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Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
Published on: September 26, 2018
All-cause and CVD mortality in Native Hawaiians
N Emmett Aluli1, Phillip W Reyes, S Kalani Brady
1Moloka'i General Hospital, Kaunakakai, Moloka'i, HI, USA.
Diabetes Research and Clinical Practice
|April 16, 2010
Summary
Cardiovascular disease (CVD) is a major cause of death for Native Hawaiians, particularly those with diabetes. Managing diabetes, blood pressure, and cholesterol is crucial for reducing CVD mortality in this population.
Area of Science:
- Public Health
- Epidemiology
- Cardiology
Background:
- Cardiovascular disease (CVD) represents the primary cause of mortality among Native Hawaiians.
- Understanding CVD prevalence and risk factors within this demographic is critical for targeted health interventions.
Purpose of the Study:
- To examine all-cause and cardiovascular mortality rates in the Native Hawaiian population.
- To identify key risk factors associated with cardiovascular disease in this group.
Main Methods:
- Analysis of data from 855 Native Hawaiians (ages 19-88) participating in the Cardiovascular Risk Clinics program (1992-1998).
- Mortality surveillance through September 2007, with causes of death determined via medical records, death certificates, and community outreach.
Main Results:
- Cardiovascular disease accounted for 55% of all deaths, with coronary heart disease (CHD) being the most common type.
- CVD mortality increased with age and was significantly higher in individuals with diabetes, hypertension, and elevated low-density lipoprotein cholesterol (LDL-C).
- Diabetes was associated with a fourfold increase in CVD rates, and men exhibited higher CVD rates than women.
Conclusions:
- Diabetes is a primary determinant of cardiovascular disease in the Native Hawaiian population.
- A significant proportion of CVD deaths occur in individuals with diabetes.
- Implementing strategies for diabetes prevention and improved management of hypertension and lipid levels are essential for reducing CVD rates in Native Hawaiians.
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