News | Cardiac Diagnostics | February 02, 2021

Link Shown Between Economic Disparities and Cardiovascular Death in Middle-Aged Adults

Study evaluates of impact of economic prosperity and cardiac mortality in U.S. counties between 2010-2017

A study of more than 100 million Americans in 3,123 counties found a correlation between cardiac death and their level of income. Getty Images Health disparities in cardiovascular disease.

A study of more than 100 million Americans in 3,123 counties found a correlation between cardiac death and their level of income. Getty Images

February 2, 2021 — A new study has found in the U.S. shows higher economic prosperity was associated with a small relative decrease in cardiovascular mortality among middle-aged adults. The study was published this week in the Journal of the American Medical Association (JAMA).

Cardiovascular death rates over the last decade have stopped declining for non-elderly adults in the U.S. The factors driving these trends are poorly understood and may be related to underlying economic trends, given the strong association between cardiovascular disease and economic indicators such as income.

To assess a potential association between changes in economic prosperity and trends in cardiovascular mortality in middle-aged U.S. adults, researchers at Penn Medicine evaluated county-level mortality and economic data. 

The researchers reviewed county-level mortality data from 3,123 U.S. counties from 2010 to 2017. Counties with the greatest improvement in economic prosperity had a decline in cardiovascular mortality for middle-aged adults, while counties that had the lowest increase or decrease in economic prosperity had no change in mortality rates. Every 10-point greater change in economic prosperity was significantly associated with a 0.4% lower cardiovascular mortality rate per year among middle-aged adults. 

“We found that a relative increase in economic prosperity was significantly associated with a small but significant relative decrease in cardiovascular mortality among middle-aged adults,” said lead author Sameed Khatana, M.D., MPH, an instructor of cardiovascular medicine in the Perelman School of Medicine at the University of Pennsylvania. “Understanding how economic factors influence cardiovascular health is crucial for devising strategies to address and improve a community’s health.”

The study includes 102 million residents aged 40 to 64 years correlated to 979,228 cardiovascular deaths. 

 

Related Health Disparities Content:

5 Technologies to Help Overcome Healthcare Disparities in the Next Decade

COVID-19 Cardiovascular Registry Details Disparities Among Hospitalized Patients

Study Finds Removing Cost from Calcium Score Testing Increased Utilization

Blacks Have Higher Mortality After PCI

 

VIDEO: New Ideas in Addressing Cardiovascular Disease Disparities — Interview with Clyde Yancy, M.D.

Blood Pressure Control Less Likely Among Those Treated in Low-income Areas

VIDEO: Reducing Hypertension Among African-Americans — Interview with Kim Allan Williams, M.D.

Studies Find Race and Gender Disparities in Implantable Heart Devices

 

VIDEO: How Smartphones May Revolutionize Healthcare in the Developing World — Interview with Jacques Kpodonu, M.D.

Study Reveals Racial Gender Disparities in Care for New Atrial Fibrillation Patients

Nearly All ICD Implants Performed on Insured Patients

Disparities Found in Standard of Cardiac Care for Heart Valve Disease in Minorities

Women, Blacks Face Larger Loss of Life Expectancy After Heart Attack

 

Reference:

1. Sameed Ahmed M. Khatana, Atheendar S. Venkataramani, Ashwin S. Nathan, et al. Association Between County-Level Change in Economic Prosperity and Change in Cardiovascular Mortality Among Middle-aged U.S. Adults. JAMA. 2021;325(5):445-453. doi:10.1001/jama.2020.26141.

 

Related Content

A new study highlights the importance of continued public education regarding the risks of cigarette smoking and the failure of dual use with vaping to reduce cardiovascular risk. Getty Images

A new study highlights the importance of continued public education regarding the risks of cigarette smoking and the failure of dual use with vaping to reduce cardiovascular risk. Getty Images

News | Cardiac Diagnostics | January 06, 2021
January 6, 2021 — Smoking traditional cigarettes in addition to using e-cigarettes results in harmful health effects
The Mesuron Inc. Avalon-H90 uses magnetometers to detect myocarditis in patients without any physical contact. It uses ventricular repolarization dynamics analysis software to look for abnormalities. The vendor said it is more specific than using ECG. It detects the multidimensional dynamics of the electrical activity caused by differences in functions of electrical action potential of normal heart tissues and abnormal ones with hypoxia.

The Mesuron Inc. Avalon-H90 uses magnetometers to detect myocarditis in patients without any physical contact. It uses ventricular repolarization dynamics analysis software to look for abnormalities. The vendor said it is more specific than using ECG. It detects the multidimensional dynamics of the electrical activity caused by differences in functions of electrical action potential of normal heart tissues and abnormal ones with hypoxia. 

News | Cardiac Diagnostics | October 06, 2020
October 6, 2020 — A new technology being developed by U.S.-based Mesuron Inc.
With the advent and optimization of nuclear scintigraphy protocols using bone-avid radiotracers, cardiac amyloidosis caused by transthyretin protein (ATTR) can now be diagnosed noninvasively without a costly tissue biopsy. The radiotracer 99mTc-pyrophosphate (99mTc-PYP) binds to deposited ATTR amyloid fibrils in the myocardium and can be visualized using planar and SPECT imaging. Amyloidosis Patient Registry  #Amyloidosis

With the advent and optimization of nuclear scintigraphy protocols using bone-avid radiotracers, cardiac amyloidosis caused by transthyretin protein (ATTR) can now be diagnosed noninvasively without a tissue biopsy. The radiotracer 99mTc-pyrophosphate (99mTc-PYP) binds to deposited ATTR amyloid fibrils in the myocardium and can be visualized using planar and SPECT imaging. This is Figure 2, showing how SPECT imaging allows the reader to distinguish between blood pool activity (ventricular cavity, etc) and myocardial activity and identify regional myocardial differences in radiotracer uptake.

News | Cardiac Diagnostics | March 05, 2020
March 5, 2020 — More than 300 patients have joined the Amyloidosis Patient Registry and it is now available to the en
heart disease image
News | Cardiac Diagnostics | December 18, 2019
December 18, 2019 — In their latest report, “...
FDA Warns Troponin Tests Impacted by Biotin Dietary Supplement
Feature | Cardiac Diagnostics | November 05, 2019 | Dave Fornell, Editor
November 5, 2019 — The U.S.
Videos | Cardiac Diagnostics | October 29, 2019
Doctor Clyde Yancy was a keynote speaker and said doctors need to check their assumptions about patients at the door...
79-year-old Tony Marovic had a right carotid endarterectomy shortly after discovering a 95 percent blockage of his carotid artery at a health and wellness screening event

79-year-old Tony Marovic had a right carotid endarterectomy shortly after discovering a 95 percent blockage of his carotid artery at a health and wellness screening event. Image courtesy of University Hospitals.

News | Cardiac Diagnostics | October 16, 2019
Health and wellness screenings are more than just nice events for the community – they can save lives. A Mentor, Ohio,...
Pesticide Exposure May Increase Heart Disease and Stroke Risk

Image courtesy of zefe wu from Pixabay

News | Cardiac Diagnostics | October 15, 2019
On-the-job exposure to high levels of pesticides raised the risk of heart disease and stroke in a generally healthy...