tailieunhanh - Evidence-based Cardiology – part 4

Một lần nữa, người đàn ông người Mỹ gốc Phi và phụ nữ ở mọi lứa tuổi đã được tìm thấy có tỷ lệ tử vong cao nhất của bệnh tim mạch. Người gốc Tây Ban Nha, Trung Quốc, và Nhật Bản đã có bệnh tim mạch tỷ lệ thấp hơn nhiều, mặc dù cái chết CBVD tương ứng một nguyên nhân quan trọng của tử vong ở Trung Quốc và Nhật Bản. | Evidence-based Cardiology California between 1985 and 1990 compared CHD and CBVD death rates in six ethnic groups. Once again African American men and women in all age groups were found to have the highest CVD death rates. Hispanics Chinese and Japanese had much lower CVD rates although the CBVD deaths were proportionally a more important cause of death among the Chinese and Japanese. Furthermore a study that compared the rates of hospitalization for CHD among Asian Americans compared to Americans in Northern California revealed that the risk of hospitalization for CHD was the lowest among the Chinese Americans 0-Ố and the highest among the South Asians 3-7 P 0-001 .126 Recent data from the United Kingdom UK reveals that although the CHD mortality rates were approximately 43 higher among South Asian men and women compared to the general UK population ASMR men 282 100000 women 89 100000 among South Asians a decline of 2Ố in men and 18 in women in the CHD rates This is in keeping with a decline in CHD mortality in the UK as a whole over the past decade. In Canada an analysis of the Canadian national mortality database of South Asians Chinese and Canadians of European origin EU demonstrated that the ASMR per 100000 for CHD in South Asians M 320 F 144 was similar compared to those of EU origin M 320 F 110 yet was much higher than Chinese M 107 F 40 . Furthermore a significant decline in CHD death rates between 1979-83 and 1989-93 was observed in all groups with the greatest declines being apparent among South Asian men and women compared to EU and Chinese respectively M 22 13 and 5-4 F Ố 4 and 2 49 Table . Furthermore in Canada the inverse relationship between mortality and socioeconomic status is observed in European Canadians but not in South Asians and Chinese. This raises the issue of whether this relationship is acquired within societies and therefore is potentially preventable modifiable. Conclusions CVD accounts for the largest percentage of .

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