Evaluating heart disease presciptions-filled as a proxy for heart disease prevalence rates

Ronald E Cossman1, Jeralynn S Cossman, Wesley L James

  • 1Mississippi State University, USA.

Insights

Heart disease prevalence can be estimated at the county level using prescription data. This allows for better targeting of health resources to underserved areas, improving public health interventions.

Area of Science:

  • Epidemiology
  • Public Health
  • Health Services Research

Background:

  • Heart disease is the leading cause of death in the U.S.
  • County-level heart disease prevalence data is lacking, hindering targeted interventions.
  • Understanding geographic disease patterns is crucial for effective healthcare delivery.

Purpose of the Study:

  • To estimate county-level heart disease prevalence using prescription data as a proxy.
  • To validate prescription data against established health surveillance systems.
  • To visualize geographic patterns of heart disease prevalence for resource allocation.

Main Methods:

  • Utilized filled heart disease drug prescriptions as a proxy for disease prevalence.
  • Correlated prescription data with the Behavioral Risk Factor Surveillance System (BRFSS) data.
  • Generated county-level prevalence estimate maps to illustrate geographic patterns.

Main Results:

  • Found positive and statistically significant correlations between prescription data and BRFSS data.
  • Identified distinct geographic patterns in estimated heart disease prevalence.
  • Demonstrated the utility of prescription data for understanding sub-state disease variations.

Conclusions:

  • Prescription data serves as a viable proxy for estimating county-level heart disease prevalence.
  • Geographic mapping of prevalence highlights areas needing targeted health resources.
  • This approach can inform public health strategies and improve healthcare intervention delivery.

Related Concept Videos

Assessment of the Cardiovascular System I: Subjective Data01:23

Assessment of the Cardiovascular System I: Subjective Data

A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Cardiovascular Drugs: Classification based on Therapeutic Indications01:18

Cardiovascular Drugs: Classification based on Therapeutic Indications

Cardiovascular diseases, encompassing a range of conditions, can significantly affect the heart's operations and the overall circulatory system. These conditions impair the heart's ability to pump blood, leading to a deficit in oxygen supply to crucial organs. Anomalies in the heart's electrical system, known as arrhythmias, can cause heartbeats to accelerate or slow down. Usually, heart rates increase during physical activity and decrease while resting or sleeping. However, frequent irregular...
Heart Failure Drugs: β-Blockers01:22

Heart Failure Drugs: β-Blockers

β-adrenergic antagonists, commonly known as β-blockers, block the effects of sympathetic neurotransmitters such as noradrenaline (NA) and adrenaline (ADR). They have several beneficial effects in heart failure treatment. They reduce heart rate, the force of contraction, and cardiac muscle relaxation. They also slow the atrial-ventricular conduction rate and raise the threshold for arrhythmias. The concentration of β-blockers determines their effects on bronchodilation, vasodilation, and...
Coronary Artery Disease IV: Preventive Measures01:26

Coronary Artery Disease IV: Preventive Measures

Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
Heart Failure Drugs: Diuretics01:22

Heart Failure Drugs: Diuretics

Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...