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Show Diseases of the Heart (ICD-9 Codes: 390-398, 402, 404-429) (1997 Total Deaths from Diseases of the Heart in Utah = 2,995) Diseases of the heart include rheumatic heart disease, myocardial infarction, angina pectoris, hypertensive heart disease, and diseases of the valves and vessels connecting to the heart. Generally, the rate for heart disease has steadily declined in Utah. The United States rate has also declined, but not as rapidly. Utah's death rate from cardiovascular disease is lower than any other state. This is in spite of the fact that Utah falls well below the national median and ranks 47th out of 50 states in the percentage of persons who reported ever having their cholesterol checked for 1995. The most important factor contributing to Utah's low rate is the low smoking rate. Other risk factors that are important to monitor when dealing with heart disease are: high blood pressure, a family history of heart disease, high blood cholesterol, obesity and diabetes. The most effective way to combat heart disease is to promote a healthier lifestyle. Utah's males continue to be almost twice as likely to die from diseases of the heart as are females. This may be partially explained by physiological and genetic differences, exercise patterns, differences in stress management, and higher smoking rates among males. Table 34. Cholesterol Screening* Table 35. Diseases of the Heart* 1992 1993 1995 1997 Utah 59.42 62.75 65.53 71.9 Median State 67.25 67.87 68.95 74 Range of States 59.42-73.66 59.50-75.56 59.84-76.18 58.4-81.3 *Percentage of people who reported ever having had their cholesterol levels checked Tables 34,35,36. Source: Utah: Utah Department of Health, Utah Birth and Death Certificate Internet-Query System Registration [Online]. Available: Http://www.health.state.ut.us US: Centers for Disease Control and Prevention, CDC Wonder [On-line]. Available: Http://www.cdc.gov Figure 19 Utah:U.S. Year Utah U.S. (Ratio) 1980 170.8 280.4 0.61:1 1981 167.4 271.6 0.62:1 1982 159.7 264.9 0.60:1 1983 150.8 262.3 0.58:1 1984 156.4 253.9 0.62:1 1985 147.6 250.1 0.59:1 1986 137.5 240.9 0.57:1 1987 135.7 232.6 0.58:1 1988 130.7 228.1 0.57:1 1989 116.3 213.9 0.54:1 1990 113.7 206.7 0.55:1 1991 109.8 200.7 0.55:1 1992 105.6 195.2 0.54:1 1993 108.4 195.5 0.55:1 1994 101.5 188.5 0.54:1 1995 101.0 185.0 0.55:1 1996 94.9 179.0 0.53:1 1997 97.6 - - * Age-adjusted rates per 100,000 population. Age-adjusted to the 1940 standard population. Table 36. Heart Disease Mortality by Sex in Utah* Years Male Female 1982-84 212.7 107.0 1985-87 187.4 100.4 1988-90 160.1 87.9 1991-93 142.3 80.4 1994 133.3 74.3 1995 130.2 77.0 1996 122.8 71.7 1997 129.2 70.8 * Age-adjusted Rates per 100,000 Population. Age-adjusted to the 1940 standard population. From 1982 to 1993 the numbers represent a three-year average. From 1980 to 1997, Utah (p<0.0001, slope = -4.73, r= 0.9617), the U.S. (p<0.001, slope = -6.57, r2 = 0.98730, and the ratio between Utah and the U.S. (p<0.0001, slope = -0.0052, r2 = 0.8279) enjoyed significant linear declines in heart disease. 300 -Age-Adjusted 250 - Diseases of the Heart Mortality ----------Utah Mortality Rates per 200 -150 -100,000 Population \qq - -------------------.-------_ - - -. .......U.S. 50 ¦ j ^ ^ ^ jP 77 |
