Coronary Heart Disease: The Facts
Coronary disease (or coronary heart disease) refers to the failure of coronary circulation to supply adequate circulation to cardiac muscle and surrounding tissue. It is already the most common form of disease affecting the heart and an important cause of premature death in Europe, the Baltic states, Russia, North and South America, Australia and New Zealand.
Coronary artery disease, the most common type of coronary disease, which has no clear etiology, has many risk factors, including smoking, radiotherapy to the chest, hypertension (raised blood pressure), sedentary lifestyles, obesity, diabetes, and hyperlipidemia.
The heart is a muscle that is about the size of an adult fist. It contracts about 70 times a minute to pump blood around the body. Like any other muscle the heart needs a good supply of oxygen (which is carried by the blood). The blood supply to the heart comes from the coronary arteries that fan out over the surface of the heart.
Over a period of many years the walls of the coronary arteries can become ‘furred-up’ with a fatty deposit. This is called atherosis, and it restricts the flow of blood through the arteries, and thereby reduces the amount of oxygen to the heart. This condition can lead to the onset of coronary heart disease, angina or a heart attack.
These conditions are quite prevalent across Manchester, and Manchester Health & Wellbeing Service is working to reduce the risk of this disease. The enormity of the task means that multi-agency networking is a necessity, so the CHD team work alongside, and with, partners across the city.
People in Manchester are 28% more likely to die of coronary heart disease (CHD) than people from other parts of England.
CHD accounts for over half of all circulatory deaths and for a quarter of all deaths annually to Manchester residents. Some parts of Manchester have levels of mortality from CHD at one and a half times the national average. No wards in Manchester have levels of CHD that are significantly lower than the national average, and CHD is seen to particularly affect households in areas of deprivation and who are on low/lowest income.
The Health & Wellbeing Service continues to support CHD Risk Reduction across Manchester through the provision of the following:
Advice. The service provides informal advice about CHD risk reduction, and supporting organisations.
Training. As part of the Good Health, Manchester comprehensive training programme CHD awareness & prevention issues are covered in modules such as Promoting Physical Activity.
Providing Resources. The service provides a range of resources for loan through the Health Information &Resource Library, based at Fallowfield Library. These resources includes books and journals, training packs, video and audio resources and display materials. In addition there are free leaflets available covering a range of topics that can be linked to CHD.
Other agencies that The Health & Wellbeing Service works occasionally with at a local level include, exercise referral schemes, healthy living programmes and centres, and community groups. The Health & Wellbeing Service works with these health partners, supporting and developing communities to identify their health needs, develop solutions and direct the planning and delivery of their services.The Health & Wellbeing Service are involved in a number of initiatives across Manchester to improve heart health and reduce CHD morbidity & mortality, through promotion of NHS Health Checks, increasing knowledge and skills around physical activity & exercise, and healthy eating/nutrition.