The aim of the study was to examine the extent to which coronary heart disease is managed as a public health issue, and its transitioning epidemiology, over the past century. Coronary Heart Disease (CHD) is the obstruction of blood vessels, which pump blood around the human body (World Health Organization, 2015). Figure 1 illustrated a variety of modifiable and non-modifiable risk factors, increasing the prevalence of coronary heart disease, include:
Figure 1: The Risk factors for Coronary Heart Disease (adapted from Ski et al., 2015)
Modifiable Risk Factors Non-Modifiable Risk Factors
Obesity Increasing age
Hyperlipidaemia Gender
Excessive alcohol and tobacco use Family History
Psychological stress Heredity
Prevalence …show more content…
The charity explicitly provides guidelines for the secondary prevention of CHD, including the management of: lifestyle/behavioural, biomedical, pharmacological and psychosocial factors (Chew et al., 2012); thus defining standard clinical measures for effectively managing the disease. Apart from this, Briffa, Redfern and Joshi (2014) recognise that the NHF allocates 50% of its research into identifying “significant [social] disparities” (Briffa, Redfern and Joshi, 2014) within CHD prevention recommendations and actual clinical practices in 2010. This research consequently led to the refining of clinical practices associated with CHD diagnosis and treatment, causing mortality to decrease from 15% to 17%, between 2011 and 2013 (Briffa, Redfern and Joshi, 2014). Likewise, the NHF provides one-to-one lifestyle sessions for patients, which are used to educate high-risk populations about hyperlipidaemia, a major risk factor of CHD. As Magin et al. (2006) evaluate that both initiatives are successful in managing and preventing CHD, it can be deduced that the establishment of the NHF was detrimental in both clinical and sociological