scotPHO introduction:
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Coronary heart disease: key points

The incidence of, and mortality from, coronary heart disease (CHD) have both been falling in Scotland in recent years.

Incidence

  • The incidence of CHD is higher amongst men, the elderly and in deprived areas of Scotland.
  • The main risk factors are:
            - high blood cholesterol
            - physical inactivity
            - smoking
            - high blood pressure
            - obesity
            - poor diet
            - Type 2 diabetes
            - socio-economic deprivation.

Mortality

  • Despite the marked fall over time, Scottish CHD mortality rates remain amongst the highest in western Europe.
  • The rate for under-75s (standardised by age) continued to fall in 2005 and is on track to meet the Scottish target of a 60% reduction between 1995 and 2010.
  • Within Scotland, CHD mortality rates remain higher in west central Scotland and in deprived areas.
  • CHD mortality is strongly related to age, with much higher rates among elderly people.