Concern over ‘excess’ heart problem deaths

THERE has been a “concerning” rise in the number of under-65s dying from heart problems as a consequence of the coronavirus pandemic, a leading charity has warned.

The British Heart Foundation (BHF) said there has been a worrying rise in additional deaths from heart and circulatory diseases. It urged people to seek medical help if they had any troubling symptoms.

The charity also said that maintaining cardiac services during a second peak of the pandemic should be a “priority” as delaying care for heart and circulatory problems can cause “avoidable harm”.

It said that the number of excess deaths could rise as the NHS faces the second surge of Covid-19 cases and usual winter pressures.

The charity has calculated that in the under-65s alone there has been more than 800 “excess” deaths from heart and circulatory problems since the start of the pandemic.

It analysed official mortality data for England and Wales to examine the number of deaths among heart patients, especially among those aged 65 and under. During the first peak of the pandemic there were almost 2,800 deaths in the under-65s where the underlying causes were heart and circulatory diseases - around 420 more deaths than expected for that period of the year.

Then between May and July almost 3,100 deaths were registered in this group - around 350 more deaths than expected for that period of the year. There were no excess deaths seen in this group between January and March, the BHF added.

“We know there are tragic consequences of the pandemic for patients with heart and circulatory diseases, and these figures further highlight that delays in care are likely contributing to more deaths than we would expect to see otherwise,” said BHF associate medical director Dr Sonya Babu-Narayan.

“It’s particularly concerning that we are seeing this trend in people under 65 continue even after the first peak of the pandemic. Despite rising cases of Covid-19, restoring and maintaining planned cardiovascular care must remain a priority. Over time, heart and circulatory problems can become more urgent and delaying this care could risk avoidable harm.

“It’s also vitally important that people don’t let the fear of catching coronavirus put them off seeking medical help.

“If you think you are having a heart attack or stroke call 999 immediately - every minute matters and prompt treatment saves lives. If you have been waiting for tests or treatment and meanwhile have worsening symptoms or new concerns, get in touch with your healthcare team so that they can reassess your situation.

“Don’t delay because you think hospitals are too busy - the NHS still has systems in place to safely treat you.”

As the nation went into lockdown in late March there was a significant fall in people seeking help for suspected heart attacks. The number of people attending A&E with a suspected heart attack dropped by 50%, and although numbers have improved, admission levels remain below previous levels.

The charity said the pandemic has also had a devastating impact on the BHF’s income which could impact future research and care.