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Q: What are the major indicators that CVD poses a particularly significant risk to people of your age? To the elderly? To people from selected minority groups?
A: Most of the risk factors that affect children can be controlled early in life, lowering the risk of heart disease later in life. [ Other risk factors are usually passed down through family members (they are hereditary) or they are the result of another illness or disease. These risk factors usually can be controlled. Congenital heart disease (heart defects you are born with) cannot be changed,
but better tests and treatments are now available for children with these types of heart problems. Although many factors may contribute to the reluctance to treat elderly patients with or at risk for CVD—including concerns about tolerability of therapy or drug–drug interactions with polypharmacy—deficiencies of the current evidence base are likely important. Increasing age is associated with a decreasing likelihood of receiving therapies, and significant treatment gaps exist even among the limited proportion of older patients who are ideal candidates for therapy.3,7 Furthermore, among the elderly, treatment tends to be reserved for those with lower risk, a phenomenon appropriately called the ‘treatment-risk paradox’.8 In one study, for example, statin prescription for secondary prevention was inversely correlated not only with age, but also with the level of baseline risk, and the effects of age and baseline risk had a synergistic effect on statin-prescribing patterns. Given the increase in underlying risk with age, the disproportionate gaps in therapy for older populations may have particularly important consequences. Although African American adults are 40% more likely to have high blood pressure, they are 10% less likely than their non-Hispanic White counterparts to have their blood pressure under control. There are several risk factors related to heart disease. Some of these risk factors are Obesity and Overweight ]
Expert answered|speedycross09|Points 56|
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Asked 5/1/2012 11:29:51 AM
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