quinta-feira, 7 de junho de 2007

Explicando a queda da mortalidade cardiovascular nos EUA

The New England Journal of Medicine apresenta estudo do CDC mostrando que a queda da mortalildade nos EUA entre 1980 e 2000 foi decorrente tanto da redução dos fatores de risco como do tratamento. O texto integral pode ser lido clicando aqui e, o resumo dos resultados encontra-se abaixo.
Results From 1980 through 2000, the age-adjusted death rate for coronary heart disease fell from 542.9 to 266.8 deaths per 100,000 population among men and from 263.3 to 134.4 deaths per 100,000 population among women, resulting in 341,745 fewer deaths from coronary heart disease in 2000. Approximately 47% of this decrease was attributed to treatments, including secondary preventive therapies after myocardial infarction or revascularization (11%), initial treatments for acute myocardial infarction or unstable angina (10%), treatments for heart failure (9%), revascularization for chronic angina (5%), and other therapies (12%). Approximately 44% was attributed to changes in risk factors, including reductions in total cholesterol (24%), systolic blood pressure (20%), smoking prevalence (12%), and physical inactivity (5%), although these reductions were partially offset by increases in the body-mass index and the prevalence of diabetes, which accounted for an increased number of deaths (8% and 10%, respectively).

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