{"id":19320,"date":"2015-09-17T10:53:14","date_gmt":"2015-09-17T05:23:14","guid":{"rendered":"https:\/\/cardiophile.org\/?p=19320"},"modified":"2015-09-17T10:53:14","modified_gmt":"2015-09-17T05:23:14","slug":"evidence-for-decline-in-coronary-mortality-in-the-united-states","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/evidence-for-decline-in-coronary-mortality-in-the-united-states\/","title":{"rendered":"Evidence for decline in coronary mortality in the United States"},"content":{"rendered":"

Evidence for decline in coronary mortality in the United States<\/span><\/h2>\n

Decline in coronary mortality: Data published in the current issue of Circulation [1] shows that coronary heart disease mortality has declined in the United States from 1979 through 2011. This is consistent with the dramatic fall in coronary mortality in the Western world over the past four decades. But concern has been raised over the lack of improvement in young women in the nineteen nineties and only a once percent decline since 2000. This would mean that cardiovascular risk profile of young women would have worsened disproportionately in recent decades.<\/p>\n

Gupta A et al [2] suggested this could be partly explained by the marked decline in smoking US men compared to women from 1965 to 2011 as per data cited by them. They also mention that the relation between cardiovascular mortality and environmental exposure to cigarette smoke is non linear. The curve is steeper at low levels of exposure and plateaus off at higher levels of exposure.<\/p>\n

Reference<\/b><\/span><\/p>\n

    \n
  1. Wilmot KA, O’Flaherty M, Capewell S, Ford ES, Vaccarino V. Coronary Heart Disease Mortality Declines in the United States From 1979 Through 2011: Evidence for Stagnation in Young Adults, Especially Women<\/a>. Circulation. 2015 Sep 15;132(11):997-1002.<\/li>\n
  2. Gupta A, Rajagopalan S. Letter by Gupta and Rajagopalan Regarding Article, “Coronary Heart Disease Mortality Declines in the United States From 1979 Through 2011: Evidence for Stagnation in Young Adults, Especially Women”<\/a>. Circulation. 2016 Mar 8;133(10):e432.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    Evidence for decline in coronary mortality in the United States Decline in coronary mortality: Data published in the current issue of Circulation [1] shows that coronary heart disease mortality has declined in the United States from 1979 through 2011. This is consistent with the dramatic fall in coronary mortality in the Western world over the […]<\/p>\n","protected":false},"author":1,"featured_media":33099,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[9],"tags":[],"class_list":["post-19320","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general"],"yoast_head":"\nEvidence for decline in coronary mortality in the United States - All About Cardiovascular System and Disorders<\/title>\n<meta name=\"description\" content=\"There is a dramatic decline in coronary mortality in the Western world over the past four decades. But concern over lack of improvement in young women.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/evidence-for-decline-in-coronary-mortality-in-the-united-states\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Evidence for decline in coronary mortality in the United States - All About Cardiovascular System and Disorders\" \/>\n<meta property=\"og:description\" content=\"There is a dramatic decline in coronary mortality in the Western world over the past four decades. But concern over lack of improvement in young women.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/evidence-for-decline-in-coronary-mortality-in-the-united-states\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2015-09-17T05:23:14+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/evidence-for-decline-in-coronary-mortality-in-the-united-states\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/evidence-for-decline-in-coronary-mortality-in-the-united-states\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Evidence for decline in coronary mortality in the United States\",\"datePublished\":\"2015-09-17T05:23:14+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/evidence-for-decline-in-coronary-mortality-in-the-united-states\\\/\"},\"wordCount\":237,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/evidence-for-decline-in-coronary-mortality-in-the-united-states\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"articleSection\":[\"General Cardiology\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/evidence-for-decline-in-coronary-mortality-in-the-united-states\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/evidence-for-decline-in-coronary-mortality-in-the-united-states\\\/\",\"name\":\"Evidence for decline in coronary mortality in the United States - All About Cardiovascular System and Disorders\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/evidence-for-decline-in-coronary-mortality-in-the-united-states\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/evidence-for-decline-in-coronary-mortality-in-the-united-states\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"datePublished\":\"2015-09-17T05:23:14+00:00\",\"description\":\"There is a dramatic decline in coronary mortality in the Western world over the past four decades. But concern over lack of improvement in young women.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/evidence-for-decline-in-coronary-mortality-in-the-united-states\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/evidence-for-decline-in-coronary-mortality-in-the-united-states\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/evidence-for-decline-in-coronary-mortality-in-the-united-states\\\/#primaryimage\",\"url\":\"\",\"contentUrl\":\"\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/evidence-for-decline-in-coronary-mortality-in-the-united-states\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Evidence for decline in coronary mortality in the United States\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\",\"name\":\"All About Cardiovascular System and Disorders\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\",\"name\":\"Johnson Francis\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"caption\":\"Johnson Francis\"},\"logo\":{\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\"},\"description\":\"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/author\\\/jf\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Evidence for decline in coronary mortality in the United States - All About Cardiovascular System and Disorders","description":"There is a dramatic decline in coronary mortality in the Western world over the past four decades. But concern over lack of improvement in young women.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/johnsonfrancis.org\/professional\/evidence-for-decline-in-coronary-mortality-in-the-united-states\/","og_locale":"en_US","og_type":"article","og_title":"Evidence for decline in coronary mortality in the United States - All About Cardiovascular System and Disorders","og_description":"There is a dramatic decline in coronary mortality in the Western world over the past four decades. But concern over lack of improvement in young women.","og_url":"https:\/\/johnsonfrancis.org\/professional\/evidence-for-decline-in-coronary-mortality-in-the-united-states\/","og_site_name":"All About Cardiovascular System and Disorders","article_published_time":"2015-09-17T05:23:14+00:00","author":"Johnson Francis","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Johnson Francis","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/johnsonfrancis.org\/professional\/evidence-for-decline-in-coronary-mortality-in-the-united-states\/#article","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/evidence-for-decline-in-coronary-mortality-in-the-united-states\/"},"author":{"name":"Johnson Francis","@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"headline":"Evidence for decline in coronary mortality in the United States","datePublished":"2015-09-17T05:23:14+00:00","mainEntityOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/evidence-for-decline-in-coronary-mortality-in-the-united-states\/"},"wordCount":237,"publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/evidence-for-decline-in-coronary-mortality-in-the-united-states\/#primaryimage"},"thumbnailUrl":"","articleSection":["General Cardiology"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/johnsonfrancis.org\/professional\/evidence-for-decline-in-coronary-mortality-in-the-united-states\/","url":"https:\/\/johnsonfrancis.org\/professional\/evidence-for-decline-in-coronary-mortality-in-the-united-states\/","name":"Evidence for decline in coronary mortality in the United States - All About Cardiovascular System and Disorders","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#website"},"primaryImageOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/evidence-for-decline-in-coronary-mortality-in-the-united-states\/#primaryimage"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/evidence-for-decline-in-coronary-mortality-in-the-united-states\/#primaryimage"},"thumbnailUrl":"","datePublished":"2015-09-17T05:23:14+00:00","description":"There is a dramatic decline in coronary mortality in the Western world over the past four decades. But concern over lack of improvement in young women.","breadcrumb":{"@id":"https:\/\/johnsonfrancis.org\/professional\/evidence-for-decline-in-coronary-mortality-in-the-united-states\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/johnsonfrancis.org\/professional\/evidence-for-decline-in-coronary-mortality-in-the-united-states\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/johnsonfrancis.org\/professional\/evidence-for-decline-in-coronary-mortality-in-the-united-states\/#primaryimage","url":"","contentUrl":""},{"@type":"BreadcrumbList","@id":"https:\/\/johnsonfrancis.org\/professional\/evidence-for-decline-in-coronary-mortality-in-the-united-states\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/johnsonfrancis.org\/professional\/"},{"@type":"ListItem","position":2,"name":"Evidence for decline in coronary mortality in the United States"}]},{"@type":"WebSite","@id":"https:\/\/johnsonfrancis.org\/professional\/#website","url":"https:\/\/johnsonfrancis.org\/professional\/","name":"All About Cardiovascular System and Disorders","description":"","publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/johnsonfrancis.org\/professional\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Person","Organization"],"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec","name":"Johnson Francis","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","caption":"Johnson Francis"},"logo":{"@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g"},"description":"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal","url":"https:\/\/johnsonfrancis.org\/professional\/author\/jf\/"}]}},"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/19320","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/comments?post=19320"}],"version-history":[{"count":0,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/19320\/revisions"}],"wp:attachment":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/media?parent=19320"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/categories?post=19320"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/tags?post=19320"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}