Marked deterioration in medical management of coronary heart


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pandora bracelets The observed trends were confined to the most deprived groups. Marked deterioration in medical management of coronary heart disease seems implausible. Unfavourable trends in the major risk factors for coronary heart disease (smoking and poor diet) thus provide the most likely explanation for these inequalities.IntroductionScotland has seen a halving of mortality from coronary heart disease in the past two decades.1 However, cardiovascular mortality in this country is still among the highest in Europe and globally.2 In other countries with high but declining coronary heart disease mortality, several reports suggest that these trends are changing.3 4 5 6 Slowing or flattening of the decline in coronary heart disease mortality in young adults has now been reported in England and Wales,5 the United States pandora jewellery,6 France, Australia,3 and New Zealand.4The pattern for trends in major cardiovascular risk factors is also changing, with dramatic increases in obesity and diabetes in all industrialised countries,7 flattening of falls in blood pressure in US women,8 and persistent smoking in young adults in the United Kingdom and elsewhere.9 Recent trends in cardiovascular risk factors among Scottish adults present a correspondingly complex picture pandora bracelets.


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