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• W2797463663 abstract "The article by Garcia Gonzalez published in the Revista Espanola de Cardiologia demonstrates that life expectancy (LE) in Spain has increased by more than 6 years over the last 20 years, and that slightly more than half of this increase is due to the reduction observed in the mortality associated with cardiovascular disease (CVD). 1 This article is important for at least 2 reasons. First, because living longer, and better as well, has been an aspiration of the human being since the dawn of time; thus, the improvement in LE is closely related to the ''Millennium Development Goals'' of the United Nations, and LE is one of the most important indicators in the evaluation of health care policies. Second, because it illustrates the magnitude of the health gains that can be achieved by means of appropriate interventions against CVD. The findings of Garcia Gonzalez agree with those obtained in other developed countries, in which the decrease in mortality due to CVD has also been accompanied by substantial increases in LE. 2,3 However, one characteristic that is specific to Spain is that the decrease in mortality due to stroke has contributed more to the gain in LE than the reduction in mortality attributable to ischemic heart disease or other heart diseases. The gain in LE associated with the control of CVD has been somewhat greater in women (3.8 years) than in men (3.3 years). This circumstance is due to the concentration of the CVD burden, especially that of stroke, in more advanced age groups and the fact that more women reach those ages. Thus, the reduction in mortality due to CVD corresponds to 90% of the gain in LE in the oldest age groups. As in other countries of the Mediterranean basin, the risk of ischemic heart disease in Spain has traditionally been low. We recorded a certain increase in the mortality due to this condition in the sixties and seventies, but since then it has decreased continuously to date. 4 In the case of stroke, in the middle of the last century Spain presented an intermediate mortality rate among the European countries, but the incidence has decreased unin- terruptedly over the past 50 years; now, the rate of stroke mortality is lower than that attributed to ischemic heart disease. 5,6 No doubt these 2 phenomena have contributed to the fact that Spaniards, especially Spanish women, have one of the longest LE in the world. Certain recent analyses have enabled us to understand the reasons for the reduction in mortality due to ischemic heart disease. 7 Approximately half of the decrease has been due to" @default.
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• W2797463663 date "2015-01-01" @default.
• W2797463663 modified "2023-10-06" @default.
• W2797463663 title "Strengthening Primordial and Primary Prevention of Cardiovascular Disease to Increase Life Expectancy Potenciar la prevencion cardiovascular primordial y primaria para aumentar la esperanza de vida" @default.
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