Chronic stable angina epidemiology and demographics
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
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Overview
As the population ages, ischemic heart disease is projected to be a major public health concern worldwide. Currently, more than 6.5 million of American suffers from chronic stable angina pectoris. This is considered to be the initial manifestation of ischemic heart disease in approximately 50% of the patients.
All forms of coronary heart disease are much less common in the Third World countries, as the risk factors for coronary artery disease are much more common in Western and Westernized countries. Chronic stable angina could therefore be considered to be one of several diseases of affluence. Ischemic heart disease remains the single leading cause of death in United States. In Europe, CAD accounts for 49% of all deaths. It is estimated that about 30-35% patients never return to work after coronary revascularization and about 15-20% patients have significant limitation in their exercise and working capacity. This adds to the global disease burden from CAD
Increases in smoking, obesity and other modifiable risk factors has led to recent increases in chronic stable angina pectoris prevalence and related diseases in countries such as China.