Secular trends in types of cardiovascular disease in the West of Scotland

Bibliographic Details
Title: Secular trends in types of cardiovascular disease in the West of Scotland
Authors: Naveed Sattar, Colin Berry, Daniel F Mackay, Christian Delles, Ruth Dundas, Frederick K Ho, Sandosh Padmanabhan, Claudia Geue, Michael Fleming, Denise Brown, Clea du Toit, Jill Pell, Claire E Hastie, Anna Kamdar, Jocelyn M Friday, Tran Q B Tran, Alan Stevenson, Jim D Lewsey
Source: Open Heart, Vol 12, Iss 1 (2025)
Publisher Information: BMJ Publishing Group, 2025.
Publication Year: 2025
Collection: LCC:Diseases of the circulatory (Cardiovascular) system
Subject Terms: Diseases of the circulatory (Cardiovascular) system, RC666-701
More Details: Objective Historical reductions in cardiovascular disease (CVD) due to lifestyle and treatment improvements are now threatened by factors such as increasing obesity and diabetes, but the relative importance of different risk factors varies by CVD condition. This study describes secular trends in CVD events by individual condition from 2012 to 2022.Methods In a cohort of 452 094 Greater Glasgow and Clyde residents aged ≥51 years, linked hospital admission and death data were used to ascertain total annual events for ischaemic heart disease (IHD), myocardial infarction (MI), heart failure (HF), atrial fibrillation (AF), stroke, abdominal aortic aneurysm (AAA) and peripheral artery disease (PAD). Poisson regressions with robust standard errors were used to examine the relative change in event rates over time, overall and by subgroup.Results Overall, the event rate ratios (RRs) for IHD, MI, AF and AAA all fell between 2012 and 2021 after adjustment for age, sex and deprivation. However, on subgroup analysis, the RRs increased between 2012 and 2022 among those aged 51–64 years for HF (RR 1.5), stroke (RR 1.4) and PAD (RR 1.8).Conclusions Overall declines in most types of CVD mask an increasing burden of events relating to HF, stroke and PAD among individuals aged 51–64 years.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2053-3624
Relation: https://openheart.bmj.com/content/12/1/e003003.full; https://doaj.org/toc/2053-3624
DOI: 10.1136/openhrt-2024-003003
Access URL: https://doaj.org/article/0b4a894df8944f27b7dcd32c40e8e58d
Accession Number: edsdoj.0b4a894df8944f27b7dcd32c40e8e58d
Database: Directory of Open Access Journals
More Details
ISSN:20533624
DOI:10.1136/openhrt-2024-003003
Published in:Open Heart
Language:English