One in every four Brazilians lives in the perfect scenario to a cardiac disease

Portal Paraná | 06/13/2017
At every two minutes, one Brazilian dies due to cardiac disease. Heart problems are responsible for more than 300 thousand deaths per year in the country, representing 30% of total. Data also highlights that heart diseases increasingly affects young people and cases in people aging 20 to 40 years old have doubled.

According to Dr. Celso Amodeo, specialist of Instituto Dante Pazzanese de Cardiologia, heart diseases kill two times more than cancer. Álvaro Avezum, research director at Fundação Internacional Menarini, in Italy, highlights the problem is global. “One third of deaths in the world is related to heart disease”, says the specialist.

High blood pressure, excessive abdominal fat, high bad cholesterol (LDL), and smoking are recognized by global medical community as the main causes of an alarming increase of cardiovascular diseases all over the world.

“These problems of modern life are fought with basic measures, accessible to all people, but often not taken seriously, such as healthy food, sport practices and weight control”, explains doctor Alberto Zanchetti, from Italy, one of the best specialists of the world in hypertension, who also participated in the Symposium, in São Paulo, organized by Sociedade Brasileira de Cardiologia, Sociedade Paulista de Cardiologia and St. George Hospital, of London.

According to data of Vigitel, a program of Ministry of Health, hypertension has increased 14.2% in the last decade and has already reached 25.7% of Brazilian population. There is also in the country 18.9% of obese people - around 42 million people. According to official survey, obesity in Brazil duplicates in people aging more than 25 years old, explains Doctor José Francisco Kerr Saraiva, from Unicamp.

There are initiatives in Brazil and in many parts of the world to incentive life quality improvement, and thus, to contribute to a reduction in dramatic increased rates of cardiac diseases. A Program of World Heart Federation, for example, seeks to reduce 25% of heart problems by 2025, from a reduction of 25% of hypertension levels, a drop of 30% in smoking, less 10% of alcohol ingestion and less 30% of salt ingestion. “Education is the key to reach these goals”, insists Doctor Álvaro Vezum.

However, the challenges are big, analyzes doctor Weimar Sebba Barroso, from Universidade Federal de Goiás, also a lecturer in the international symposium “Modern Management of Cardiovascular Disease”. Barroso mentions the expectation of population aging to reinforce the importance to take care of the heart from childhood. “By 2030, around 20% of Brazilian population will have more than 65 years old. Potentially, 27 million people with hypertension and more 4 million people with potential heart attack.  The older the people, the higher the risks of a heart disease due to vascular aging”, affirms the specialist from the state of Goiás.

In this scenario, fighting high bad cholesterol (LD) is the key to control heart diseases. “It needs to be treated seriously”, reinforces the Doctor Marcelo Bertolammi, from Instituto Dante Pazzanese de Cardiologia. Among possible weapons available in medicine, statins have been efficiently used to control it. In fact, pitavastatin is the most recent statin to arrive in Brazilian market. It is safe, reduces up to 45% of LDL levels, does not have negative effects in patients with diabetes and is efficient to patients with low HDL.

DIABETES
Diabetes also deserved special attention in discussions of more than 300 cardiologists of Brazil and South America participating in the symposium.  Dr.  José Francisco Kerr Saraiva highlights the importance of the disease and the most worrying factor, its fast-paced growth.

According to the specialist from Unicamp, diabetes causes 250 thousand deaths per year in South America. In addition, 52% of deaths due to diabetes are associated to cardiac diseases. “Diabetes increases up to 4 times the risk of death for those who have cardiopathies”, add the doctor J.C. Kaski, of St. George Hospital, of London.

The unrestrained increase of diabetes is demonstrated by Vigitel, of Ministry of Health. In the last decade, the prevalence of the disease increased no less than 61.8%, doubling the percentage of people from 45 years old - both men and women.
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