A new study has found that an increasing number of young Americans are dying from heart failure, with black Americans the most affected.
Heart attack i am the usual situation in it heart muscle it cannot bleed properly, causing symptoms such as fatigue, shortness of breath and swelling in the legs. The condition can be treated, but it can be fatal if it progresses to a severe stage.
In the new study, researchers found that heart disease deaths among Americans under the age of 45 have been increasing since 2012. This happened after several years of stability or, in some cases, dips.
There is also a clear racial divide: Young black adults are always three times as likely death rates higher than both whites and Hispanic Americans their age.
Experts say the reasons behind the rise in heart disease are unclear, but the rise in obesity and diabetes may be at work.
As for the racial difference, they called it a concern, but it was unexpected. It is well known that heart disease affects black Americans.
“To me, this is alarming. There is a dramatic difference in the rate of cardiac death,” said Dr. Nilay Shah, an assistant professor of cardiology at Northwestern University, in Chicago.
“But unfortunately,” he said, “it’s not surprising.”
Shah, who was not involved in the new research, studies variant heart disease. In a study published earlier this year, he and his colleagues found that young black Americans are at risk of early heart disease. And the gaps seem to be explained by both clinical (like high blood pressure) and social factors—including lower levels of education and poverty.
Shah said he suspects similar factors could explain the new findings as well.
Health conditions like obesity, diabetes and high blood pressure are part of the story. But those health factors are also “intertwined” with social differences, Shah said — including education and job opportunities, whether people have access to good food, and whether they have access to exercise.
Dr. Muhammad Shahzeb Khan, the lead researcher on the new study, made this point.
He said it was because of the “apartheid system,” both inside and outside health care systemYoung adults may be at increased risk factors for heart failure, and may have a harder time accepting it health care and paying for medicines.
Deal youth he probably doesn’t even have a primary care doctor, says Khan, a cardiologist at Duke University, in Durham, NC.
This means they may lose access to them high blood pressure or diabetes diagnosed and treated early, and that can be a particular barrier for young Black Americans, Khan said.
The results of the study, published online July 27 a JAMA Cardiologythey are based on death certificate information from federal investigative records.
Between 1999 and 2019, there were approximately 62,000 heart failure-related deaths among Americans aged 15 to 44. The majority were men, at 62%.
From 1999 to 2012, the annual death rate from heart failure remained very high, at more than two deaths per 100,000 people. But after 2012, cardiac deaths began to rise, reaching more than three per 100,000 in 2019.
“Things are not good, they are getting worse,” Shah said. “This is an incredible setback.”
Deaths rose among young Black, Hispanic and middle-aged adults. But, Khan said, over a 20-year period, the number was highest among black Americans – who accounted for 36% of all deaths.
In 2019, their death rate was nearly nine per 100,000 — more than three times that of whites and Hispanics their age.
Also, the study found differences among states. The Southeast has some of the highest rates of cardiac deaths, reaching eight deaths per 100,000 in Mississippi. This compares to a rate of less than two per 100,000 in all North Eastern states.
Both Khan and Shah hypothesized that states’ policies on Medicaid and other social programs can be one reason. Many states in the Southeast, for example, did not expand their Medicaid programs under the plan. Affordable Care Act.
Considering the complexity of the problem, the two doctors said, appropriate measures will be taken to solve it.
For their part, Shah said young adults should know heart Health is a lifelong process, and it is not just a concern for the elderly.
Khan encouraged young adults to see their primary care provider for regular blood pressure, cholesterol and blood sugar levels. High blood pressure and diabetes are “silent” conditions, he said, so regular check-ups are important.
The American Heart Association has more on heart attack.
Vardhman Jain et al, Demographic and Regional Patterns of Heart Failure-Related Mortality in Young Adults in the United States, 1999-2019, JAMA Cardiology (2022). DOI: 10.1001/jamacardio.2022.2213
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