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Deaths from heart disease are on the rise, according to research



The mortality rate from these medical conditions declines, but then reaches a folding point in 2010 and either remains unchanged or thereafter increases, according to a study published in the JAMA medical journal on Tuesday.
"We are losing ground in the battle against cardiovascular disease. Understanding what contributes to these troubling trends can help guide specific prevention strategies," said Dr. Sadia Khan, Cardiology Assistant at the School of Medicine of Feinberg in Chicago at Northwestern University, who was the study's senior author.

"Even more worrying are the persistent disparities with higher mortality rates among black Americans compared to white Americans," Khan said. The study found that black adults consistently had higher cardiometabolic-related mortality than white adults, and blacks had the highest rates.

"We need to reduce deaths from cardiometabolic diseases and we need to find strategies to reduce disparities," she

separately.

"It is clear from our findings that we are losing ground in the battle against cardiovascular disease," she said in a statement. "We need to focus our focus as a nation on prevention in order to achieve our goal of living longer, healthier and without cardiovascular disease."

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A new study involves analysis of data from death certificates in the WONDER database of US Centers for Disease Control and Prevention. Death certificates dated from 1999 to 2017

Data show that in 1999 the total deaths by cause were 725,192 from heart disease, 167,366 from stroke, 68 399 from diabetes and 16,968 from hypertension.

In 2017, total mortality by cause was 647,457 from heart disease, 146,383 from stroke, 83,564 from diabetes and 35,366 from hypertension, data show.

From 1999 to 2017, 12.3% of fatal cardiometabolic events occurred in black individuals and 85.1% in white individuals, i.e. and 51.3% occurred in women, the data show.

Researchers also found that deaths from heart disease declined between 1999 and 2010 – and in those years there were 8.3 fewer deaths per 100,000 people per year compared to the years after 2010.

Mortality also declined from stroke and diabetes before 2010, but did not change significantly between this year and 2017, data show.

With regard to hypertension or high blood pressure, the 2003 point of departure and the mortality associated with this condition increased less rapidly thereafter, the researchers found.

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The study had some limitations, including that since based on evidence from a death certificate, has been subject to any errors presented in the death certificates. In addition, more research is needed to determine why certain data trends have emerged.

"Our study is also not able to conclusively state what causes the change in cardio-metabolic mortality, but obesity is probably the leading culprit," said Khan

There are 47 million people in the United States living with cardio-metabolic disorders putting them at increased risk of developing heart disease or type 2 diabetes, according to the American College of Cardiology.
The change in cardio-metabolic mortality from 1999 to 2010 compared to 2010 to 2017 triggered an "alarm" for Dr. Dave Montgomery, a founding cardiologist at PREvent Clinic in Sandy Springs, Georgia, who is not attending in the new study.
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A likely explanation for these recent trends in mortality data may be linked to an increase in the underlying drivers of cardiometabolic disease, hypertension and diabetes – such as obesity, said Montgomery, who also practices at Piedmont Health in Atlanta.

"The sudden increase in mortality due to hypertension in blacks, a completely treatable condition, is of greatest concern," he said. "Hypertension is a major risk factor for stroke in the United States, with stagnation rates in this study. Again, which suggests that we are losing a leg. "

To prevent a personal risk of cardiometabolic disease, it is recommended that you eat a healthy diet, exercise, control your blood pressure, manage excessive stress and do not smoke, said Dr. Eric Adler, a cardiologist and professor of medicine at the University of California, San Diego, who is not involved in the new

Yet he added that for a nation to reduce cardiometabolic-related mortality, the approach may be more complicated – and it can require a public health initiative selvages.

"In the 1980s and 1990s, we made great strides in the treatment of cardiovascular disease and I think this is largely a result of public health measures. This reduces the use of tobacco and the recognition of this link. between cholesterol and cardiovascular disease, "Adler said.

"If anything, this is leveled now so that the next is the next step? What will hold us back in these downturns? Will it be public health measures that will do it again," he asked. “As Americans, we don't really hit the buck, even though we spend the most on healthcare in the industrialized world. We spend the most and still have these very high rates. … That speaks to more prevention efforts. "

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