Abstract:
:Although mortality from cardiovascular diseases (CVDs) has been declining, it remains the leading cause of death among urban U.S. blacks. McCord and Freeman reported CVD as the major contributor to excess mortality in Central Harlem. However the disease-specific CVD mortality was not assessed. Thus, it was unclear what the distribution of specific CVDs was in Central Harlem and their contribution to excess mortality. We reviewed the vital statistics records of New York City (NYC) Department of Health for 1990 and identified all cases in which the cause of death was coded as cardiovascular (International Classification of Diseases-ICD, 9th Revision, codes 391, 393-398, 401-404, 410, 411, 414-417, 420-438 and 440-444). The total and disease-specific CVD mortality for NYC and Central Harlem were calculated using the appropriate 1990 census data as the denominator. Central Harlem residents aged between 25-64 years were at least twice as likely to die from cardiovascular causes, compared to NYC residents. Hypertension-related deaths, ICD codes 401 (essential hypertension), 402 (hypertensive heart disease), 403 (hypertensive renal disease), and 404 (hypertensive heart and renal disease), were the major cause of excess death for men and women in Central Harlem. These findings show the importance of hypertension as the main determinant of the excess cardiovascular mortality in urban blacks and suggest an increased risk of cardiovascular death in blacks residing in Central Harlem.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Onwuanyi AE,Clarke A,Vanderbush Ekeywords:
subject
Has Abstractpub_date
2003-12-01 00:00:00pages
1146-51issue
12eissn
0027-9684issn
1943-4693journal_volume
95pub_type
杂志文章abstract::Ten cases of advanced squamous cell carcinoma of the skin in albinos, treated by radiotherapy from 1973 to 1979 at the Muhimbili Medical Center of Dar-es-Salaam, have been reviewed. Age, sex, duration of symptoms, anatomic distribution, stage of disease, and treatment are reviewed. The relationship between albinism, s...
journal_title:Journal of the National Medical Association
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doi:
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journal_title:Journal of the National Medical Association
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journal_title:Journal of the National Medical Association
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journal_title:Journal of the National Medical Association
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journal_title:Journal of the National Medical Association
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journal_title:Journal of the National Medical Association
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journal_title:Journal of the National Medical Association
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doi:
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1990-02-01 00:00:00
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:1996-09-01 00:00:00
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journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1985-11-01 00:00:00
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