viernes, 23 de diciembre de 2016

Million Hearts: Launching the Next Season of Success

Million Hearts: Help prevent 1 million heart attacks and stokes by 2017. E-update.

person standing on mountain top with arms raised at sunset
As both 2016 and the first phase of Million Hearts®come to a close, let’s reflect on the progress we have made together in the past 5 years. More than 7 million people quit smoking, health IT tools helped identify more than half a million patients “hiding in plain sight” with undiagnosed hypertension, and health care systems are recognizing and rewarding excellence in the ABCS (aspirin when appropriate, blood pressure control, cholesterol management, and smoking cessation). While we celebrate these and other successes, we are excited to build on this strong foundation for the next phase of Million Hearts®, especially because the steady decline in cardiovascular deaths seen over the last 30 years is threatened by high rates of diabetes, obesity, and physical inactivity. Together, the Million Hearts® family will continue to build upon best practices, evidence, and shared tools and resources to help even more Americans live free of cardiovascular disease. By redoubling our collective and individual actions, we can ensure that more people will live free of heart disease and stroke because of your efforts in the next 5 years and beyond.
—Janet Wright, MD, FACC
Executive Director, Million Hearts®

Do This!
Learn how to participate in the next 5 years of Million Hearts®
In keeping communities healthy through renewed focus on ABCS, optimizing care in the clinical arena, and improving outcomes for priority populations, the next 5 years of Million Hearts® will be filled with numerous opportunities to improve outcomes—made possible by the collaboration and teamwork of our partners. Together, let’s accelerate prevention of heart attacks and strokes.

Tools You Can Use

Million Hearts® in the Community

    Let us know what you're doing to advance Million Hearts® in your community! Send us a short description with some key points, and we may feature you in a future e-Update!

    The Science of Million Hearts®

    • New study links sodium consumption and long-term mortality. Most of the contrary evidence regarding sodium intake and cardiovascular outcomes is due to the lack of 24-hour urinary sodium collections and of repeated measures over time. In contrast, this study measured 24-hour urine electrolytes on seven occasions and found that subjects had a 12% increase in total mortality per 1,000 milligrams of increased intake over 24 hours.
    • Special report: Exploring the development and intended use of the Million Hearts® Longitudinal ASCVD Risk Assessment Tool. The tool builds on the “2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk” by allowing clinicians to estimate baseline and updated 10-year ASCVD risk estimates for primary prevention patients adhering to the appropriate ABCS over time, alone or in combination. The tool provides updated risk estimates based on evidence from high-quality systematic reviews and meta-analyses of the ABCS therapies.
    • The proportion of U.S. adults who smoke is decreasing. The proportion of U.S. adults who smoke cigarettes declined from 20.9% in 2005 to 15.1% in 2015, according to CDC's recent Morbidity and Mortality Weekly Report. The proportion of daily smokers also declined from 16.9% to 11.4%. However, disparities in cigarette smoking persist.

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