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The
prevalence of CVD has a significant effect on the economy, as well
as on mortality. In 1998, $26.4 billion in payments were made to
Medicare beneficiaries for hospital expenses due to cardiovascular
problems. The total cost (both direct and indirect) of cardiovascular
disease and stroke in the US in 2002 is estimated at $329.2 billion.
By comparison, the estimated cost in 2001 of all cancers was $156.7
billion, approximately half the cost for CVD.
Epidemiological
and statistical studies continue to identify a number of factors
that increase the risk of heart disease. Some of the modifiable
factors of heart disease include high blood pressure, diabetes,
and high blood cholesterol. Despite awareness campaigns, these risk
factors remain prevalent, and in some cases, are becoming more common.
An estimated 50 million Americans aged 6 and older have high blood
pressure. Of those people, 31.6% are unaware they have high blood
pressure. The prevalence of diabetes is on the rise, up to 6.5%
in 1998 from 4.9% in 1990. With 10.6 million Americans having physician-diagnosed
diabetes, an estimated 5.6 million people have undiagnosed diabetes.
About 102.3 million adults have total blood cholesterol levels of
200mg/dL and higher. Of these, about 41.3 million are considered
to be high risk, with total cholesterol levels above 240 mg/dL.
Recognizing the significant prevalence and economic impact of CVD,
and the fact that many risk factors for CVD remain unchecked, The
France Foundation is dedicated to educating medical professionals
in the areas of cardiovascular disease and related conditions. To
view available activities in this area, please visit our homepage.

The
France Foundation was a finalist in the 2003 "Globals"
health care awards for its CME work in the area of cardiovascular
disease.
REFERENCES
National
Health and Nutrition Examination Survey III (NHANES III)
1988-1994
CDC/NCHS
and the American Heart Association [AHA]
AHA. 2002 Heart and Stroke Statistical Update. Dallas, Texas:
AHA, 2001
Health
Care Financing Review, Statistical Supplement [2000], HCFA
NHLBI from NHANES III [1988-1991], CDC/NCHS
Sixth
Report of the Joint National Committee on Prevention, Detection,
Evaluation and Treatment of High Blood Pressure [JNC VI, 1991-1994]
Diabetes Care. 2000;23:1278-1283
Diabetes
Care. 1998;21:518-524
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