Miami Herald (Sunday)

IS PRIMED TO KILL MORE OLDER ADULTS, ESPECIALLY BLACKS AND HISPANICS

- BY JUDITH GRAHAM SEE CARDIOVASC­ULAR, 4UH

Cardiovasc­ular disease — the No. 1 cause of death among people 65 and older — is poised to become more prevalent in the years ahead, disproport­ionately affecting Black and Hispanic communitie­s and exacting an enormous toll on the health and quality of life of older Americans.

The estimates are sobering: By 2060, the prevalence of ischemic heart disease (a condition caused by blocked arteries and also known as coronary artery disease) is projected to rise 31% compared with 2025; heart failure will increase 33%; heart attacks will grow by 30%; and strokes will increase by 34%, according to a team of researcher­s from Harvard and other institutio­ns.

The greatest increase will come between 2025 and 2030, they predicted.

The dramatic expansion of the U.S. aging population (cardiovasc­ular disease is far more common in older adults than in younger people) and rising numbers of people with conditions that put them at risk of heart disease and stroke — high blood pressure, diabetes, and obesity foremost among them — are expected to contribute to this alarming scenario.

HIGHER RISKS AMONG BLACKS AND HISPANICS

Because the risk factors are more common among Black and Hispanic population­s, cardiovasc­ular illness and death will become even more common for these groups, the researcher­s predicted. (Hispanic people can be of any race or combinatio­n of races.)

“Disparitie­s in the burden of cardiovasc­ular disease are only going to be exacerbate­d” unless targeted efforts are made to strengthen health education, expand prevention, and improve access to effective therapies, wrote the authors of an accompanyi­ng editorial, from Stony Brook University in New York and Baylor University Medical Center in Texas.

“Whatever focus we’ve had before on managing [cardiovasc­ular] disease risk in Black and Hispanic Americans, we need to redouble our efforts,” said Clyde Yancy, chief of cardiology and vice dean for diversity and inclusion at Northweste­rn University’s Feinberg School of Medicine in Chicago, who was not involved with the research.

 ?? Kurt Strazdins/Photo Illustrati­on, Miami Herald file ??
Kurt Strazdins/Photo Illustrati­on, Miami Herald file

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