Coronary (ischaemic) heart disease Flashcards
Biggest worldwide death cause since when
2019+ caused 1/6 globally
What is it
Blood vessels supplying heart become blocked so starved of O2
How many live with it
190m: 110m men, 80m women
Death change over time
1969 to 2020, 1050 to 300/100000 deaths
Spatial % of population deaths
Europe 46%, Asia and Australasia 36%, N American 33%, S American 28%, Africa 19%
Physical links
Urban (polluted air), cold and damp, extreme topography (maybe)
Socio-economic links
More risk with age, more men (less so now), tobacco 60x, soicial deprivation (Tower Hamlets 3x K+C), T2 diabetes 3x, ethnicity (more S Asian, less African and Caribbean), poor nutrition, low exercise (associated with other causes)
What is the cost to the UK
£8.7m healthcare system, £19b economy
What treatment in the US could halve number dead/disabled
$14 per patient/yr
What medication treats
Warfarin anticoagulant, pacemakers
What is angina
Low level constant chest pain, treat with nitrate tablets/sprays
Effect of heart attacks/failure
Permanent heart muscle damage
Response to smoking risk factor
Packet images, increased age, not in public buildings, no single stick, school education
Response to sugar risk factor
Not near tills, BHF recipe books and charity shops
Finland response
1st nutrition labelling
New Zealand response
Healthy food logos
Mauritius response
Change from palm to soya oil
World Heart Day
29th September: 2000+, 120 countries in 2015, blood pressure tests
