TY  - CHAP
M1  - Book, Section
TI  - Heart Disease
A1  - Luepker, Russell V.
A2  - Wallace, Robert B.
PY  - 2017
T2  - Maxcy-Rosenau-Last Public Health and Preventive Medicine, 15e
AB  - Cardioscular  diseases  (CVDs)  are  public  health  concerns  around  the  world,  particularly  coronary  or  ischemic  heart  disease  (CHD),  hypertensive  heart  disease,  and  rheumatic  heart  disease.  CHD  remains  the  leading  cause  of  adult  death  in  industrial  societies,  although  its  incidence  differs  widely  and  the  mortality  ascribed  to  it  is  changing  dramatically  (Figs.  62-1  and  62-2).  While  deaths  from  CHD  are  falling  in  industrialized  nations,  they  are  rising  dramatically  in  others  particularly  in  the  developing  world.1  The  decline  of  age-adjusted  U.S.  deaths  ascribed  to  CHD  continues  for  men  and  women,  white  and  nonwhite  (Fig.  62-3).  The  exact  causes  of  the  decline  are  not  established,  but  much  is  now  known  about  U.S.  trends  in  out-of-hospital  deaths,  in-hospital  case  fatality,  and  longer-term  survival  after  acute  myocardial  infarction.2  Parallel  to  the  CHD  mortality  trends  are  improvements  in  medical  diagnosis  and  treatment,  in  population  levels  of  risk  factors,  and  in  lifestyle.3  Nevertheless,  the  critical  explanatory  data,  including  incidence  trends  from  representative  populations,  are  few.  This  deficiency,  along  with  the  difficulty  of  measuring  change  in  diagnostic  custom  and  in  severity  of  CHD,  or  of  its  precursor,  atherosclerosis,  leaves  considerable  uncertainty  about  the  causes  of  the  mortality  trends.  Systematic  surveillance  is  now  in  place  in  several  areas  to  improve  the  future  detection,  prediction,  and  explanation  of  trends  in  CVD  rates.2,3,4,5  
SN  - 
PB  - McGraw-Hill Medical
CY  - New York, NY
Y2  - 2024/04/24
UR  - accessbiomedicalscience.mhmedical.com/content.aspx?aid=1141960974
ER  -