50 years of heart disease in Ireland: Mortality, morbidity and health services implications

Hdl Handle:
http://hdl.handle.net/10147/310926
Title:
50 years of heart disease in Ireland: Mortality, morbidity and health services implications
Authors:
Irish Heart Foundation (IHF)
Publisher:
Irish Heart Foundation (IHF)
Issue Date:
Feb-2001
URI:
http://hdl.handle.net/10147/310926
Item Type:
Report
Language:
en
Description:
In 1999, 12,996 people died from vascular diseases in Ireland. In 1950, 11,887 people died from the same group of diseases. The populations of the respective years differed, of course (approximately 4 million vs 2.9 million), and a higher proportion of those who died in 1950 were less than 65 years old. However, it is relevant to ask what has happened in relation to vascular diseases in Ireland in the last 50 years, and what predictions can be made about the occurrence of these diseases in the future. Vascular diseases, of which cardiovascular disease is the most common, account for over 40% of all deaths and 37% of deaths under 65 years in Ireland at this time. Within cardiovascular disease, ischaemic heart disease (IHD) is by far the most common. It alone accounts for approximately 25% of all deaths. Three-quarters of those who succumb to ischaemic heart disease die from an acute myocardial infarct (AMI). Thus, cardiovascular disease remains a significant public health problem in our society as we enter the new millennium. Mortality from ischaemic heart disease in Ireland is high compared with rates in other countries. In particular, when compared with other European Union countries, Ireland has the highest rate in men and the third highest rate in women. Progress has been made, however. Analysis of mortality from IHD over the 50-year period under review reveals that rates generally increased to the mid-1970’s. A high ‘plateau’ was then maintained for several years until 1985. Since then rates have been declining steadily. Adjusted rates in 1999 are 37% lower in men and 30% lower in women than they were in 1985. This is almost certainly due to the combination of preventive strategies and improved diagnostic and treatment facilities which have been put in place in the intervening years. If, however, this welcome trend is to be sustained, and the targets set down by the 1994 Health Strategy ‘Shaping a Healthier Future’ and the Report of the Cardiovascular Health Strategy Group ‘Building Healthier Hearts’ in 1999 are to be realised, the implementation of proposed additional preventive and treatment strategies needs to proceed without delay. Pari passu with the declining mortality from IHD has been the emergence of a significant burden on the health services posed by increasing numbers of patients surviving early episodes of IHD and subsequently requiring cardiac care. This phenomenon, combined with the demographic changes projected for Ireland, i.e. a substantial increase in the elderly population in coming decades, will have a significant impact on the need for appropriate services into the future.
Keywords:
CARDIOVASCULAR DISEASE

Full metadata record

DC FieldValue Language
dc.contributor.authorIrish Heart Foundation (IHF)en_GB
dc.date.accessioned2014-01-06T11:47:48Z-
dc.date.available2014-01-06T11:47:48Z-
dc.date.issued2001-02-
dc.identifier.urihttp://hdl.handle.net/10147/310926-
dc.descriptionIn 1999, 12,996 people died from vascular diseases in Ireland. In 1950, 11,887 people died from the same group of diseases. The populations of the respective years differed, of course (approximately 4 million vs 2.9 million), and a higher proportion of those who died in 1950 were less than 65 years old. However, it is relevant to ask what has happened in relation to vascular diseases in Ireland in the last 50 years, and what predictions can be made about the occurrence of these diseases in the future. Vascular diseases, of which cardiovascular disease is the most common, account for over 40% of all deaths and 37% of deaths under 65 years in Ireland at this time. Within cardiovascular disease, ischaemic heart disease (IHD) is by far the most common. It alone accounts for approximately 25% of all deaths. Three-quarters of those who succumb to ischaemic heart disease die from an acute myocardial infarct (AMI). Thus, cardiovascular disease remains a significant public health problem in our society as we enter the new millennium. Mortality from ischaemic heart disease in Ireland is high compared with rates in other countries. In particular, when compared with other European Union countries, Ireland has the highest rate in men and the third highest rate in women. Progress has been made, however. Analysis of mortality from IHD over the 50-year period under review reveals that rates generally increased to the mid-1970’s. A high ‘plateau’ was then maintained for several years until 1985. Since then rates have been declining steadily. Adjusted rates in 1999 are 37% lower in men and 30% lower in women than they were in 1985. This is almost certainly due to the combination of preventive strategies and improved diagnostic and treatment facilities which have been put in place in the intervening years. If, however, this welcome trend is to be sustained, and the targets set down by the 1994 Health Strategy ‘Shaping a Healthier Future’ and the Report of the Cardiovascular Health Strategy Group ‘Building Healthier Hearts’ in 1999 are to be realised, the implementation of proposed additional preventive and treatment strategies needs to proceed without delay. Pari passu with the declining mortality from IHD has been the emergence of a significant burden on the health services posed by increasing numbers of patients surviving early episodes of IHD and subsequently requiring cardiac care. This phenomenon, combined with the demographic changes projected for Ireland, i.e. a substantial increase in the elderly population in coming decades, will have a significant impact on the need for appropriate services into the future.en_GB
dc.language.isoenen
dc.publisherIrish Heart Foundation (IHF)en_GB
dc.subjectCARDIOVASCULAR DISEASE-
dc.title50 years of heart disease in Ireland: Mortality, morbidity and health services implicationsen_GB
dc.typeReporten
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