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Coronary Heart Disease
Overview |Key Resources |Contacts


Overview

Although mortality from Coronary Heart Disease (CHD) in the UK is declining, it continues to be the most common cause of death. More than one in five men and one in six women die from the disease. Around 2 million people aged over 35 suffer from angina, while it is likely that around 146,000 people have a heart attack annually. Both morbidity and mortality vary geographically, with higher rates in the North of the UK compared to the South. There are also socio-economic and ethnic differences, with higher rates of CHD in manual workers compared to non-manual workers and higher rates in South Asians compared to the population as a whole.

Reducing CHD is a major public health focus with a national target of reducing rates by 40% by 2010 (based on Health of the Nation target from 1999). This target has been met five years early. Primary prevention concentrates on altering modifiable lifestyle factors including diet, exercise and obesity as well as stopping smoking and reducing alcohol intake. Public health also has a role to play in secondary and tertiary prevention including ensuring appropriate availability of medication as necessary and equity of access to high quality surgical procedures.

SEPHO is the lead public health observatory for Coronary Heart Disease.


Key resources


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CHD - National key resources
Date Title Format View
Mar 2010 NICE clinical guideline 94: Unstable angina and NSTEMI open resource url
3 Apr 2009 NHS Health Check: Vascular Risk Assessment and Management Best Practice Guidance open resource url
  NICE Prevention of cardiovascular disease    
Mar 2010 NICE clinical guideline 95: Chest pain of recent onset open resource url
Jun 2010 NHS Evidence: 2010 Evidence update on atrial fibrillation open resource url
  Clinical Knowledge Summaries - heart disease open resource url
Mar 2010 Bridging the Quality Gap: heart failure open resource url
  NHS Evidence - cardiovascular section open resource url
2008 Coronary Heart Disease National Service Framework: Building on excellence, maintaining progress - Progress report for 2008 open resource url
23 Dec 2008 Epidembase: Atlases of hospital admission rates open resource url
23 Dec 2008 Public Health Specialist Library open resource url
  Heart disease statistics (HeartStats) open resource url
22 Dec 2008 CHD disease prevalence model open resource url
  Cardiovascular Diseases Specialist Library open resource url
29 Jun 2006 Epidembase: Atlases of mortality rates - 1996-2004 open resource url
Dec 2005 Interactive map of the updated atlas of coronary heart disease, mortality and revascularisation for 2002/03, 2003/04 and 2004/05 open resource url
21 Jan 2003 A Coronary Heart Disease (CHD) Measurement Toolbox    
  Coronary Heart Disease: National Service Framework (NSF) open resource url
  Myocardial Ischaemia National Audit Project (MINAP) open resource url
  CHD - Maps and data    
  An atlas of coronary heart disease, mortality and revascularisation for 2002/03, 2003/04 and 2004/05 - collection    
17 Feb 2003 Health Survey for England: Cardiovascular Disease open resource url
22 Jan 2003 Office for National Statistics Statsearch catalogue on cardiovascular disease open resource url



CHD - Key organisations
Date Title Format View
  Department of Health, heart disease home page open resource url
  British Heart Foundation    
  National Heart Forum    
  NHS Improvement - heart team    


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Last review Dec 2009