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These studies suggest that atherosclerosis, influenced by factors like high blood pressure, high cholesterol, smoking, and inflammation, is the number one cause of heart disease.
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Coronary heart disease (CHD) is identified as the primary cause of heart disease globally. It is the leading cause of death in developed countries and a significant contributor to the disease burden in developing nations . CHD results from the buildup of atherosclerotic plaques in the coronary arteries, which can lead to heart attacks and other cardiovascular events.
Atherosclerosis, characterized by the accumulation of fatty deposits in the arterial walls, is a major underlying cause of CHD. This process is driven by risk factors such as hypercholesterolemia, hypertension, and smoking, which promote inflammation and oxidative stress in the arteries. Chronic inflammation is also implicated in the progression of CHD, with conditions like systemic lupus erythematosus and rheumatoid arthritis increasing the risk.
Lifestyle choices significantly impact the prevalence of heart disease. High blood pressure, high cholesterol, smoking, obesity, and physical inactivity are major contributors . Socioeconomic changes and increased lifespan in low- and middle-income countries have led to a rise in CHD cases, reflecting the adoption of lifestyle-related risk factors.
Cardiovascular diseases, including CHD, are the leading cause of death worldwide, accounting for 17.3 million deaths annually, a number projected to rise to over 23.6 million by 2030. In the United States alone, heart disease accounts for one in seven deaths, with someone dying from heart disease approximately every 90 seconds.
Intervention strategies that target risk factors have been shown to reduce the incidence of CHD and other cardiovascular diseases. These include managing blood pressure, cholesterol levels, and promoting smoking cessation, weight control, and regular physical activity. The Million Hearts Initiative aims to prevent one million heart attacks and strokes over five years by addressing these risk factors.
Despite advancements in treatment, CHD remains the number one cause of death. Ongoing research into biomarkers and machine learning algorithms aims to improve the prediction and management of heart disease, potentially reducing mortality rates .
Coronary heart disease is the leading cause of heart disease and a major global health concern. Key risk factors include atherosclerosis, chronic inflammation, and lifestyle choices. Effective prevention and management strategies targeting these risk factors are essential to reduce the global burden of heart disease. Continued research and technological advancements hold promise for better prediction and treatment outcomes.
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