CVD’s cost to the UK economy (including premature death, disability and informal costs) is estimated to be 19 billion each year. […] There are 2.3 million people in the UK living with CHD (about 1.5 million men and 830,000 women). […] Coronary heart disease (CHD) is the most common cause of death (and premature death) in the UK. […] Coronary heart disease (CHD) is the one of the UKs leading causes of death and the most common cause of premature death. CHD is responsible for about 66,000 deaths in the UK each year. […] In 2019, CHD caused 13% of male and 8% of female deaths. It was the leading cause of death worldwide in 2019. In the UK, one in eight men and one in 14 women die from coronary heart disease.
  • #19 Heart Disease in Minnesota – MN Dept. of Health
    https://www.health.state.mn.us/diseases/cardiovascular/data/heartdisease.html
    The lowest heart disease death rates in Minnesota are in people who are Asian and people who are Hispanic, with death rates 41% and 50% lower than the overall population, respectively. […] In the United States, there were over $120 billion in annual heart disease-related medical costs, including procedures, hospitalizations, rehabilitation, and an additional $132 billion from lost productivity due to premature deaths during 2019 and 2020.
  • #20 Heart Disease Stroke Surveillance System
    https://portal.ct.gov/dph/Health-Information-Systems–Reporting/Hisrhome/Heart-Disease–Stroke-Surveillance-System
    Public health tracking of heart disease and stroke is an essential part of reducing the disease burden in Connecticut, identifying high-risk groups, formulating health care policy, and evaluating our states progress in preventing this disease. […] The objective of the Connecticut Heart Disease Stroke Surveillance System (CHDSS) is to provide timely and relevant information about heart disease, stroke and their complications in Connecticut, as well as related risk factor information. […] Please see the Mortality Statistics page heart disease, stroke, and cardiovascular disease-related death counts; age-adjusted mortality and premature mortality rates; and mortality disparities by gender, race, and ethnicity. […] Visit the Hospitalization Statistics page for hospital discharge data workbooks.
  • #21 Establishing a National Cardiovascular Disease Surveillance System in the United States Using Electronic Health Record Data: Key Strengths and Limitations – Kaiser Permanente Division of Research
    https://divisionofresearch.kaiserpermanente.org/publications/establishing-a-national-cardiovascular-disease-surveillance-system-in-the-united-states-using-electronic-health-record-data-key-strengths-and-limitations/
    Cardiovascular disease surveillance involves quantifying the evolving population-level burden of cardiovascular outcomes and risk factors as a data-driven initial step followed by the implementation of interventional strategies designed to alleviate this burden in the target population. […] Despite widespread acknowledgement of its potential value, a national surveillance system dedicated specifically to cardiovascular disease does not currently exist in the United States. […] Accordingly, this article elaborates on some key strengths and limitations of using EHR data for establishing a national cardiovascular disease surveillance system. Key strengths discussed include the: (1) ubiquity of EHRs and consequent ability to create a more national surveillance system, (2) existence of a common data infrastructure underlying the health care enterprise with respect to data domains and the nomenclature by which these data are expressed, (3) longitudinal length and detail that define EHR data when individuals repeatedly patronize a health care organization, and (4) breadth of outcomes capable of being surveilled with EHRs.
  • #22 Establishing a National Cardiovascular Disease Surveillance System in the United States Using Electronic Health Record Data: Key Strengths and Limitations
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9238467/
    Key limitations discussed include the: (1) incomplete ascertainment of health information related to health care-seeking behavior and the disconnect of health care data generated at separate health care organizations, (2) suspect data quality resulting from the default information-gathering processes within the clinical enterprise, (3) questionable ability to surveil patients through EHRs in the absence of documented interactions, and (4) the challenge in interpreting temporal trends in health metrics, which can be obscured by changing clinical and administrative processes. […] Despite multiple exhortations for a dedicated national CVD surveillance system over the past 15 years, such a system does not currently exist. […] Population-level surveillance of the appropriate metrics serves to quantify this burden at the national level and enables contrasts between metrics such that prioritizations can be made and impactful public health and/or clinical interventions can be planned and applied.
  • #23 Establishing a National Cardiovascular Disease Surveillance System in the United States Using Electronic Health Record Data: Key Strengths and Limitations
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9238467/
    Continuous surveillance efforts allow assessing the collective impact of applied interventions on the metrics they are designed to improve. […] The ideal national CVD surveillance system would cost-efficiently follow a large, representative set of US residents over extended periods while tracking a broad range of metrics such that a comprehensive picture of the nation’s cardiovascular health emerges. […] Several ongoing efforts provide valuable surveillance metrics related to CVD, many of which have been recently summarized. […] The recent proliferation of EHRs in the United States has generated enthusiasm for using EHR data for research, assessing quality improvement initiatives, and monitoring public health, including establishment of a national CVD surveillance system. […] EHR data also tend to represent broader patient populations than isolated claims data sources and are more available in real time. […] Although EHR data possess some obvious strengths as a potential resource for surveillance and some work has been done in this area, some inherent features of EHR data cast uncertainty on its value as a surveillance data source.
  • #24 Establishing a National Cardiovascular Disease Surveillance System in the United States Using Electronic Health Record Data: Key Strengths and Limitations
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9238467/
    Continuous surveillance efforts allow assessing the collective impact of applied interventions on the metrics they are designed to improve. […] The ideal national CVD surveillance system would cost-efficiently follow a large, representative set of US residents over extended periods while tracking a broad range of metrics such that a comprehensive picture of the nation’s cardiovascular health emerges. […] Several ongoing efforts provide valuable surveillance metrics related to CVD, many of which have been recently summarized. […] The recent proliferation of EHRs in the United States has generated enthusiasm for using EHR data for research, assessing quality improvement initiatives, and monitoring public health, including establishment of a national CVD surveillance system. […] EHR data also tend to represent broader patient populations than isolated claims data sources and are more available in real time. […] Although EHR data possess some obvious strengths as a potential resource for surveillance and some work has been done in this area, some inherent features of EHR data cast uncertainty on its value as a surveillance data source.
  • #25 How the “Crown Jewel of Epidemiology” Changed How We Look at Heart Disease
    https://www.visiblebody.com/blog/how-the-crown-jewel-of-epidemiology-changed-how-we-look-at-heart-disease
    Started in 1948 and spanning three generations, the Framingham Heart Study (FHS) is the longest-running cardiovascular epidemiological study. […] Mountin recognized the need to study the cardiovascular disease epidemic. […] The FHS disproved the myth that hypertension is a benign part of aging, as one of the very first papers to come out of the FHS showed that hypertension is one of the most important risk factors for coronary heart disease. […] The FHS actively surveils its participants for developing dementia and Alzheimers, stroke, and cognitive impairment. […] The FHS has been able to follow participants with dementia for multiple decades, giving them insight into the development of dementia. […] The FHS continues to grow its data set and strive for new discoveries in cardiovascular health. […] In 2022, the FHS came forward with great news: as time goes on, participants in the FHS are living longer and having their first cardiovascular disease events later in life.
  • #26 Establishing a National Cardiovascular Disease Surveillance System in the United States Using Electronic Health Record Data: Key Strengths and Limitations
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9238467/
    Continuous surveillance efforts allow assessing the collective impact of applied interventions on the metrics they are designed to improve. […] The ideal national CVD surveillance system would cost-efficiently follow a large, representative set of US residents over extended periods while tracking a broad range of metrics such that a comprehensive picture of the nation’s cardiovascular health emerges. […] Several ongoing efforts provide valuable surveillance metrics related to CVD, many of which have been recently summarized. […] The recent proliferation of EHRs in the United States has generated enthusiasm for using EHR data for research, assessing quality improvement initiatives, and monitoring public health, including establishment of a national CVD surveillance system. […] EHR data also tend to represent broader patient populations than isolated claims data sources and are more available in real time. […] Although EHR data possess some obvious strengths as a potential resource for surveillance and some work has been done in this area, some inherent features of EHR data cast uncertainty on its value as a surveillance data source.
  • #27 Establishing a National Cardiovascular Disease Surveillance System in the United States Using Electronic Health Record Data: Key Strengths and Limitations – Kaiser Permanente Division of Research
    https://divisionofresearch.kaiserpermanente.org/publications/establishing-a-national-cardiovascular-disease-surveillance-system-in-the-united-states-using-electronic-health-record-data-key-strengths-and-limitations/
    Cardiovascular disease surveillance involves quantifying the evolving population-level burden of cardiovascular outcomes and risk factors as a data-driven initial step followed by the implementation of interventional strategies designed to alleviate this burden in the target population. […] Despite widespread acknowledgement of its potential value, a national surveillance system dedicated specifically to cardiovascular disease does not currently exist in the United States. […] Accordingly, this article elaborates on some key strengths and limitations of using EHR data for establishing a national cardiovascular disease surveillance system. Key strengths discussed include the: (1) ubiquity of EHRs and consequent ability to create a more national surveillance system, (2) existence of a common data infrastructure underlying the health care enterprise with respect to data domains and the nomenclature by which these data are expressed, (3) longitudinal length and detail that define EHR data when individuals repeatedly patronize a health care organization, and (4) breadth of outcomes capable of being surveilled with EHRs.
  • #28 Establishing a National Cardiovascular Disease Surveillance System in the United States Using Electronic Health Record Data: Key Strengths and Limitations – Kaiser Permanente Division of Research
    https://divisionofresearch.kaiserpermanente.org/publications/establishing-a-national-cardiovascular-disease-surveillance-system-in-the-united-states-using-electronic-health-record-data-key-strengths-and-limitations/
    Key limitations discussed include the: (1) incomplete ascertainment of health information related to health care-seeking behavior and the disconnect of health care data generated at separate health care organizations, (2) suspect data quality resulting from the default information-gathering processes within the clinical enterprise, (3) questionable ability to surveil patients through EHRs in the absence of documented interactions, and (4) the challenge in interpreting temporal trends in health metrics, which can be obscured by changing clinical and administrative processes.
  • #29 Surveillance and Evaluation Data Resource Guide | Cardiovascular Disease Data, Tools, and Evaluation Resources | CDC
    https://www.cdc.gov/cardiovascular-resources/php/data-research/surveillance-evaluation-data-resource-guide.html
    The Surveillance and Evaluation Data Resource Guide for Heart Disease and Stroke Prevention Programs is an at-a-glance compilation of data sources useful for heart disease and stroke prevention programs conducting policy or data surveillance and/or evaluation. […] The guide can be used by program managers and evaluators in the planning and evaluation stages of heart disease and stroke prevention programs. […] Data from the guide can be used to compare program impact and outcomes with those of other states and the nation. […] Each data source includes a variety of CVD-related measures (e.g., hospitalizations, prescription medication, outpatient care). […] Provide access to county (or equivalent) estimates of annual CVD death. […] Provide federal agencies, state and local health departments, nonprofit organizations, academic institutions, and the public with information to enhance CVD prevention and treatment activities, plan services, allocate resources, and develop policies.
  • #30 Surveillance of heart diseases and conditions – Canada.ca
    https://www.canada.ca/en/public-health/services/diseases/heart-health/heart-diseases-conditions/surveillance-heart-diseases-conditions.html
    Heart disease is the second leading cause of death in Canada, claiming more than 50,000 lives each year. […] According to 20172018 data from the Canadian Chronic Disease Surveillance System (CCDSS), about 8.5% of Canadian adults were living with diagnosed ischemic heart disease. This is the most common type of heart disease, and the figure comprises about: […] About 25% of Canadian adults aged 20 years and older were living with diagnosed hypertension (20172018 CCDSS). Men and women were equally affected. […] The Public Health Agency of Canada uses provincial and territorial health data from the Canadian Chronic Disease Surveillance System. This system helps the federal government better understand chronic conditions by estimating: […] The system aims to make the collection of surveillance data consistent and comparable across jurisdictions. Since the provinces and territories share population-level summaries only, patient privacy is protected. Pan-Canadian data can be found on the system’s website. […] Information is reported to support the planning and evaluation of policies and programs.
  • #31 Surveillance of heart diseases and conditions – Canada.ca
    https://www.canada.ca/en/public-health/services/diseases/heart-health/heart-diseases-conditions/surveillance-heart-diseases-conditions.html
    Heart disease is the second leading cause of death in Canada, claiming more than 50,000 lives each year. […] According to 20172018 data from the Canadian Chronic Disease Surveillance System (CCDSS), about 8.5% of Canadian adults were living with diagnosed ischemic heart disease. This is the most common type of heart disease, and the figure comprises about: […] About 25% of Canadian adults aged 20 years and older were living with diagnosed hypertension (20172018 CCDSS). Men and women were equally affected. […] The Public Health Agency of Canada uses provincial and territorial health data from the Canadian Chronic Disease Surveillance System. This system helps the federal government better understand chronic conditions by estimating: […] The system aims to make the collection of surveillance data consistent and comparable across jurisdictions. Since the provinces and territories share population-level summaries only, patient privacy is protected. Pan-Canadian data can be found on the system’s website. […] Information is reported to support the planning and evaluation of policies and programs.
  • #32 Cardiovascular Disease Surveillance | Georgia Department of Public Health
    https://dph.georgia.gov/chronic-disease-prevention/cardiovascular-disease-surveillance
    Cardiovascular disease surveillance is responsible for monitoring health outcomes, behaviors, and policies at regular intervals in worksite, community, and health care settings. […] To collect information on cardiovascular disease (CVD) for the State of Georgia. […] To develop tools and collect data on prevention policies and environments affecting preventable risk factors for cardiovascular disease: lack of physical activity, poor nutrition, and tobacco use. […] To provide cardiovascular disease morbidity, mortality and prevention policies and environments data to the cardiovascular health program to assist them in developing strategies and evaluating their effectiveness. […] Knowledge of modifiable cardiovascular disease risk factors. […] The Georgia Health Plan Policies and Practices Survey was conducted for the first time in 2004.
  • #33 Epidemiology of Coronary Heart Disease | Doctor
    https://patient.info/doctor/epidemiology-of-coronary-heart-disease
    The aetiology of CHD is multifactorial. It is the result of interaction between genetic, lifestyle and environmental factors. Poor diet and other lifestyle factors are estimated to account for about one-third of all deaths from CVD in England. […] In England and Wales there is a positive correlation between deaths from circulatory diseases and levels of deprivation. […] There is a marked difference in prevalence of CHD between and within communities. […] Men and women living in the West of Scotland are nearly six times more likely to die prematurely from CHD than men and women living in the South West of England. […] The difference in CHD rates in different socio-economic groups is related to many factors, including diet, smoking, exercise, and alcohol. […] Mortality from CHD is 60% higher in smokers.
  • #34 Heart Disease Facts | Heart Disease | CDC
    https://www.cdc.gov/heart-disease/data-research/facts-stats/index.html
    Heart disease is the leading cause of death for men, women, and people of most racial and ethnic groups. […] In 2022, 702,880 people died from heart disease. That’s the equivalent of 1 in every 5 deaths. […] Heart disease is the leading cause of death for people of most racial and ethnic groups in the United States. […] High blood pressure, high blood cholesterol, and smoking are key risk factors for heart disease. […] Several other medical conditions and lifestyle choices can also put people at a higher risk for heart disease, including diabetes, overweight and obesity, unhealthy diet, physical inactivity, and excessive alcohol use.
  • #35
    https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
    Cardiovascular diseases (CVDs) are the leading cause of death globally. An estimated 17.9 million people died from CVDs in 2019, representing 32% of all global deaths. Of these deaths, 85% were due to heart attack and stroke. Over three quarters of CVD deaths take place in low- and middle-income countries. Out of the 17 million premature deaths (under the age of 70) due to noncommunicable diseases in 2019, 38% were caused by CVDs. Most cardiovascular diseases can be prevented by addressing behavioural and environmental risk factors such as tobacco use, unhealthy diet and obesity, physical inactivity, harmful use of alcohol and air pollution. It is important to detect cardiovascular disease as early as possible so that management with counselling and medicines can begin. […] The most important behavioural risk factors of heart disease and stroke are unhealthy diet, physical inactivity, tobacco use and harmful use of alcohol. Amongst environmental risk factors, air pollution is an important factor. The effects of behavioural risk factors may show up in individuals as raised blood pressure, raised blood glucose, raised blood lipids, and overweight and obesity. These intermediate risks factors can be measured in primary care facilities and indicate an increased risk of heart attack, stroke, heart failure and other complications.
  • #36
    https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
    Cardiovascular diseases (CVDs) are the leading cause of death globally. An estimated 17.9 million people died from CVDs in 2019, representing 32% of all global deaths. Of these deaths, 85% were due to heart attack and stroke. Over three quarters of CVD deaths take place in low- and middle-income countries. Out of the 17 million premature deaths (under the age of 70) due to noncommunicable diseases in 2019, 38% were caused by CVDs. Most cardiovascular diseases can be prevented by addressing behavioural and environmental risk factors such as tobacco use, unhealthy diet and obesity, physical inactivity, harmful use of alcohol and air pollution. It is important to detect cardiovascular disease as early as possible so that management with counselling and medicines can begin. […] The most important behavioural risk factors of heart disease and stroke are unhealthy diet, physical inactivity, tobacco use and harmful use of alcohol. Amongst environmental risk factors, air pollution is an important factor. The effects of behavioural risk factors may show up in individuals as raised blood pressure, raised blood glucose, raised blood lipids, and overweight and obesity. These intermediate risks factors can be measured in primary care facilities and indicate an increased risk of heart attack, stroke, heart failure and other complications.
  • #37 How the “Crown Jewel of Epidemiology” Changed How We Look at Heart Disease
    https://www.visiblebody.com/blog/how-the-crown-jewel-of-epidemiology-changed-how-we-look-at-heart-disease
    Started in 1948 and spanning three generations, the Framingham Heart Study (FHS) is the longest-running cardiovascular epidemiological study. […] Mountin recognized the need to study the cardiovascular disease epidemic. […] The FHS disproved the myth that hypertension is a benign part of aging, as one of the very first papers to come out of the FHS showed that hypertension is one of the most important risk factors for coronary heart disease. […] The FHS actively surveils its participants for developing dementia and Alzheimers, stroke, and cognitive impairment. […] The FHS has been able to follow participants with dementia for multiple decades, giving them insight into the development of dementia. […] The FHS continues to grow its data set and strive for new discoveries in cardiovascular health. […] In 2022, the FHS came forward with great news: as time goes on, participants in the FHS are living longer and having their first cardiovascular disease events later in life.
  • #38 Epidemiology of Coronary Heart Disease | Doctor
    https://patient.info/doctor/epidemiology-of-coronary-heart-disease
    The aetiology of CHD is multifactorial. It is the result of interaction between genetic, lifestyle and environmental factors. Poor diet and other lifestyle factors are estimated to account for about one-third of all deaths from CVD in England. […] In England and Wales there is a positive correlation between deaths from circulatory diseases and levels of deprivation. […] There is a marked difference in prevalence of CHD between and within communities. […] Men and women living in the West of Scotland are nearly six times more likely to die prematurely from CHD than men and women living in the South West of England. […] The difference in CHD rates in different socio-economic groups is related to many factors, including diet, smoking, exercise, and alcohol. […] Mortality from CHD is 60% higher in smokers.
  • #39 Global Burden of Cardiovascular Disease in India: Current Epidemiology and Future Directions | DCP3
    https://www.dcp-3.org/resources/global-burden-cardiovascular-disease-india-current-epidemiology-and-future-directions
    Despite wide heterogeneity in the prevalence of cardiovascular risk factors across different regions, CVD has emerged as the leading cause of death in all parts of India, including poorer states and rural areas. The progression of the epidemic is characterized by the reversal of socioeconomic gradients; tobacco use and low fruit and vegetable intake have become more prevalent among those from lower socioeconomic backgrounds. In addition, individuals from lower socioeconomic backgrounds frequently do not receive optimal therapy, leading to poorer outcomes. Countering the epidemic requires the development of strategies such as the formulation and effective implementation of evidencebased policy, reinforcement of health systems, and emphasis on prevention, early detection, and treatment with the use of both conventional and innovative techniques. Several ongoing community-based studies are testing these strategies.
  • #40 Cardiovascular Disease – A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK83160/
    Cardiovascular diseases claimed 813,804 lives in 2007. On average, more than 2,200 Americans lose their lives to cardiovascular disease each day. Cardiovascular diseases are consistently ranked as the leading cause of death in the United States, exceeding all forms of cancer. […] To fully appreciate the burden of disease on the population, mortality rates, incident and recurrent event rates, disability rates, healthcare utilization patterns and rates, economic indicators, and other variables need to be measured and followed over time. […] The capability to collect local-level data is necessary to facilitate the development of interventions aimed at the conditions unique to specific geographic areas and specific subpopulations. […] Strengthening surveillance systems will enable timely and appropriate delivery of public health and clinical policy, and it will allow monitoring of trends in CVD risk factors and health status.
  • #41 Heart Disease Facts | Heart Disease | CDC
    https://www.cdc.gov/heart-disease/data-research/facts-stats/index.html
    Heart disease is the leading cause of death for men, women, and people of most racial and ethnic groups. […] In 2022, 702,880 people died from heart disease. That’s the equivalent of 1 in every 5 deaths. […] Heart disease is the leading cause of death for people of most racial and ethnic groups in the United States. […] High blood pressure, high blood cholesterol, and smoking are key risk factors for heart disease. […] Several other medical conditions and lifestyle choices can also put people at a higher risk for heart disease, including diabetes, overweight and obesity, unhealthy diet, physical inactivity, and excessive alcohol use.
  • #42 ESC Prevention of CVD Programme: Epidemiology of IHD
    https://www.escardio.org/Education/ESC-Prevention-of-CVD-Programme/Epidemiology-of-IHD
    In 54 ESC member countries there were 19.9 million new cases of cardiovascular disease (CVD) and 108.6 million people living with CVD in 2017. Ischaemic heart disease (IHD) was the most common manifestation of CVD with 3.6 million new cases and 34.9 million people living with IHD. CVD is the most common cause of death in Europe accounting for 4.1 million deaths (2.2 mio in females, 1,9 mio in males) each year; corresponding to 47% of all deaths among women and 39% among men. IHD and cerebrovascular disease are the most common causes of cardiovascular death and IHD accounts for 1.67 million deaths corresponding to 17% and 18% of all deaths in men and women, respectively. […] The age-adjusted CVD incidence has declined rapidly in almost all Western European countries with up to 30-50% reduction in the last 10-15 years in some countries.
  • #43 The epidemiology of cardiovascular disease in the UK 2014 | Heart
    https://heart.bmj.com/content/101/15/1182
    Cardiovascular disease (CVD) is the leading cause of death worldwide. The 2013 Global Burden of Disease Study estimated that almost 30% of all deaths worldwide were caused by CVD. […] This review is based on the Cardiovascular Disease Statistics 2014 report. These reports aim to provide up-to-date statistics on CVD, coronary heart disease (CHD) and stroke in the UK. […] In 2012, for the first time since the middle of the 20th century, CVD went from being the main cause of death to the second cause of death in the UK. Twenty-eight per cent of deaths were caused by CVD in 2012, and 29% were caused by cancer. […] The main causes of CVD death are CHD and stroke. In 2012, 46% of CVD deaths were from CHD and 26% were from stroke. Overall, CHD was responsible for 16% of all male deaths and 10% of all female deaths, a total of just under 73500 deaths.
  • #44 Survival analysis in cardiovascular epidemiology: nexus between heart disease and mortality | Journal of Emerging Investigators
    https://emerginginvestigators.org/articles/24-024
    In 2021, over 20 million people died from cardiovascular diseases, accounting for approximately one-third of all global deaths an increase from the 1990s when approximately 12 million people died each year. […] We explored which of the many variables influences the outcome of patient mortality in the event of heart failure and how the influence changes as these features are removed or added. […] While aging prompts changes in the heart’s structure including muscle cell deterioration, valve rigidity, and reduced chamber capacity, high blood pressure hampers arterial capabilities. […] This study could be one step out of the many that are needed towards assisting with personalized medicine to improve the chances of a patient’s survival following heart failure.
  • #45 The epidemiology of cardiovascular disease in the UK 2014 | Heart
    https://heart.bmj.com/content/101/15/1182
    Cardiovascular disease (CVD) is the leading cause of death worldwide. The 2013 Global Burden of Disease Study estimated that almost 30% of all deaths worldwide were caused by CVD. […] This review is based on the Cardiovascular Disease Statistics 2014 report. These reports aim to provide up-to-date statistics on CVD, coronary heart disease (CHD) and stroke in the UK. […] In 2012, for the first time since the middle of the 20th century, CVD went from being the main cause of death to the second cause of death in the UK. Twenty-eight per cent of deaths were caused by CVD in 2012, and 29% were caused by cancer. […] The main causes of CVD death are CHD and stroke. In 2012, 46% of CVD deaths were from CHD and 26% were from stroke. Overall, CHD was responsible for 16% of all male deaths and 10% of all female deaths, a total of just under 73500 deaths.
  • #46 The epidemiology of cardiovascular disease in the UK 2014 | Heart
    https://heart.bmj.com/content/101/15/1182
    More than one quarter of premature deaths in men and around 18% of premature deaths in women were from CVD in 2012. […] Age-standardised CVD mortality rates by local authority showed a clear trend for higher CVD rates in Scotland and the North of England and lower CVD rates in the South of England. […] Throughout the UK, prevalence of MI in men was almost three times greater than for women in 2013. […] Estimates of the number of people in the UK who have CVD, derived from the CPRD GOLD database, are broadly supported by results from the QOF. […] In the UK, there were 1.6 million episodes related to CVD in NHS hospitals, accounting for 10.1% of all inpatient episodes among men and 6.3% among women. […] The total number of operations carried out to treat CHD is increasing in the UK.
  • #47 Heart Disease in Minnesota – MN Dept. of Health
    https://www.health.state.mn.us/diseases/cardiovascular/data/heartdisease.html
    In 2023, 4% of adults in Minnesota reported ever having had a heart attack in their lifetime almost 180,000 people. […] Approximately 17% of all deaths in Minnesota are due to heart disease (8,972 deaths in 2022), making it the second-leading cause of death in the state behind cancer. […] In 2022, Minnesotans experienced more than 45,000 acute heart disease hospitalizations. […] Every year from 2000 through 2022, Minnesota had the lowest overall heart disease death rate in the United States. […] From 2018-2022, the heart disease death rate was 43% higher in people who are American Indian/Alaskan Native compared to Minnesotans overall. […] In the middle-aged adult group ages 45-64, Black or African American adults die from heart disease at nearly two times the rate of all Minnesotans of the same age.
  • #48 2 Cardiovascular Disease | A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases | The National Academies Press
    https://nap.nationalacademies.org/read/13145/chapter/4
    Cardiovascular diseases claimed 813,804 lives in 2007. On average, more than 2,200 Americans lose their lives to cardiovascular disease each day. Cardiovascular diseases are consistently ranked as the leading cause of death in the United States, exceeding all forms of cancer. […] The overall mortality rate (per 100,000) due to cardiovascular diseases was 251.2 in 2007; the rate for men was 300.3, and for women it was 211.6. […] Data from the Strong Heart Study found that incidence of stroke was 6.8 per 1,000 persons (age- and sex-adjusted) in American Indians. […] The direct and indirect costs of cardiovascular diseases and stroke in the United States are estimated at more than $286 billion. […] Cardiovascular disease is multifactorial; some risk factors are modifiable, and some (age, heredity, and male sex) cannot be modified.
  • #49 Global epidemiology and future trends of heart failure – Lippi – AME Medical Journal
    https://amj.amegroups.org/article/view/5475/html
    Some population statistics suggested that the epidemiologic burden of heart failure (HF) may have significantly decreased between 2000 and 2010. […] The current worldwide prevalence of HF is 64.34 million cases (8.52 per 1,000 inhabitants), accounting for 9.91 million years lost due to disability (YLDs) and 346.17 billion US $ expenditure. […] HF poses the largest burden after 60 years of age and both prevalence and YLDs have increased by 3.9% and 4.5% in very elderly people during the last 28 years. […] A linear, direct relationship can be found between socio-demographic index (SDI) and both prevalence and YLDs of HF. […] HF is an emerging worldwide threat whose prevalence and health loss burden constantly increase, especially in the elderly and in people living in low-to middle SDI regions.
  • #50 Cardiovascular Diseases – Our World in Data
    https://ourworldindata.org/cardiovascular-diseases
    Cardiovascular diseases cover all diseases of the heart and blood vessels including heart attacks and strokes, atherosclerosis, ischemic heart disease, hypertensive diseases, cardiomyopathy, and others. […] Together, cardiovascular diseases are the most common cause of death globally. […] In 2000, around 14 million people died from cardiovascular diseases globally, while in 2019, close to 18 million died. […] The rising death toll is largely due to a growing and aging global population. […] Death rates from cardiovascular diseases have actually fallen in many countries as our ability to prevent and treat them has improved. […] Yet large disparities remain globally. […] Cardiovascular diseases are the most common cause of death worldwide. […] The global death toll from cardiovascular diseases has grown.
  • #51 Global epidemiology and future trends of heart failure – Lippi – AME Medical Journal
    https://amj.amegroups.org/article/view/5475/html
    The results of our analysis suggest that both prevalence and health loss (i.e., YLDs) of HF have constantly increased during the past 28 years on a worldwide scale, following a path that is unlikely to reverse in the next 10 years based on our estimations. […] This increased population burden will then translate into an enhanced worldwide expenditure for managing HF patients, which will reach approximately 400 billion US $ in 2030. […] Although the burden of HF remains higher in high SDI regions, the 28-year trends reveal a 11.2% decreased prevalence in these regions counterbalanced by a 10.3% increase in low-to-middle SDI regions. […] More specifically, our analysis shows that the burden of HF has increased by 3.1% in the last 10 years in low-to-middle SDI regions (from 43.4% to 46.5% of all worldwide HF cases), which would allow us to estimate that the burden of this condition will overcome 50% by the year 2030. […] The results of our analysis attest that HF is an emerging worldwide threat whose prevalence and health loss burden are constantly increasing, especially in the elderly and in people living in low SDI regions.
  • #52 The epidemiology of cardiovascular disease in the UK 2014 | Heart
    https://heart.bmj.com/content/101/15/1182
    More than one quarter of premature deaths in men and around 18% of premature deaths in women were from CVD in 2012. […] Age-standardised CVD mortality rates by local authority showed a clear trend for higher CVD rates in Scotland and the North of England and lower CVD rates in the South of England. […] Throughout the UK, prevalence of MI in men was almost three times greater than for women in 2013. […] Estimates of the number of people in the UK who have CVD, derived from the CPRD GOLD database, are broadly supported by results from the QOF. […] In the UK, there were 1.6 million episodes related to CVD in NHS hospitals, accounting for 10.1% of all inpatient episodes among men and 6.3% among women. […] The total number of operations carried out to treat CHD is increasing in the UK.
  • #53 Cardiovascular diseases statistics – Statistics Explained – Eurostat
    https://ec.europa.eu/eurostat/statistics-explained/index.php/Cardiovascular_diseases_statistics
    Standardised death rates for diseases of the circulatory system were systematically higher for males than for females in 2021 across all of the EU countries. […] The standardised death rate for cerebrovascular diseases in Bulgaria was 9.1 times as high as the rate in France. […] The number of in-patients with diseases of the circulatory system discharged from hospitals across the EU was 8.6 million in 2021. […] Hospital discharges of in-patients treated for diseases of the circulatory system show a very large variation across the EU countries. […] In 2021, across the EU, in-patients with diseases of the circulatory system spent a total of 69 million days in hospital. […] Transluminal coronary angioplasty was a common form of intervention for patients treated for cardiovascular diseases.
  • #54 IJPDS International Journal of Population Data Science
    https://ijpds.org/article/view/2677
    Cardiovascular diseases (CVD) are the leading cause of mortality and morbidity worldwide. Traditionally, disease surveillance relies on data from surveys, registries, and administrative databases. As medical records undergo global digitization, electronic medical records (EMRs) are emerging as a crucial reservoir of real-world data. However, the extent EMRs are used in CVD surveillance is unknown. We are conducting a scoping review to assess the current state and effectiveness of EMR-based CVD surveillance worldwide. […] Surveillance of CVD is crucial for prevention and health policy development. While EMRs can be a data source for surveillance, such potential has yet to be fully realized. […] This study will inform existing research challenges and future opportunities of EMR-based CVD surveillance.
  • #55 Establishing a National Cardiovascular Disease Surveillance System in the United States Using Electronic Health Record Data: Key Strengths and Limitations
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9238467/
    Cardiovascular disease surveillance involves quantifying the evolving population-level burden of cardiovascular outcomes and risk factors as a data-driven initial step followed by the implementation of interventional strategies designed to alleviate this burden in the target population. […] Despite widespread acknowledgement of its potential value, a national surveillance system dedicated specifically to cardiovascular disease does not currently exist in the United States. […] Accordingly, this article elaborates on some key strengths and limitations of using EHR data for establishing a national cardiovascular disease surveillance system. Key strengths discussed include the: (1) ubiquity of EHRs and consequent ability to create a more national surveillance system, (2) existence of a common data infrastructure underlying the health care enterprise with respect to data domains and the nomenclature by which these data are expressed, (3) longitudinal length and detail that define EHR data when individuals repeatedly patronize a health care organization, and (4) breadth of outcomes capable of being surveilled with EHRs.
  • #56 Establishing a National Cardiovascular Disease Surveillance System in the United States Using Electronic Health Record Data: Key Strengths and Limitations
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9238467/
    Key limitations discussed include the: (1) incomplete ascertainment of health information related to health care-seeking behavior and the disconnect of health care data generated at separate health care organizations, (2) suspect data quality resulting from the default information-gathering processes within the clinical enterprise, (3) questionable ability to surveil patients through EHRs in the absence of documented interactions, and (4) the challenge in interpreting temporal trends in health metrics, which can be obscured by changing clinical and administrative processes. […] Despite multiple exhortations for a dedicated national CVD surveillance system over the past 15 years, such a system does not currently exist. […] Population-level surveillance of the appropriate metrics serves to quantify this burden at the national level and enables contrasts between metrics such that prioritizations can be made and impactful public health and/or clinical interventions can be planned and applied.
  • #57 Cardiovascular Disease – A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK83160/
    Cardiovascular diseases claimed 813,804 lives in 2007. On average, more than 2,200 Americans lose their lives to cardiovascular disease each day. Cardiovascular diseases are consistently ranked as the leading cause of death in the United States, exceeding all forms of cancer. […] To fully appreciate the burden of disease on the population, mortality rates, incident and recurrent event rates, disability rates, healthcare utilization patterns and rates, economic indicators, and other variables need to be measured and followed over time. […] The capability to collect local-level data is necessary to facilitate the development of interventions aimed at the conditions unique to specific geographic areas and specific subpopulations. […] Strengthening surveillance systems will enable timely and appropriate delivery of public health and clinical policy, and it will allow monitoring of trends in CVD risk factors and health status.
  • #58 A nationwide framework for surveillance of cardiovascular and chronic lung diseases
    https://www.healthpartners.com/knowledgeexchange/display/document-rn26836
    Chronic diseases, such as cardiovascular disease and chronic lung disease, are common and costly, yet they also are among the most preventable health problems. Surveillance systems focused on chronic diseases have a potentially key role in reducing this health toll. […] there is no surveillance system that operates on a national basis and in a coordinated manner to integrate current and emerging data on chronic diseases and generate timely guidance for stakeholders at the local, state, regional, and national levels. […] the agencies asked the IOM to appoint a study committee to develop a framework for building a national chronic disease surveillance system focused primarily on cardiovascular and chronic lung diseases.
  • #59 Explore Cardiovascular Diseases in the United States | AHR
    https://www.americashealthrankings.org/explore/measures/CVD/CVD_civilian
    Most deaths resulting from heart disease and stroke are preventable. Many of the risk factors for CVDs may be successfully reduced through lifestyle changes, medication or medical procedures. […] Healthy People 2030 provides several objectives related to improving cardiac health, including: Improving cardiovascular health among adults, Reducing coronary heart disease deaths, Reducing stroke deaths, Increasing control of blood pressure in adults, Increasing cholesterol treatment in adults. […] Additionally, the Million Hearts 2027 initiative is a national effort to prevent 1 million heart attacks and strokes in five years by promoting community and clinical prevention programs.
  • #60
    https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
    The key to cardiovascular disease reduction lies in the inclusion of cardiovascular disease management interventions in universal health coverage packages, although in a high number of countries health systems require significant investment and reorientation to effectively manage CVDs. Evidence from 18 countries has shown that hypertension programmes can be implemented efficiently and cost-effectively at the primary care level which will ultimately result in reduced coronary heart disease and stroke. Patients with cardiovascular disease should have access to appropriate technology and medication. Basic medicines that should be available include: aspirin; beta-blockers; angiotensin-converting enzyme inhibitors; and statins. An acute event such as a heart attack or stroke should be promptly managed.
  • #61 Explore Cardiovascular Diseases in the United States | AHR
    https://www.americashealthrankings.org/explore/measures/CVD/CVD_civilian
    Most deaths resulting from heart disease and stroke are preventable. Many of the risk factors for CVDs may be successfully reduced through lifestyle changes, medication or medical procedures. […] Healthy People 2030 provides several objectives related to improving cardiac health, including: Improving cardiovascular health among adults, Reducing coronary heart disease deaths, Reducing stroke deaths, Increasing control of blood pressure in adults, Increasing cholesterol treatment in adults. […] Additionally, the Million Hearts 2027 initiative is a national effort to prevent 1 million heart attacks and strokes in five years by promoting community and clinical prevention programs.
  • #62
    https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
    Cardiovascular diseases (CVDs) are the leading cause of death globally. An estimated 17.9 million people died from CVDs in 2019, representing 32% of all global deaths. Of these deaths, 85% were due to heart attack and stroke. Over three quarters of CVD deaths take place in low- and middle-income countries. Out of the 17 million premature deaths (under the age of 70) due to noncommunicable diseases in 2019, 38% were caused by CVDs. Most cardiovascular diseases can be prevented by addressing behavioural and environmental risk factors such as tobacco use, unhealthy diet and obesity, physical inactivity, harmful use of alcohol and air pollution. It is important to detect cardiovascular disease as early as possible so that management with counselling and medicines can begin. […] The most important behavioural risk factors of heart disease and stroke are unhealthy diet, physical inactivity, tobacco use and harmful use of alcohol. Amongst environmental risk factors, air pollution is an important factor. The effects of behavioural risk factors may show up in individuals as raised blood pressure, raised blood glucose, raised blood lipids, and overweight and obesity. These intermediate risks factors can be measured in primary care facilities and indicate an increased risk of heart attack, stroke, heart failure and other complications.
  • #63
    https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
    Cessation of tobacco use, reduction of salt in the diet, eating more fruit and vegetables, regular physical activity and avoiding harmful use of alcohol have been shown to reduce the risk of cardiovascular disease. Health policies that create conducive environments for making healthy choices affordable and available, as well as improving air quality and reducing pollution, are essential for motivating people to adopt and sustain healthy behaviours. […] In addition, drug treatment of hypertension, diabetes and high blood lipids are necessary to reduce cardiovascular risk and prevent heart attacks and strokes among people with these conditions. […] At least three-quarters of the world’s deaths from CVDs occur in low- and middle-income countries. People living in low- and middle-income countries often do not have the benefit of primary health care programmes for early detection and treatment of people with risk factors for CVDs. People in low- and middle-income countries who suffer from CVDs and other noncommunicable diseases have less access to effective and equitable health care services which respond to their needs. As a result, for many people in these countries detection is often late in the course of the disease and people die at a younger age from CVDs and other noncommunicable diseases, often in their most productive years.
  • #64 Cardiovascular Disease – A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK83160/
    Cardiovascular diseases claimed 813,804 lives in 2007. On average, more than 2,200 Americans lose their lives to cardiovascular disease each day. Cardiovascular diseases are consistently ranked as the leading cause of death in the United States, exceeding all forms of cancer. […] To fully appreciate the burden of disease on the population, mortality rates, incident and recurrent event rates, disability rates, healthcare utilization patterns and rates, economic indicators, and other variables need to be measured and followed over time. […] The capability to collect local-level data is necessary to facilitate the development of interventions aimed at the conditions unique to specific geographic areas and specific subpopulations. […] Strengthening surveillance systems will enable timely and appropriate delivery of public health and clinical policy, and it will allow monitoring of trends in CVD risk factors and health status.
  • #65 Establishing a National Cardiovascular Disease Surveillance System in the United States Using Electronic Health Record Data: Key Strengths and Limitations
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9238467/
    Continuous surveillance efforts allow assessing the collective impact of applied interventions on the metrics they are designed to improve. […] The ideal national CVD surveillance system would cost-efficiently follow a large, representative set of US residents over extended periods while tracking a broad range of metrics such that a comprehensive picture of the nation’s cardiovascular health emerges. […] Several ongoing efforts provide valuable surveillance metrics related to CVD, many of which have been recently summarized. […] The recent proliferation of EHRs in the United States has generated enthusiasm for using EHR data for research, assessing quality improvement initiatives, and monitoring public health, including establishment of a national CVD surveillance system. […] EHR data also tend to represent broader patient populations than isolated claims data sources and are more available in real time. […] Although EHR data possess some obvious strengths as a potential resource for surveillance and some work has been done in this area, some inherent features of EHR data cast uncertainty on its value as a surveillance data source.
  • #66 Global Burden of Cardiovascular Disease in India: Current Epidemiology and Future Directions | DCP3
    https://www.dcp-3.org/resources/global-burden-cardiovascular-disease-india-current-epidemiology-and-future-directions
    Despite wide heterogeneity in the prevalence of cardiovascular risk factors across different regions, CVD has emerged as the leading cause of death in all parts of India, including poorer states and rural areas. The progression of the epidemic is characterized by the reversal of socioeconomic gradients; tobacco use and low fruit and vegetable intake have become more prevalent among those from lower socioeconomic backgrounds. In addition, individuals from lower socioeconomic backgrounds frequently do not receive optimal therapy, leading to poorer outcomes. Countering the epidemic requires the development of strategies such as the formulation and effective implementation of evidencebased policy, reinforcement of health systems, and emphasis on prevention, early detection, and treatment with the use of both conventional and innovative techniques. Several ongoing community-based studies are testing these strategies.