Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Disparities in Heart Disease Death Rates

MMWR; 2018 Mar 30; Van Dyke, Greer, et al

Heart disease death rates decreased for both blacks and whites from 1968 to 2015 in the United States; however, at the national level and in most states, blacks experienced smaller decreases than whites for the majority of the study period. This according to a study that examined heart disease death rates among blacks and whites aged ≥35 years in the US from 1968 to 2015. Among the findings:

  • During the study period, heart disease death rates decreased for the total US population among adults aged ≥35 years, from 1,034.5 to 327.2 per 100,000 population, respectively, with variations in the magnitude of decreases by race and state.
  • Rates decreased for the total population an average of 2.4% per year, with greater average decreases among whites (2.4% per year) than blacks (2.2% per year).
  • Despite modest decreases in black-white disparities at the national level since 2005, heart disease death rates were 21% higher among blacks than whites.

Citation:

Van Dyke M, Greer S, Odom E, et al. Heart disease death rates among blacks and whites aged ≥35 Years—United States, 1968–2015. MMWR Surveill Summ. 2018;67(No. SS-5):1–11. doi:10.15585/mmwr.ss6705a1.

This Week's Must Reads

Screening for Syphilis Infection in Pregnant Women, JAMA; 2018 Sep 4; US Preventive Services Task Force

Treatment Intensification Guidelines for T2D , Ann Intern Med; ePub 2018 Sep 4; Roglic, et al

Immediate vs Gradual Nicotine Reduction in Cigarettes, JAMA; ePub 2018 Sep 4; Hatsukami, et al

Prevalence of Diabetes Among US Adults, BMJ; ePub 2018 Aug 27; Xu, Liu, et al

Effect of Fish Oil Supplementation in Pregnancy, BMJ; ePub 2018 Sep 4; Vinding, Stokholm, et al

Must Reads in Cardiology

Aspirin for Primary CV Prevention in Diabetes, N Engl J Med; ePub 2018 Aug 26; ASCEND Study Collaborative Group

CV Mortality Among Adults with Diabetes, Diabetes Care; ePub 2018 Aug 21; Cheng, et al

Does Dietary Diversity Promote a Healthy Weight?, Circulation; ePub 2018 Aug 9; de Oliveira, et al

USPSTF: Recommendation in Screening for AF, JAMA; 2018 Aug 7; US Preventive Services Task Force

Contemporary Management of Patients with PE, Am J Med; ePub 2018 Aug 10; Secemsky, et al