(精编)【高血压英文教学精品课件】 EPIDEMIOLOGY and overview of cardiac DISEASE.pptVIP

EPIDEMIOLOGY and overview of cardiac DISEASE INTRODUCTION The 20th century saw unparalleled increase in life expectancy major shift in the cause of illness throughout the world GLOBAL BURDEN OF CVD. A century ago, CVD death 10% Today, approximately 30% of deaths worldwide including nearly 40% in high income countries and about 28% in low and middle income countries -Braunwald’s Heart Disease 2008 EPIDEMIOLOGICALTRANSITIONS Stage Typical proportion of deaths caused by CVD % Predominant types of CVD Pestilence and Famine 10 Rheumatic heart disease, cardiomyopathies Receding Pandemics 10-35 Rheumatic valvular disease, HT,CHD, Stroke EPIDEMIOLOGY OF IHD MORTALITY RATES-UK CHD is the most common cause of death (and premature death) in the UK 1 in 5 men and 1 in 6 women die from CHD Contd… There are 101,000 deaths from CHD in the UK each year. Death rates from CHD have fallen by 46% for people under 65 years in the last 10 years in UK, Australia (48%) and Norway (54%). Death from CHD is more likely during winter. MORBIDITY RATES IN UK The average incidence of Myocardial Infarction is 600 per 100,000 in men aged 30-69 and 200 per 100,000 in women. The incidence increases with age There are about 52,000 new cases of Angina per year in all men living in the UK and about 43,000 new cases in women PREVALENCE OF CVD-UK Disease Age % Heart attack Men Women 04 % 02% Angina Men 55-64yrs Women 08% 05 % Men 65-74 yrs Women 17% 08% NEWS ALERT Aug 13, 2009 The heart of the matter Premature heart attack is common in Indians compared to the Western population Beyond the age of 50, the risk of heart attack per year approximately 2-3 per 1000 Contd… Aug 13, 2009.The Hindu one in 200 deaths of adults over age 40 occurs due to Sudden Cardiac Arrest Contd… November 4 , 2006 The Hindu MYSORE: Incidence of heart disease has doubled in India during the last 20