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Coronary heart disease mortality and coronary risk factors in Argentina
Insights
Coronary heart disease (CHD) mortality surged in Argentina during the 1960s-70s, with high rates persisting. Urgent lifestyle changes are needed to reduce cardiovascular disease deaths.
Area of Science:
- Cardiovascular Epidemiology
- Public Health
- Preventive Medicine
Background:
- Argentina experienced a significant rise in coronary heart disease (CHD) mortality among working-age adults in the 1960s and 1970s.
- By 1978, Argentina exhibited some of the highest international CHD mortality rates for both men and women.
- Increased stroke mortality in younger populations over the past decade also signals a growing public health concern.
Purpose of the Study:
- To analyze the trends and prevalence of cardiovascular disease (CVD) mortality in Argentina.
- To identify associated cardiovascular risk factors contributing to elevated mortality rates.
- To recommend interventions for reducing CVD mortality in the Argentine population.
Main Methods:
- Analysis of historical mortality statistics for coronary heart disease (CHD) and stroke in Argentina.
- Review of survey data on the prevalence of key cardiovascular risk factors.
- Comparison of Argentine mortality rates with international data.
Main Results:
- Marked increases in CHD mortality were observed in working-age Argentines during the 1960s and 1970s.
- High CHD mortality rates persisted, with Argentine men and women ranking among the highest globally in 1978.
- Elevated cardiovascular risk factors, including high serum total cholesterol, increasing smoking prevalence, and low rates of treated hypertension, were identified.
Conclusions:
- The high CHD and stroke mortality rates in Argentina are linked to a significant prevalence of cardiovascular risk factors.
- There is a critical need to implement public health measures and lifestyle interventions to mitigate cardiovascular mortality.
- Addressing the Argentine way of life is essential to initiate a decline in cardiovascular disease deaths.
Abstract:
A marked increase in the coronary heart disease (CHD) mortality of working-age (35-64 years) men and women occurred in Argentina in the 1960s and 1970s. CHD is the leading cause of death in men. In 1978, Argentine men had also one of the highest CHD mortality rates (603.9/100,000) in international mortality statistics and Argentine women (155.2/100,000) were also at the top of these statistics. Stroke mortality has also increased in the younger age-group of men and women over the last decade. The high CHD and stroke mortality rates are compatible with a high prevalence of cardiovascular risk factors. Several surveys have demonstrated that mean serum total cholesterol levels are high, the prevalence of smokers is increasing and the proportion of adequately treated hypertensive patients is low. These results suggest that measures should be introduced to change the Argentine way of life to try to initiate a decline in cardiovascular mortality.
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