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Ischaemic heart disease

​Ischaemic heart disease is one of the most common types of cardiovascular disease. The main symptom is chest pain which may travel into the shoulder, arm, back or neck.  Complications of ischaemic heart disease include risk of heart attack, heart failure and an irregular heartbeat.

The NWHU monitors local trends in hospitalization and mortality from ischaemic heart disease.

Hospitalization
From 2010 to 2014, the NWHU region had significantly higher rates of hospitalization for ischaemic heart diseases than the province as a whole. Ontario had an average rate of 268.9 hospitalizations per 100,000 per year, whereas the NWHU had a rate of 396.2 hospitalizations per 100,000 per year during the same time period. A general downward trend is seen in both regions, with rates dropping from 294.2 hospitalizations per 100,000 to 248.6 hospitalizations per 100,000 in Ontario and 429.5 hospitalizations per 100,000 to 339.7 hospitalizations per 100,000 in the NWHU region.
In the NWHU area, males were almost twice as likely to be hospitalized from ischaemic heart disease as females and those 75 years and older had the highest rate of hospitalization from ischaemic heart disease at 2,807.4 hospitalizations per 100,000 per year.
hospitalization rates
Source:  Public Health Ontario. Snapshots: Hospitalization for ischaemic heart disease 2010-2014. Toronto, ON: Ontario Agency for Health Protection and Promotion; 2016 Feb 1 [cited 2016 May 26]. Available from: http://www.publichealthontario.ca/en/DataAndAnalytics/Snapshots/Pages/Chronic-Disease-Hospitalization.aspx

Hospitalization from ischaemic heart disease in the NWHU area by sex, rates per 100,000,
2010-2014
Age-standardized rate per 100,000​ ​ ​ ​ ​ ​ ​
Sex ​2010 ​2011 ​2012 ​2013 ​2014 ​Average
Males ​555.7 ​517.7 ​530.6 ​486.5 ​452.1 ​508.5
Females ​307.3 ​333.2 ​264.7 ​293.2 ​225.1 ​284.7
   
Source:  Public Health Ontario. Snapshots: Hospitalization for ischaemic heart disease 2010-2014. Toronto, ON: Ontario Agency for Health Protection and Promotion; 2016 Feb 1 [cited 2016 May 26]. Available from: http://www.publichealthontario.ca/en/DataAndAnalytics/Snapshots/Pages/Chronic-Disease-Hospitalization.aspx
 

Hospitalization from ischaemic heart disease in the NWHU by age group, rates per 100,000, 2010-2014
Age-specific rate per 100,000​ ​ ​ ​ ​ ​ ​
Age Group ​2010 ​2011 ​2012 ​2013 ​2014 ​Average
0-19 ​0.0 ​0.0 ​0.0 ​0.0 ​0.0 ​0.0
20-44 ​81.1 65.5 65.7 70.4 41.2 64.8
45-64 732.0 774.8 764.1 734.3 714.2 743.9
65-74​​ 1,614.3 1,651.1 1,555.7 ​1,469.3 1,352.1 1,528.5
75+ ​3,249.7 ​2,954.5 ​2,739.5 ​2,849.4 ​2,243.8 ​2,807.4
     
Source:  Public Health Ontario. Snapshots: Hospitalization for ischaemic heart disease 2010-2014. Toronto, ON: Ontario Agency for Health Protection and Promotion; 2016 Feb 1 [cited 2016 May 26]. Available from: http://www.publichealthontario.ca/en/DataAndAnalytics/Snapshots/Pages/Chronic-Disease-Hospitalization.aspx 
 
Mortality
Mortality rates due to ischaemic heart disease in the NWHU area have been similar to Ontario rates as a whole between 2007 and 2011. During this time period there were about 81.9 deaths for every 100,000 people in the NWHU area per year, close to the provincial average of 76.1 deaths per 100,000 per year. Overall, there is a slight downward trend in the rates seen in both regions with the exception of the NWHU experiencing a spike of ischaemic deaths in 2009.
Males had higher mortality rates in the NWHU area compared with females (about 1.6 times as high), and the highest rates were amongst those aged 75 and older (1014.6 deaths per 100,000 per year on average).
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Mortality from ischaemic heart disease in the NWHU area by sex, rates per 100,000  2007-2011
Age-standardized rate per 100,000​ ​ ​ ​ ​ ​ ​
SEX​ 2007 ​2008 ​2009 ​2010 ​2011 ​Average
Males​ ​113.8 ​91.5 ​98.5 ​113.2 ​92.5 ​101.0
​Females ​ 56.9 ​68.0 ​92.1   ​50.9 ​49.2  ​  63.4
 
Source:  Public Health Ontario. Snapshots: Mortality from ischaemic heart disease 2007-2011. Toronto, ON: Ontario Agency for Health Protection and Promotion; 2016 Feb 1 [cited 2016 May 26]. Available from: http://www.publichealthontario.ca/en/DataAndAnalytics/Snapshots/Pages/Chronic-Disease-Mortality.aspx  
 
Mortality from ischaemic disease in the NWHU by age group, rates per 100,000,  2007-2011
Age-specific rate per 100,000​ ​ ​ ​ ​ ​ ​​
Age group​ ​2007 ​2008 ​2009 ​2010 ​2011 ​Average
0-19​​ 0.0 0.0 0.0 0.0 0.0 0.0
​20-44 ​11.4 3.9 4.0 8.1 8.2 7.1
​45-64 59.2 62.4 52.4 86.1 47.1 61.4
​65-75 396.8 404.7 552.2 252.2 212.5 363.7
75+​​ 1,012.0 937.2 1,096.0 1,023.1 1,004.5 1,014.6
 
Source:  Public Health Ontario. Snapshots: Mortality from ischaemic heart disease 2007-2011. Toronto, ON: Ontario Agency for Health Protection and Promotion; 2016 Feb 1 [cited 2016 May 26]. Available from: http://www.publichealthontario.ca/en/DataAndAnalytics/Snapshots/Pages/Chronic-Disease-Mortality.aspx

 
 
 
 
 
 
 
 
 
 
 
 
 
 

 


 
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