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A time bomb in your chest?



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Published Date: 03 September 2008
ALMOST four million people in the UK are unaware they have a high risk of developing heart disease, a major new study has found.
Researchers said one in three people who were most at risk of developing cardiovascular disease (CVD) over the next ten years had not yet been diagnosed.

The findings were based on tests on more than 71,000 people aged 18 and over who were screen
ed in 35 towns and cities across Scotland, England and Wales.

The results, published in the International Journal of Clinical Practice, suggest that 7.9 million people have already been diagnosed with CVD or have a medically recognised risk of developing the disease.

But the researchers, from Oxford University, estimated there were a further 2.8 million men and 900,000 women who face a high risk but have not been diagnosed.

This means that they have not received the treatment and advice that could prevent them from developing CVD.

Treatment can include drugs to lower cholesterol and blood pressure, while diet and exercise advice can ward off heart disease. Those most at risk of not being diagnosed with a high risk were middle-aged men.

In Scotland, it has been suggested that over-40s could be offered health checks to tackle issues such as heart risks.

The SNP's manifesto last year pledged to introduce the "Life Begins" checks and individual health plans for all men and women when they hit 40.

This promise was repeated in a "Better Health, Better Care" action plan in December.

A similar initiative has also been pledged south of the Border. However, doctors have questioned whether they have the time or resources to carry out such as scheme.

But the new research, which included volunteers in Edinburgh and Glasgow, will increase pressure for widespread health checks to be introduced.

Lead author Professor Andrew Neil said the findings reinforced the need for CVD risk assessments. "Our research found 75 per cent of men and 45 per cent of women who were over 50 already had CVD or diabetes, were taking cholesterol or blood-pressure drugs or were at high risk of developing CVD," he said.

"We were reassured to discover that 60 per cent of them had already been identified. The challenge now is to identify the other 40 per cent who are at high risk of developing the disease but remain undiagnosed."

The research was carried out at public events in towns and cities around the UK, with volunteers attending mobile centres for blood tests and waist measurements. The information was then used to calculate the ten-year risk of CVD. Those found to be at high risk were advised to see their GP and take the results of the screening with them.

Judy O'Sullivan, a cardiac nurse at the British Heart Foundation, said: "This study shows that many people don't know they are at high risk of heart disease and aren't doing anything to lower it. It is a great shame as heart disease is largely preventable through lifestyle changes and drug therapy."

A Scottish Government spokesman said: "We agree that it is important to understand people's risk of developing CVD so that they can be offered appropriate advice and treatment at the earliest opportunity."

IN NUMBERS

7.9m
The number of people in the UK estimated to have cardiovascular disease (CVD) – an umbrella term for all diseases of the heart and circulation, including heart disease and stroke – or already known to be at high risk

33%
People at high risk of CVD in the next ten years, but not yet diagnosed

40
Age at which Scots may in future be offered routine general health checks

36 per cent
Percentage of all death in the UK caused by heart and circulatory diseases

275
Number of deaths every day in the UK from heart disease

2.6m
People are living with heart disease in the UK

8.4 per cent
The all in heart disease death rate among under-75s in Scotland between 2005 and 2006



The full article contains 676 words and appears in The Scotsman newspaper.
Page 1 of 1

  • Last Updated: 02 September 2008 10:00 PM
  • Source: The Scotsman
  • Location: Edinburgh
 
1

Against crooked Councilors,

03/09/2008 07:00:08
Another Health Story, What do you think we are Immortal???
2

Rulesbutnotrulers,

Federation, not separation 03/09/2008 08:08:59
Annual health MOTs will save the NHS a fortune.
3

Douglas,

Bathgate 03/09/2008 08:28:58
#1 Against crooked Councilors: Not immortal but like any machine, routine inspection may identify potential problems early and, with maintenance, prolong useful and trouble free life.
4

Rabbies Wee Bruthir,

03/09/2008 10:23:26
They missed out a very important number 100% the number of people who are gonna die!!!.

They really do get worse the do-gooders of this world.

If they want to tackle 'premature', or so called 'avoidable death', then perhaps they should tackle themselves, cos all they do is make vulnerable people depressed and therefore more' at risk' to the 'diseases' that they 'supposedly' are trying to protect them from.

And there are no reliable studies to confirm that 'Heart Disease' is 'largely preventable' as is claimed in the article, at best, they should be claiming that if indicated by testing, that a person is susceptible to Cardiovascular Disease, then by Drug therapy, and a strict repressive, food intake regime, the problem can be controlled.

This really is getting ridiculous, My cardiologist, suggested I should give up smoking, as it could prolong my life by as much as one year, this after him telling me my heart is like an Ox's, and if I don't get stressed out, or do overly to much physical work, I could live til I'm 110, so I reckon, what the hey, only another 53 years to go if I smoke or 54 if I don't, By the time I'm 110 I may not want to stay any longer on this lump of rock stuck out in the vast beyond called 'space'.

Time they got their act together and started using 'joined up thinking' and tackled the problems at root, i.e. the purveyors of junk food and the advertising agencies, they are the real threat, to health, not the smokers and drinkers of the world.
Junk food (fast food, like burgers,SF chicken and even Pizzas are so bad for you they should be taxed out of existence. It is no surprise that obesity has risen in line with the proliferation of 'fast food' outlets.

As my old Granpappy (chawed tobac and smoked, drank strong liquor and ales, and died at 103) used to say 'all things in moderation' including do-gooders!!!!


5

garru,

Edinburgh 03/09/2008 11:59:49
That may well be BUT it is a fact that Scotland has the worst heart disease in the world due to a bad diet,smoking and lack of exercise.
6

JayDeeTee,

03/09/2008 12:27:08
#5. Caused by people sitting smoking and drinking because they are worried about their hooses going down in value.
7

Nellie,

Liverpool 03/09/2008 13:58:17
I am sympathetic to the view that this might save the NHS money by preventing illness but ... if you think about it, if we are saved from one illness another will get us instead! Remember the biggest killed used to be TB? Now we don't have that to worry about we have CVD, diabetes (the beggars have just found me with this one), cancers, dementia, etc. So, it's only putting off the costs today that will be paid out later, won't it? Or am I missing something?

And as #4 says, a sense of proportion is needed. My old Day was 90+, with diabetes and succumbing to cerebral vascular disease. A nurse said "you mustn't let him have sweets because of his diabetes ..." Can you believe that? What a cretin! He loved sweets, he was dying anyway, and she got worried about his sugar levels!!!
8

gorgeousgorgieboy,

Edinburgh 03/09/2008 16:12:32
Nearly made me cnhoke on my Gregg's bridie.

I'm away for a pint and a fag.
9

Alternative (High-Octane) Fuel Head,

Edinburgh 03/09/2008 17:23:47
Recent ground-breaking studies have concluded that having been born, 100% of people will die at some stage during their life.

Causes for this include, smoking, drinking alcohol, eating fatty foods, being overweight, not dong anough exercise, taking drugs, crashing cars, falling off motorbikes and listening to too much opera.
10

OldWife,

03/09/2008 17:45:43
For the final time of telling CHOLESTEROL DOES NOT CAUSE HEART DISEASE. A bad diet of excess carbs and trans fats, smoking, and lack of exercise do.
11

JayDeeTee,

03/09/2008 21:00:49
9. ...listening to too much opera? :-)) Death by boredom?

#10. Interesting point you make. Why do doctors insist on checking cholesterol then, and give a lecture when it is high?
12

OldWife,

03/09/2008 21:58:39
Because a) their education comes from the drug companies b) they don't understand what cholesterol is or what it is for, they simply recite drug company dogma and c) drug companies make vast amount of money selling useless dangerous drugs.

Check out a book by fellow GP Malcolm Kendrick - The Great Cholesterol Con - for the full story.

 

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