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Cardiovascular (or Circulatory) Disease

Cardiovascular disease encompasses all the diseases of the heart and circulation including coronary heart disease, angina, heart attack, congenital heart disease and stroke.

Premature mortality from cardiovascular disease is significantly worse in Gateshead (90.6 per 100,000 people younger than 75 years of age between 2015 and 2017, the equivalent of around 482 people) than in England overall (72.5 per 100,000) [Chart - U75 mortality from cardiovascular disease].[1] For every 100 premature deaths due to cardiovascular disease that would be expected (based on the England average) there are 185 in Deckham, and 187 in High Fell. These are both significantly higher than Gateshead's ratio of 125 to 100 that would be expected [Map - Ward U75 mortality from cardiovascular disease].[2]

Under 75 mortality cardiovascular

Premature mortality for cardiovascular disease has been decreasing in both Gateshead and England since 2001‑03. The gap between Gateshead and England has generally narrowed.[1]

Of the 482 deaths due to cardiovascular disease (in people younger than 75 years of age), 310 were considered preventable [Chart - U75 mortality from preventable cardiovascular disease]. That's a rate per 100,000 of 58. However, looking at the data by gender reveals that the rate is much higher for men at 84 per 100,000 compared to a rate of 34 for women.[1]

See also: 'Heatwaves'

Smoking is a major risk factor for cardiovascular disease - See also: 'Smoking'

Coronary heart disease

heartThe prevalence of coronary heart disease in Gateshead was 3.9% (or 8,090) of the population in 2017/18 [Chart - CHD prevalence]. The prevalence in England was 3.1%[3] [See also: CHD prevalence by GP practice]. Hospital admissions due to coronary heart disease in NewcastleGateshead are following a long term downward trend. There were 2,128 in 2017/18. Generally, the trend in NewcastleGateshead is following a similar trend to England as a whole. For comparison purposes admissions can be considered as a rate (DSR) per 100,000. In NewcastleGateshead there were 497.8 per 100,000 which is similar to the England average of 502.4 per 100,000 [Chart - CHD hospital admissions].[4] For every 100 CHD emergency admissions that would be expected (based on the England average) there are 132 in Deckham and 121 in High Fell, which are both significantly higher than Gateshead's ratio of 98 to 100 that would be expected [Map - Ward CHD emergency hospital admissions].[5] For every 100 deaths due to CHD that would be expected (based on the England average) there are 173 in Felling, which is significantly higher than Gateshead's ratio of 110 to 100 that would be expected [Map - Ward mortality from CHD].[2]

Hypertension

Hypertension is also a major risk factor for cardiovascular disease. In 2017/18, 16.2% of the population of Gateshead had hypertension, which is higher than the England average of 13.9% [Chart - Hypertension prevalence][6] [See also: Hypertension prevalence by GP practice]. This may be due in part to higher rates of detection of hypertension in Gateshead. Nonetheless, it is estimated that the true prevalence of hypertension in Gateshead is 26.6%, meaning that there are many people with undiagnosed hypertension [Chart - Estimated hypertension prevalence].[7] (See also: Hypertension Profiles)

Stroke

emergencyIn 2017/18 there were 1,113 hospital admissions due to stroke in Newcastle and Gateshead CCG area, 259.8 per 100,000 (DSR) compared with the England average of 169.2. [Chart - Stroke hospital admissions]. This is a significant spike in admissions. There were only 874 admissions in 2016/17[8] [See also: Stroke prevalence by GP practice]. For every 100 stroke emergency admissions that would be expected (based on the England average), there are 162 in Bridges ward. The Gateshead ratio is 117 to 100 that would be expected [Map - Ward stroke emergency hospital admissions].[5]

The number of deaths in under 75 year olds due to stroke is available at Newcastle and Gateshead CCG level. Between 2015-17 there were 185 deaths, a rate of 16.4 per 100,000 (DSR). This is significantly higher than the England average of 13.1. Following a long period of reduction, the trend appears to be levelling out in Newcastle and Gateshead CCG [Chart - U75 mortality from stroke].[9] Bridges ward has the highest ratio of deaths due to stroke compared to the number that would be expected (based on the England average) at 161, however this is not statistically significantly higher than the Gateshead ratio which is 118 to 100 that would be expected. [Map - Ward all mortality from stroke].[10]

Myocardial infarction (heart attack)

For every 100 CHD emergency hospital admissions that would be expected (based on the England average), there are 108 in Gateshead. None of Gateshead's wards are statistically significantly higher than the average, but High Fell is indicatively the highest at 135 to 100 that would be expected [Map - Ward myocardial infarction (heart attack) emergency hospital admissions].[5]

Diabetes

Diabetes mellitus is another major risk factor for cardiovascular disease. The prevalence of diagnosed diabetes mellitus in the adult population of Gateshead is increasing, having been as low as 5.8% in 2009/10 but increasing to 7.0% in 2017/18 [Chart - Diabetes prevalence].[11]

Health checks

hospitalThe NHS Health Check programme is a locally coordinated programme of cardiovascular disease prevention in which people 40-74 years of age are invited for a cardiovascular disease risk assessment and given help to address identified risk factors. In 2013/14 - 2017/18, Gateshead was the top performing area in the North East, with 68.7% of eligible people receiving an NHS health check, significantly better than the North East average of 41.4% and the England average of 44.3% [Chart - NHS Health Checks].[12] This was achieved by focusing on reducing variation in uptake between GP practices, and using the Quality Premium to incentivise improvement in lower performing practices. (For more up to date quarterly health check statistics, Explore the NHS Health Check Data)


[1] Under 75 mortality rate from all cardiovascular diseases, ONS mortality statistics, 2015-17 (PHOF website)

[2] ONS mortality statistics 2013-17 (Local Health website)

[3] QOF Prevalence, QOF 2017/18 (Physical Activity website)

[4] Hospital Episode Statistics, HSCIC/ONS 2017/18 (Cardiovascular Disease Profiles website)

[5] Hospital Episode Statistics, HSCIC 2013/14-17/18 (Local Health website)

[6] QOF Prevalence, NHS Digital 2017/18 (Dementia Profile website)

[7] Model based estimates of hypertension, Health Survey for England/Imperial College London 2011 (NHS Health Check and Longer Lives websites)

[8] Hospital Episode Statistics, NHS Digital/ONS 2017/18 (Cardiovascular Disease Profiles website)

[9] Under 75 mortality from stroke, ONS mortality statistics 2015-17 (Cardiovascular Disease website)

[10] All mortality from stroke, ONS mortality statistics 2013-17 (Local Health website)

[11] Diabetes QOF Prevalence aged 17+, NHS Digital, 2017/18 (NHS Health Check website)

[12] Cumulative percentage of the eligible population aged 40-74 who received an NHS health check, 2013/14 - 2017/18 (PHOF website)

Last modified on 15th July 2019

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