[DHB] Experts Discover Key to Lower Heart Disease Risk...

Published: Fri, 06/18/10

Subject: [DHB] Experts Discover Key to Lower Heart Disease Risk...

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Daily Health Bulletin

June 18, 2010

In Today's Issue

  • 1 Quick Technique To Burn More Fat
  • Experts Reveal How To Lower Heart Disease Risk...
  • Professional Trainer (CPT) Reveals Truth About Quick Fat Loss...
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Experts Reveal How To Lower Heart Disease Risk...

Dear Reader,

According to new research, the first to look at a very recent time period, appearing in the Journal of the American Medical Association, improvements in risk factors like lowering those cholesterol numbers and blood pressure readings account for a significant decline in heart disease deaths.

Changes in behavior and modification of risk factors make up 48% of the decreased mortality rate overall according to study author Harindra C. Wijeysundera, MD, an interventional cardiologist at Toronto's Sunnybrook Health Sciences Centre.

While medical and surgical interventions are certainly important, changing behavior and impacting those risk factors continues to be even more so. After all, heart disease (the buildup of plaque inside the arteries of the heart) is still the leading cause of death, though the death rates have gone down over the last 30 years.

Wijeysundera and his colleagues wanted to learn more about what factors were involved in the decrease. This helps in planning health policy, as well as developing prevention and treatment strategies that can be used moving forward.

The researchers compared the death rates for heart disease between the years 1994 and 2005, when the death rate from coronary heart disease dropped by 35%.

The team used statistics that integrates information on population size, heart disease death rates, changes in risk factors and changes in the use of treatments to see what has been making the difference.

The risk factors used were things like smoking status, diabetes, obesity, blood pressure, cholesterol and exercise. Researchers only looked at therapies known to be effective, today there are many more medications and improved surgical procedures than were available in the 1970s and 1980s.

What the team expected to see wasn't born out by the data.

The researchers found that medications and surgeries accounted for only 43% of the lowered death rate. In case you're doing the math: 48% + 43% = 91%. The statistical model could not account for the remaining 9% of the declining coronary heart disease death rate.

Looking at the role specific treatments played in cutting death rates, the team saw that acute or emergency treatment like primary angioplasty accounted for less than 1% of the lower death rate. Sounds like a small number, but don't take this to mean such surgical treatments don't work, in fact, they work very well.

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Experts Reveal How To Lower Heart Disease Risk... Continued...

Today many people are going beyond acute care to living with chronic disease, managing their condition by taking medication and making lifestyle changes that affect their risk.

There were some worrisome trends in the findings.

Increases in diabetes and obesity that came over this time were linked to an increase in coronary heart disease death rates. The diabetes brought a 6% increase in mortality from coronary heart disease, this is important to understand. The average BMI rose by 0.4, and this works out to a 2.3% increased coronary heart disease death rate.

P.K. Shah, MD, director of cardiology for the Cedars Heart Institute, Cedars Sinai Medical Center, Los Angeles, who reviewed the work, puts it simply, "You get the most bang for the buck with prevention."

Focusing attention (yours and your doctor's) on prevention and modifying the risk factors you have, managing any disease that is present, are keys to keeping people with coronary heart disease alive longer.

To your good health,

Kirsten Whittaker
Daily Health Bulletin Editor




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Sources:
http://www.webmd.com/heart-disease/news/20100511/behavior-change-is-
key-to-lower-heart-risk

Study abstract in the May 12, 2010 Journal of the American Medical Association:
http://jama.ama-assn.org/cgi/content/abstract/303/18/1841?maxtoshow=&hits=
10&RESULTFORMAT=&fulltext=Wijeysundera&searchid=
1&FIRSTINDEX=0&resourcetype=HWCIT

Sunnybrook Health Sciences Center news release on study:
http://www.sunnybrook.ca/media/item.asp?i=424

Harindra C. Wijeysundera, MD, interventional cardiologist Sunnybrook Health Sciences Centre:
http://ca.linkedin.com/pub/harindra-wijeysundera/8/990/189

P.K. Shah, MD, director of cardiology, Cedars Sinai Medical Center:
http://www.csmc.edu/Patients/Programs-and-Services/Medicine-Department/Expert-Team/Leadership/Prediman-K-Shah-MD.aspx

MedlinePlus info on coronary heart disease:
http://www.nlm.nih.gov/medlineplus/ency/article/007115.htm















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