2.50
Hdl Handle:
http://hdl.handle.net/10755/157800
Type:
Presentation
Title:
Heart Disease in New Mexico - Earlier Presentation for Both Men and Women
Abstract:
Heart Disease in New Mexico - Earlier Presentation for Both Men and Women
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Mayo, Rebecca L., RN, MA, PhD(c), CNP
P.I. Institution Name:University of New Mexico School of Medicine, Cardiology
Title:Nurse Practitioner
Contact Address:1 University of New Mexico, MSC10, Albuquerque, NM, 87131-0001, USA
Contact Telephone:505-272-4253
Purpose: To compare the age of presentation for New Mexican men and women with Coronary Heart Disease (CHD) and Heart Failure (HF) with national averages. Background: CHD continues to be a major health concern. Although the American Heart Association (AHA) goal of reducing CHD deaths by 25% by 2010 has already been accomplished, CHD causes one out of five deaths in the US, and estimated direct and indirect costs related to CHD total $156.4 billion. In 2003, the latest year for which AHA data is available, the average age for first heart attack in men is 64.5 years - 70.4 years for women. Nationwide, 47% of men first present with CHD between the ages of 46-65: 38% from ages 66-85: 5.5% older than 85. In women, age reflects later presentation: ages 46-65 - 30%, 66-85 - 50%, older than 85 - 15%. HF may be multi-factorial or the result of CHD. The incidence of HF has not declined in the last 20 years, but overall survival has improved. Approximately 22% of men and 46% of women are disabled by HF within six years of diagnosis, and 70-80% of those under the age of 65 will die within eight years. In men the incidence of HF is as follows: ages 46-65 29%, 66-85 52%, 85+/- 12%. In women: 46-65 - 19%, 66-85 - 52%, 85+ 23%. The estimated direct and indirect cost of HF for 2008 is $34.8 billion. Anecdotal data at the University of New Mexico Medical Center (UNMMC) did not reflect the national age distributions. Methods: Data collected as part of the AHA Get With The Guidelines Quality Assurance Initiative was utilized to determine age distributions for CHD and HF. This data was collected systematically on every patient admitted to the UNMMC with a diagnosis of CHD and/or HF from January 2006- December 2008, and entered into a national data base supported jointly by the AHA and the American College of Cardiology. Age at diagnosis was used for grouping purposes. Results: For the years 2006-2008, New Mexicans were strikingly younger than their national counterparts when diagnosed with CHD and/or HF. More women presented with CHD at ages 46-65 (51% vs. 30%) and with HF (45% vs. 19%). Men were also younger with diagnosed HF (53% vs. 30%). Men with CHD at ages 46-65 (50% vs. 47%) were similar to national averages. The average age of heart attack for both sexes was also lower than the national average: women, 56.3:  men, 63.5. Implications:   Earlier presentation may be occurring nationally as well as in New Mexico. Early and aggressive primary prevention is essential. The index of suspicion for CHD when younger New Mexican men and women present with symptoms suggestive of ischemia should be high. On-going data analysis may reveal associated factors specific to New Mexicans.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleHeart Disease in New Mexico - Earlier Presentation for Both Men and Womenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157800-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Heart Disease in New Mexico - Earlier Presentation for Both Men and Women</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Mayo, Rebecca L., RN, MA, PhD(c), CNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of New Mexico School of Medicine, Cardiology</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse Practitioner</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1 University of New Mexico, MSC10, Albuquerque, NM, 87131-0001, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">505-272-4253</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rmayo@salud.unm.edu</td></tr><tr><td colspan="2" class="item-abstract">Purpose: To compare the age of presentation for New Mexican men and women with Coronary Heart Disease (CHD) and Heart Failure (HF) with national averages. Background:&nbsp;CHD continues to be a major health concern. Although the American Heart Association (AHA) goal of reducing CHD deaths by 25% by 2010 has already been accomplished, CHD causes one out of five deaths in the US, and estimated direct and indirect costs related to CHD total $156.4 billion. In 2003, the latest year for which AHA data is available, the average age for first heart attack in men is 64.5 years - 70.4 years for women. Nationwide, 47% of men first present with CHD between the ages of 46-65: 38% from ages 66-85: 5.5% older than 85. In women, age reflects later presentation: ages 46-65 - 30%, 66-85 - 50%, older than 85 - 15%. HF may be multi-factorial or the result of CHD. The incidence of HF has not declined in the last 20 years, but overall survival has improved. Approximately 22% of men and 46% of women are disabled by HF within six years of diagnosis, and 70-80% of those under the age of 65 will die within eight years. In men the incidence of HF is as follows: ages 46-65 29%, 66-85 52%, 85+/- 12%. In women: 46-65 - 19%, 66-85 - 52%, 85+ 23%. The estimated direct and indirect cost of HF for 2008 is $34.8 billion. Anecdotal data at the University of New Mexico Medical Center (UNMMC) did not reflect the national age distributions. Methods: Data collected as part of the AHA Get With The Guidelines Quality Assurance Initiative was utilized to determine age distributions for CHD and HF. This data was collected systematically on every patient admitted to the UNMMC with a diagnosis of CHD and/or HF from January 2006- December 2008, and entered into a national data base supported jointly by the AHA and the American College of Cardiology. Age at diagnosis was used for grouping purposes. Results: For the years 2006-2008, New Mexicans were strikingly younger than their national counterparts when diagnosed with CHD and/or HF. More women presented with CHD at ages 46-65 (51% vs. 30%) and with HF (45% vs. 19%). Men were also younger with diagnosed HF (53% vs. 30%). Men with CHD at ages 46-65 (50% vs. 47%) were similar to national averages. The average age of heart attack for both sexes was also lower than the national average: women, 56.3: &nbsp;men, 63.5. Implications:&nbsp;&nbsp; Earlier presentation may be occurring nationally as well as in New Mexico. Early and aggressive primary prevention is essential. The index of suspicion for CHD when younger New Mexican men and women present with symptoms suggestive of ischemia should be high. On-going data analysis may reveal associated factors specific to New Mexicans.</td></tr></table>en_GB
dc.date.available2011-10-26T20:13:00Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:13:00Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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