Died fifty years ago on the two Dutchmen to a heart or vascular disease, it is now “only” about one in four. That turned out to be last week, research from the heart foundation. Nonetheless, the number of people with heart disease. Nine questions to Floris Italianer, director of the heart foundation.
How can it be that we are still more likely to have a cardiac arrest, a heart attack or stroke to survive?
“Dutch death at an increasingly later age to the effects of heart or vascular diseases. That comes first of all by the greatly improved care. The treatments in the hospital are getting better.”
Greater chance of surviving heart disease or stroke
“But also by a better screening; we have previously in the holes that someone has heart problems. In addition, there is more and faster help in emergencies. More and more people able to administer cpr and an AED operation. That increases the chance of a cardiac arrest to survive.”
So good news. Or not?
“Sure. On the other hand, there is still much work to be done. The number of people with heart disease take the same time to apply. Currently have 1.4 million people in the Netherlands with a chronic heart or vaataandoening. The expectation is that in 2030 about 1.9 million. In other words: one in seven people has the more than his or her heart. This increase can partly be prevented if people with an increased risk of heart disease detected earlier.”
Floris Italianer, director of the heart foundation. (Photo: Dutch Heart Foundation)
How do we get heart problems earlier in the picture?
“It is important to keep your risk as low as possible. Three million people in the Netherlands have a high blood pressure and two million people have a high cholesterol level. Know that they are not always of themselves. Usually, you will notice there is not a lot of, but imperceptibly caused the damage to blood vessels, heart and brain.”
“It’s not in our system to our values to check. But suppose that half of the three million people with high blood pressure their blood pressure down, then that will save some 100,000 patients in 2030.”
How do you measure the blood pressure?
“That you can very easily a few times per year do it yourself with a blood pressure monitor. Many people have one in the house. They are not expensive to purchase. Or leave, if you’re at the doctor, right as your blood pressure and/or cholesterol measurement.”
“70 percent of the hospital admissions due to heart disease can be prevented.”
Floris Italianer, Heart Foundation
The heart foundation wants the people as easy as possible to make their values and measure the risk as small as possible. In Den Haag we have therefore started with a pilot in which your blood pressure can be measured at pharmacies, libraries and sports clubs. That works well.”
We can reduce the risk of heart disease decrease?
“Research shows that 70 percent of the hospital admissions due to heart disease can be prevented. Recently found a Rotterdam-based study of the nine thousand subjects, even from people who do not smoke, stay slim and a healthy blood pressure have only nine years later, suffer from diseases including cardiovascular diseases. Also, they live six years longer.”
How can it be that the mortality rate in women has decreased?
“Since 1980 the number of men that a heart disease, died by 70 percent, for women is 61 percent. Lower sterftedaling is because, inquiries are always among male patients were performed. The last decades it has become clear that the symptom pattern in women different than in men.”
“When women are possible to have the small blood vessels that are damaged. That gives other symptoms. Luckily we get the vrouwenhart still better map. There is more and more research has been done to the vrouwenhart and to the differences between men and women.”
More research, more awareness. What goals has the heart foundation even more?
“We want the diagnostics for general practitioners and cardiologists to further improve so that heart problems previously identified. In addition, we want the treatments to further improve. And finally, we put our in for quick help in emergency situations outside the hospital.”
What help is that?
“Each week more than eight hundred people outside the hospital, a stroke and three hundred people in cardiac arrest. In those cases, every second counts. It is, therefore, important that everyone the symptoms of a stroke to recognize and immediately call 112.”
“More and more people who can resuscitate log in to our network of burgerhulpverleners. There are lives to be saved and people can have a longer healthy life.”