Wow, massive incompetence from the AHA(American Heart Association).
Why should I trust anything you say here when you don't know that the WHO reclassified stroke in 2006, now a neurological disease not cardiovascular disease.
Heart disease deaths declining, but not as fast as before
August 27, 2019
Researchers
have determined that the decline of age-adjusted mortality due to heart
disease is slowing, which may mean that the American Heart
Association’s strategic goal of a 20% reduction by 2020 is becoming more
unlikely.
According to a study published in JAMA, while age-adjusted mortality rates (AAMR) due to heart disease, stroke and diabetes have been on the decline, as seen in AAMR data from 1999 to 2017, mortality associated with hypertension has increased in most sex and race groups, with the exception of black women, for whom it remained unchanged.
In 1999, the total number of deaths by heart disease was 725,192
(AAMR per 100,000 = 266.5), while there were 167,366 deaths from stroke
(AAMR per 100,000 people = 61.6), 68,399 deaths from diabetes (AAMR per
100,000 people = 25) from diabetes and 16,968 deaths from hypertension
(AAMR per 100,000 people = 6.2). By 2017, according to the researchers,
these statistics had declined, for the most part; 647,457 (AAMR per
100,000 people = 165) individuals died from heart disease, 146,383 (AAMR
per 100,000 people = 37.6) from stroke, 83,564 (AAMR per 100,000 people
= 21.5) from diabetes and 35,316 (AAMR per 100,000 people = 9) from
hypertension.
Prevention focus needed
“[These] data do not identify if changes in AAMRs are due to changing disease incidence or case-fatality rates,” Nilay S. Shah, MD, MPH, cardiology fellow in the department of preventive medicine at Northwestern University Feinberg School of Medicine, and colleagues wrote. “Clinical and public health efforts focusing on primordial and primary prevention throughout the life course, with an emphasis on identifying and addressing the causes of racial disparities, are needed to reverse the slowing of cardiometabolic mortality rate declines.”
Racial disparities
Black individuals had consistently higher AAMRs compared with while individuals during the study period and accounted for 12.3% of all fatal cardiometabolic events, Shah and colleagues wrote, noting that by 2017 black women had higher rates of mortality due to diabetes compared with white women (AAMR ratio = 2.09) and black men had higher rates of mortality due to hypertension compared with white men (AAMR ratio = 2.18).
In other findings, researchers found an inflection point in 2010 that indicated a slowing in the decline of heart disease-related deaths. Leading up to 2010, the rate of AAMR decline for heart disease had been progressing faster ( = 8.3; 95% CI, 8.8 to 7.8), however between 2010 and 2017, researchers noticed a slowing of the rate of decline in deaths per year ( = 1.8; 95% CI, 2.5 to 1).
According to a study published in JAMA, while age-adjusted mortality rates (AAMR) due to heart disease, stroke and diabetes have been on the decline, as seen in AAMR data from 1999 to 2017, mortality associated with hypertension has increased in most sex and race groups, with the exception of black women, for whom it remained unchanged.
Prevention focus needed
“[These] data do not identify if changes in AAMRs are due to changing disease incidence or case-fatality rates,” Nilay S. Shah, MD, MPH, cardiology fellow in the department of preventive medicine at Northwestern University Feinberg School of Medicine, and colleagues wrote. “Clinical and public health efforts focusing on primordial and primary prevention throughout the life course, with an emphasis on identifying and addressing the causes of racial disparities, are needed to reverse the slowing of cardiometabolic mortality rate declines.”
Racial disparities
Black individuals had consistently higher AAMRs compared with while individuals during the study period and accounted for 12.3% of all fatal cardiometabolic events, Shah and colleagues wrote, noting that by 2017 black women had higher rates of mortality due to diabetes compared with white women (AAMR ratio = 2.09) and black men had higher rates of mortality due to hypertension compared with white men (AAMR ratio = 2.18).
In other findings, researchers found an inflection point in 2010 that indicated a slowing in the decline of heart disease-related deaths. Leading up to 2010, the rate of AAMR decline for heart disease had been progressing faster ( = 8.3; 95% CI, 8.8 to 7.8), however between 2010 and 2017, researchers noticed a slowing of the rate of decline in deaths per year ( = 1.8; 95% CI, 2.5 to 1).
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