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| The scientists collected data on total cholesterol level, systolic blood pressure and smoking prevalence from The National Health and Nutrition Examination Survey, a yearly national survey that represents the whole of the US population. They entered those statistics into a model that estimates changes in heart disease mortality between two points in time. Individuals who had not yet had a heart attack accounted for 79% of the drop. The remainder came from people with symptoms of heart disease, through secondary prevention measures such as surgery or medication in addition to risk factor control. Young said: We were surprised by the small proportion of the mortality fall attributable to primary preventive drug interventions such as statins and blood pressure tablet This was partially because so few healthy people in a group develop heart problems, even if their risk factors are not treated, she said. And of patients who are prescribed these medicines, many either don't take them regularly or stop completely.
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The results prove again that prevention, prevention, prevention is important in staying healthy, according to Paul Sorlie, PhD, chief of the epidemiology branch of the Heart, Lung, and Blood Institute, part of the National Institutes of Health. Sorlie said: Both primary and secondary prevention are important. If you don't have CHD, there is a lot you can do to keep healthy by lowering blood pressure and cholesterol, and stop smoking. If you have had a heart attack, you can impact on your future health, prevent a second heart attack, and reduce the risks of dying by working on these risk factors. Nieca Goldberg, MD, cardiologist and spokesperson for the American Heart Association, said: This shows us we are seeing a reduced rate of CHD because we are getting more successful in reducing risk factors. The things we have been telling people to do for years really work. between 1980 and 2000: quantifying the contributions from primary and secondary prevention. Written by Christian Nordqvist A new study in CMAJ (Canadian Medical Association Journal) reports that the rates of death and hospital admissions for cardiovascular disease declined thirty percent over a ten year period in Canada. The findings draw attention to successful efforts to prevent heart disease, the leading cause of death globally.
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