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Coronary heart disease

Coronary heart disease (CHD) is defined as a condition where blood flow to the heart muscles is reduced or cut off, resulting in damage to the heart.  Risk factors that can be addressed include smoking, obesity, lack of physical activity, high blood pressure, diabetes and high cholesterol.  CHD is the one of England’s leading causes of death and is the leading cause of death worldwide.[1]  Nationally in 2016, over 66,000 deaths were attributed to CHD.[2] 

In Herefordshire, 6,519 patients were on the coronary heart disease (CHD) register in 2016/17 – 3.5% of all GP practice patients.  Since 2012/13 this proportion has not varied and is higher than nationally.   In 2016/17, 1.1% of patients in Herefordshire CCG had heart failure, a significantly higher proportion than nationally and regionally and has been rising gradually since 2012/13 in line with the trend nationally.

Early mortality (under 75 years) rates from coronary heart disease are not significantly different from the England rate.  The CCG mortality rate has decreased by 38.1% since 2004-2006.[3]

In the three-year period 2014-2016, the early mortality rate for CHD in NHS Herefordshire CCG was 35.3 per 100,000 people.[3]

In 2016/17 the admission rate for CHD in NHS Herefordshire CCG was 484.8 for every 100,000 people in the population (1,058 admissions).  This is significantly lower than the England rate (516 per 100,000).[3]

Getting treatment quickly is important for serious heart attack, where the coronary artery is blocked.  In 2016/17, the West Midlands Ambulance Service Trust recorded 86.7% of these patients receiving primary percutaneous coronary intervention (primary PCI) treatment within 150 minutes from the time a call for help was made. In England, this was 85.8%. PCI is a procedure used to treat the narrowed or obstructed coronary arteries of the heart.[3]

[3] CVD Profiles - Heart disease, Public Health England, February 2018.