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May 10, 2013CirculationOpen Access

Quantifying Options for Reducing Coronary Heart Disease Mortality By 2020

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Why the study?

Does a 20% improvement in cardiovascular health metrics or continuation of recent trends reduce projected coronary heart disease mortality by 2020 in US adults?

Population

40,373 adults free of cardiovascular disease from the National Health and Nutrition Examination Survey

Comparison

Scenario 1: 20% improvement in 6 cardiovascular… vs Expected number of CHD deaths in 2020 if 2006…

Design

Other

Follow-up

Projected to 2020

Authors

Mark D. Huffman
Mark D. HuffmanGeneral / Preventive / Lipids
Donald M. Lloyd‐Jones
Donald M. Lloyd‐JonesGeneral / Preventive / Lipids
Hongyan Ning
Hongyan NingGeneral / Preventive / Lipids

Discussion

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Implication

May support intensified CV health efforts to cut CHD deaths; leaves open prospective validation of projections.

Structured PICO

Does a 20% improvement in cardiovascular health metrics or continuation of recent trends reduce projected coronary heart disease mortality by 2020 in US adults?

P
Population
40,373 adults free of cardiovascular disease from the National Health and Nutrition Examination Survey (NHANES; 1988-2010)
I
Intervention
Scenario 1: 20% improvement in 6 cardiovascular health metrics (total cholesterol, systolic blood pressure, physical inactivity, smoking, diabetes mellitus, and obesity); Scenario 2: continuation of recent risk factor trends to 2020
C
Comparator
Expected number of CHD deaths in 2020 if 2006 age- and sex-specific CHD death rates remained constant
O
Outcome
Projected number of coronary heart disease (CHD) deaths in 2020hard clinical

Achieving the AHA 2020 Strategic Impact Goal or continuing recent risk factor trends could prevent 24% to 30% of expected CHD deaths by 2020, highlighting the importance of population-level risk factor management.

Cite This Study

Huffman et al. (2013) studied this question.

synapsesocial.com/papers/69f53ecde0fbb6efbd2037e3https://doi.org/10.1161/circulationaha.112.000769
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Also Consider

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