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Nearly 62 million Americans have some
form of cardiovascular disease, and nearly a million die from
such conditions each year.
Heart disease is by far the number one
killer in the United States, although a third of those deaths
could be prevented if people followed better diets and exercised
more, the American Heart Association said in an annual report.
The AHA estimates that 61,800,000 Americans
have cardiovascular disease, which can include high blood
pressure, coronary heart disease (heart attack and chest pain),
stroke, birth defects of the heart and blood vessels, and
congestive heart failure.
According to the report, 50 million Americans
have high blood pressure, 12.6 million have coronary heart
disease and 4.6 million have suffered stroke. Overall, slightly
more females than males have cardiovascular disease.
Cardiovascular disease kills more Americans
than the next seven causes combined -- including cancer --
the AHA report states.
"The most surprising finding is that
heart disease and stroke numbers are not going down,"
Dr. David Faxon, president of the AHA, told Reuters Health.
"For many years, they did, but now we are seeing a leveling
off, and in fact, we are seeing an increase in some groups
such as African-American women."
According to Faxon, reasons for the leveling
off in numbers include the aging of the population and the
"growing problem" of diabetes and obesity, both
of which greatly increase heart disease risk.
In 1999, the most recent year for which
data is available, cardiovascular disease deaths totaled nearly
1 million -- equivalent to 1 death every 33 seconds -- and
accounted for 40% of all deaths that year.
The new report also states that caring
for people with cardiovascular disease costs billions of dollars
and will get more expensive.
Cardiovascular
disease-related costs for 2001 were estimated at $298.2 billion
and are expected to rise to $329.2 billion in 2002.
"The majority of the cost is for
inpatient hospitalization so anything that prevent the disease
and complications and the need for rehospitalization can reduce
cost," Faxon said.
"Cardiovascular disease deaths in
1999 totaled 958,755; cancer 549,838; accidents 97,860; Alzheimer's
disease 44,536 and HIV/AIDS 14,802," the association
said in a statement. Heart disease accounted for 40 percent
of all deaths in the United States in 1999.
Many studies show that a better diet and
a little exercise can prevent many deaths, yet Americans ignore
the most basic guidelines, the heart association said.
The report says only 22.7 percent of adults
ate the minimum of five servings of fruits and vegetables
a day in 1996 -- up from 19 percent in 1990.
Americans are also failing to control
a common cause of heart death -- their blood pressure. Only
39 percent of adults with high blood pressure had their levels
controlled to below 140/90 mm Hg, considered the highest desirable
blood pressure, according to the National Center for Quality
Assurance.
About a quarter of all Americans smoke
cigarettes, which cause an estimated one in five deaths from
cardiovascular diseases, the heart association said. Its report
said 37,000 to 40,000 nonsmokers die from heart disease every
year because of exposure to secondhand cigarette smoke.
Washington
Post January 1, 2002; Page A11
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