CHD mortality

In 2002, there were approximately 40000 premature deaths from CHD in the UK (BHF, 2004). This rate is amongst the highest in the world.Within the UK there are also regional differences with death rates highest in Scotland and the North of England and lowest in the South of England (BHF, 2004). There is some positive evidence that the death rates from CHD have been falling in the UK in the last ten years. For example, in adults under 65 years, the rate has fallen by 44% (BHF, 2004).This is not as fast as some other countries, with Australia and Norway both showing a decreasing death rate for men aged 35-74 of 47% (BHF, 2004). Although there is an overall improvement in the statistics for the UK, there is no room for complacency.

Fifty-eight per cent of the reduction in mortality over the past 20 years in the UK can be explained by the reduction of major risk factors, principally smoking (BHF, 2004). Other early pharmacological interventions and secondary prevention account for the remaining reduction of the mortality decline. Secondary prevention and the contribution of CR can also be associated with reduction on mortality (Jolliffe, et al., 2004; Taylor, et al., 2004; Leon, et al., 2005).

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