9 ms·
Cardiologist here, can confirm. We’ve long been seeing these promising trends, in the US, Europe, and elsewhere. I would say the greatest reason for this are 1-
by hdt9771 3y ago
Cardiologist here, can confirm. We’ve long been seeing these promising trends, in the US, Europe, and elsewhere. I would say the greatest reason for this are 1- advances in percutaneous interventions (which is as much about having new tools to fix acute MIs, such as more effective stents, as much as logistically making these tools + the skilled physicians to operate them widely available in any place at any time), 2- relatively cheap & highly effective cardiac medications, & 3- the hugely successful anti-smoking campaign. Diet/exercise changes of course may be some contributors but they’re clearly not being widely followed.
Here’s the original article in JACC fyi—
https://www.jacc.org/doi/10.1016/S0735-1097%2823%2901585-1 https://www.jacc.org/doi/10.1016/S0735-1097%2823%2901585-1
- bagels 3y agoMI = myocardial infarction, percutaneous ~= stents/angioplasty
- graeme 3y agoNoticed any change in the past couple of years? There have been reports of increases in heart attacks following Covid infection, especially in younger people. However data moves pretty slowly. The article linked above for example cuts off in 2020. Whereas most people only got infected in 2022. https://www.cedars-sinai.org/newsroom/today-young-people-are-more-likely-to-die-of-heart-attacks-post-covid-study-finds-but-why/ https://www.cedars-sinai.org/newsroom/today-young-people-are...
- Aldipower 3y agoStudies not taking the vaccination status into account are not serious. This study even does not talk about vaccination status.. I am not saying COVID isn't cause heart attacks. But this study is just embarrassing.
- defrost 3y agoIt's literally an observational summary of all filed provisional death certificates between between April 1, 2012, and March 31, 2022 limited to those that specifically mention "heart attacks" (AMI - acute myocardial infarctions) [0]. As those death certificates don't mention measles, rubella, flu, or COVID vaccinations, etc. they don't feature in a pure numerical grouping and summary. If you feel that vaccination status play a part worthy of notice then you are free to pull the data yourself [1] and cross reference those deaths against vaccination status data. Very few published studies are the be all to end all, they are each at best parts of a greater picture, what this study does highlight is that AMI's trended downwards for almost a decade and then rose as COVID spread. Clearly there is more work to be down here - as this study signposts. [0] https://onlinelibrary.wiley.com/doi/10.1002/jmv.28187 https://onlinelibrary.wiley.com/doi/10.1002/jmv.28187 [1] https://wonder.cdc.gov/mcd-icd10-provisional.html https://wonder.cdc.gov/mcd-icd10-provisional.html
- Scoundreller 3y agoMaybe also improved transfer logistics to the right hospital to get tPA for STEMIs? e.g. more pre-hospital ecgs so patients go straight to the right hospital? And with those pre-hospital ecgs, more pre-hospital administration of things like ASA and clopidogrel?
- ajeet_dhaliwal 3y agoMy dad died from a heart attack in 1992. His arteries were blocked. He had very high cholesterol and statins were unavailable until the mid 90s. I was found to have the same issue and it was so high I was told it had be familial. A couple of doctors told me eating healthy and exercising could help keep it down but others said, no not really, it's not a little high, it's massively high, I need intervention, so I have been on statins for several years and they have kept my cholesterol levels in the normal range. I am grateful and I do hope that if the second set of doctors are right that the first set learn about this.
- FollowingTheDao 3y agoI have familial hyperlipidemia, and my mother and brother both had heart attacks when they were 45. Do you know omega-3 fatty acids promote something called reverse cholesterol transport? https://pubmed.ncbi.nlm.nih.gov/28984832/ https://pubmed.ncbi.nlm.nih.gov/28984832/ I couldn’t take statins because of the side effects. I went on a fish only, no plant oil diet, and my LDL is now 200 and my HDL for the first time my life rose above 35 to 52. To me, the key was getting the omega-3 level way higher than the omega six level and totally eliminating short chain poly unsaturated fatty acids. Note that I went on this diet, because I actually know my genetics. I don’t recommend anyone do the same thing without knowing what I know. Diet works and it’s sad people can’t commit to it. And I’m afraid for a lot of people it won’t be the vegetarian diet that is normally prescribed. Remember as well cholesterol is not the only contributors her heart disease. Oxidative stress plays a large role in damaging, or oxidizing, the LDL to cause the plaques. https://www.frontiersin.org/articles/10.3389/fphar.2020.613780/full#:~:text=Oxidative%20stress%20manifests%20itself%20in,of%20CVD%20linked%20to%20atherosclerosis https://www.frontiersin.org/articles/10.3389/fphar.2020.6137.... Oxidative stress can be caused by external forces, but also by the lack in proper nutrients, like zinc and B6 and riboflavin, deficiency in those supplements are all linked to greater incidence of heart disease. I am in my mid-50s and I’ve had no issues so far.
- EdSharkey 3y agoI keep hearing seed oils are a problem and lead to obesity, but we're addicted to them for cooking, mouth feel, etc. What do you use as a substitute for vegetable oils in your cooking?
- qup 3y ago> Diet/exercise changes of course may be some contributors but they’re clearly not being widely followed Human here, can confirm. No source required.
- hdt9771 3y ago:D Yeah I can’t bring myself to reply to those contesting this part of my statement. Look around you, people. Please observe the teaming masses who cannot stop shoveling shit into their mouths at increasingly alarming rates.
- hackernewds 3y agoRegarding 3/ weren't most gains expected to be reversed due to vaping (sp one company: Juul)?
- uf00lme 3y agoDon't forget that the introduction of Smoking laws in most western countries have reduced the 3rd party/passive smoking dramatically. Anecdotally - As kid visiting offices in the 80s I remember nearly every single adult office worker being a smoker and going into office work places thick with smoke. Vaping does not seem to have the same numbers.
- njarboe 3y agoNicotine is not that bad for you. It's the smoke in smoking that is the main health hazard.
- maxk42 3y agoYou've got it a bit mixed up Nicotine has not been definitely linked to cancer. Cigarette smoking has, however. But nicotine has been linked to heart disease and related cardiovascular illnesses.
- himinlomax 3y ago> Diet/exercise changes of course may be some contributors but they’re clearly not being widely followed Diet advices actually have been followed, particularly the demonization of dietary fat and its replacement with sugar, and that may be the cause for the increase in T2D and obesity.
- tbrake 3y agoWho's out there saying "cut fat and replace it with sugar"?
- throwaway92700 3y agoCustomers, who still demand tasty products in spite of the food industry cutting back on fat.
- himinlomax 3y agoAncel Keyes at the McGovern committee in the 1970. Yudkin disagreed, and was a victim of a smear campaign by Keyes.
- bluGill 3y agoThey are said "cut fat". Replace with sugar was never said - but it was the obvious replacement so that is what was used.
- roqi 3y ago> Diet/exercise changes of course may be some contributors but they’re clearly not being widely followed. Over the past two decades, the number of gyms and fitness centers saw exponential growth to the point where they became ubiquitous, and some workout programs became widely recognized memes. Working out is now socially acceptable, and in some places social pressure tilted to the targeted against those who do not exercise. Even though diet/exercise changes may not be widely followed, don't you agree that they have been widely adopted?
- zzbn00 3y agoIn the UK, the _average_ time spent watching TV/streaming content is about 40 hours per week. This in combination with generally sedentary lifestyle that relative wealth allows. Unfortunately gyms and fitness centres, as good as they are, I'm not sure can counter this trend.
- xii23 3y agoFunny but most of my streaming happens as I'm cycling at home
- eastbound 3y agoDoes gym correlate with being fat later in life? I’ve seen it a lot: A sports jock at 20-25, gets a manager job and becomes quite unhealthy at 40, much more in US than in, say, France, where gyms arrived much later and there hasn’t been a culture of muscle size in high school/uni until very recently.
- kelipso 3y agoAthlete turned overweight is so common. They keep up their diet as they grow older but not their exercise. Opposed to someone who have the same diet their whole life and only occasionally exercised, they'd just maintain their weight.
- evantbyrne 3y agoI would assume the opposite. Childhood obesity probably correlates very strongly to obesity in adulthood. What you are observing is probably just an overall trend in society and not specific to jocks.
- temptemptemp111 3y ago[dead]
- weard_beard 3y agoStents and Statins mean my wife will see our son graduate college. She'd probably be gone by now. 2 heart attacks in her 20's. Her father died at 40.
- anonuser123456 3y agoDo you have an opinion on GLP1 agonists? It would seem they can pre-empt the metabolic problems that drive CVD. A lot of GPs I’ve talked to are negative on them as they are expensive and they seem to have the mindset “you should just eat better”. But we know that dietary interventions fail like 97% of the time because long term adherence is almost impossible.