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Coronary Heart Disease Statistics 2006 Edition

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Coronary Heart Disease Statistics 2006 Edition Coronary heart disease statistics 2006 edition Steven Allender, Viv Peto, Peter Scarborough, Anna Boxer and Mike Rayner British Heart Foundation Health Promotion Research Group Department of Public Health, University of Oxford British Heart Foundation Statistics Database www.heartstats.org 1 Contents Page Foreword 10 Introduction 11 1. Mortality 12 Table 1.1 CVD mortality targets for the United Kingdom 16 Fig 1.1a Death rates from CHD, stroke and all other diseases of the circulatory system, people aged under 75, 1970-2003, England, with “Our Healthier Nation” milestone and target 17 Fig 1.1b Absolute gap in death rates from CHD, stroke and all other diseases of the circulatory system, between the fi fth most deprived areas and the population as a whole, people aged under 75, 1994-2003, England, with inequalities target 17 Fig 1.1c Death rates from CHD for people aged under 65, 1970-2003, England 18 Fig 1.1d Death rates from CHD, for people aged 65-74, 1970-2003, England 18 Fig 1.1e Death rates from stroke for people aged under 65, 1970-2003, England 19 Fig 1.1f Death rates from stroke for people aged 65-74, 1970-2003, England 19 Table 1.2 Deaths by cause, sex and age, 2004, United Kingdom 20 Table 1.3 All deaths and deaths under 75, by cause and sex, 2004, England, Wales, Scotland, Northern Ireland and United Kingdom 21 Fig 1.3a Deaths by cause, men, 2004, United Kingdom 22 Fig 1.3b Deaths by cause, women, 2004, United Kingdom 22 Fig 1.3c Deaths by cause, men under 75, 2004, United Kingdom 23 Fig 1.3d Deaths by cause, women under 75, 2004, United Kingdom 23 Table 1.4 Age specifi c death rates per 100,000 population from CHD by sex, 1968-2004, United Kingdom 24 Fig 1.4a Age specifi c death rates from CHD, men, 1968-2004, United Kingdom, plotted as a percentage of the rate in 1968 25 Fig 1.4b Age specifi c death rates from CHD, women, 1968-2004, United Kingdom, plotted as a percentage of the rate in 1968 25 Table 1.5 Age-standardised death rates per 100,000 population from CHD, 1968-2002, selected countries, the World 26 Fig 1.5a Death rates from CHD, men and women aged 35-74, 2000, selected countries 28 Fig 1.5b Changes in death rates from CHD, men and women aged 35-74, between 1990 and 2000, selected countries 28 Table 1.6 Age-standardised death rates from CHD per 100,000 population by country and Standard Region, 1978-1996, and by country and Government Offi ce Region, 1997-2004, United Kingdom 29 Table 1.7 Numbers of deaths and age-standardised death rates from CHD for men and women under 65 by local authority, 2002/2004, United Kingdom 30 Key to local authorities 33 Fig 1.7a Age-standardised death rates per 100,000 population from CHD for men under 65 by local authority, 2002/2004, United Kingdom 34 Fig 1.7b Age-standardised death rates per 100,000 population from CHD for women under 65 by local authority, 2002/2004, United Kingdom 36 Table 1.8 Age-standardised death rates per 100,000 population from CHD and British Heart stroke, by sex and social class, 1976/81-1986/92, England and Wales 36 Foundation Fig 1.8 Death rates from CHD by social class, men and women aged 35-64, Statistics Database 1976/81-1986/92, England and Wales 36 www.heartstats.org 2 Table 1.9 Estimates of the numbers of deaths and working years lost per year due to social class inequalities in mortality, selected causes, men aged 20-64, 1991/93, England and Wales 37 Table 1.10 Deaths and standardised mortality ratios for CHD and stroke by sex and country of birth, 1989/92, England and Wales 37 Fig 1.10a Standardised mortality ratios for CHD by sex and country of birth, 1989/92, England and Wales 38 Fig 1.10b Standardised mortality ratios for stroke by sex and country of birth, 1989/92, England and Wales 38 Table 1.11 Deaths from CHD by sex, age and month, August 2003-July 2004, England and Wales 39 Fig 1.11 Deaths from CHD by sex and month, 2003/04, England and Wales 40 Table 1.12 Excess winter deaths from CHD by sex, age and Government Offi ce Region of usual residence, 2003/04, England and Wales 41 2. Morbidity 42 Table 2.1 Incidence of myocardial infarction, adults aged between 30 and 69, latest available year, UK studies compared 46 Table 2.2 Coronary event rates, coronary case fatality, annual change in coronary event rates and annual change in coronary case fatality, adults aged 35-64, by sex, latest available data, MONICA Project populations 47 Fig 2.2a Age-standardised coronary event rates, men aged 35-64, latest data, MONICA Project populations 48 Fig 2.2b Age-standardised coronary event rates, women aged 35-64, latest data, MONICA Project populations 48 Table 2.3 Incidence of angina in adults, latest available year, UK studies compared 49 Table 2.4 Incidence of heart failure by sex and age, 1995/96, Hillingdon 50 Fig 2.4 Incidence of heart failure by sex and age, 1995/96, Hillingdon 50 Table 2.5 Prevalence of myocardial infarction, adults aged between 55 and 74, latest available year, UK studies compared 51 Table 2.6 Percentage who have experienced cardiovascular conditions (ever and recently), by sex and age, 2003, England 52 Table 2.7 Prevalence of angina, adults aged between 55 and 74, latest available year, UK studies compared 53 Table 2.8 Prevalence of heart failure, adults aged between 45 and 84, latest available year, UK studies compared 54 Table 2.9 Prevalence of defi nite heart failure by sex and age, 1995/99, West Midlands 55 Table 2.10 Percentage reporting longstanding illness by sex, age and condition group, 2004, Great Britain 56 Fig 2.10 Percentage reporting longstanding illness by sex and condition group, 2004, Great Britain 57 Table 2.11 Prevalence of cardiovascular conditions by sex and ethnic group, 2004, England 57 Table 2.12 Prevalence of CHD, stroke and CHD or stroke, by sex and age, 1994, 1998 and 2003, England 58 Fig 2.12 Changes in prevalence rates in CHD, stroke and CHD or stroke between 1994 and 2003, England 58 Table 2.13 Rates per 1,000 population reporting longstanding diseases of the circulatory system by sex and age, 1988-2004, Great Britain 59 Fig 2.13 Rate of reporting longstanding cardiovascular disease by age, 1988-2004, Great Britain 60 British Heart 3. Treatment 61 Foundation Table 3.1 Prescriptions used in the prevention and treatment of all diseases Statistics Database of the circulatory system, 1981-2004, England 65 www.heartstats.org 3 Fig 3.1 Prescriptions used in the prevention and treatment of diseases of the circulatory system, selected BNF paragraphs, 1981-2004, England 66 Table 3.2 Operations for CHD, 1977-2003, United Kingdom 66 Table 3.3 Percutaneous coronary intervention procedures 1991-2004, United Kingdom 67 Fig 3.3 Number of coronary artery bypass operations and percutaneous coronary interventions per year, 1980-2004, United Kingdom 67 Table 3.4 Inpatient cases by main diagnosis and sex, National Health Service hospitals, 2004/05, England 68 Fig 3.4a Inpatient cases by main diagnosis, men, National Health Service hospitals, 2004/05, England 69 Fig 3.4b Inpatient cases by main diagnosis, women, National Health Service hospitals, 2004/05, England 69 Table 3.5 Rates of various procedures for treating CVD, per million population, around 2000, Europe 70 Fig 3.5a Rates of coronary artery bypass surgery, crude and adjusted for standardised mortality rates from CHD in adults aged 35-74, around 2000, Europe 71 Fig 3.5b Rates of percutaneous coronary interventions, crude and adjusted for standardised mortality rates from CHD in adults aged 35-74, around 2000, Europe 71 Table 3.6 Rates of percutaneous coronary interventions, per million population, 1990-2003, Europe 72 Fig 3.6 Rates of percutaneous coronary interventions, per million population, 1990-2003, Europe 73 Table 3.7 National Service Framework (NSF) for Coronary Heart Disease: Standards and Quality Requirements table, England 74 Table 3.8 Outcome at 4 weeks and use of free Nicotine Replacement Therapy in people using National Health Service smoking cessation services, 1999/00 – 2004/05, England 76 Table 3.9 Emergency calls: responses within 8 minutes by Ambulance Service, 1999/00 – 2004/05, England 76 Table 3.10 Use of aspirin, beta blockers, statins and ACE inhibitors on hospital discharge after a heart attack, 2004, England and Wales 77 Table 3.11 Percentage of patients receiving cardiac rehabilitation after hospitalisation for heart attack, coronary artery bypass surgery or percutaneous coronary interventions by Government Offi ce Region, 2003/04, England 77 4. Smoking 78 Table 4.1 Smoking targets for the United Kingdom 82 Fig 4.1a Cigarette smoking among adults aged 16 and above, 1972-2004, England, with “Smoking Kills” national targets 83 Fig 4.1b Cigarette smoking among children aged 11-15, 1982-2004, England, with “Smoking Kills” national targets 83 Table 4.2 Cigarette smoking by sex and age, 1972-2004, Great Britain 84 Fig 4.2a Prevalence of cigarette smoking by sex and age, 2004, Great Britain 85 Fig 4.2b Prevalence of cigarette smoking by sex, 1972-2004, Great Britain 85 Table 4.3 Regular cigarette smoking in young people aged 11 to 15 years by sex, 1982-2004, England, Wales, Scotland and Northern Ireland 86 Table 4.4 Average daily cigarette consumption per smoker by sex and age, 1974-2004, Great Britain 87 Table 4.5 Cigarette smoking by sex and country of United Kingdom, 1976-2004, and by Government Offi ce Region, 1998-2004, United Kingdom 88 Fig 4.5a Percentage of men smoking by region, 2002/04, United Kingdom 89 Fig 4.5b Percentage of women smoking by region, 2002/04, United Kingdom 89 British Heart Table 4.6 Cigarette smoking by
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