I have just read an analysis published in the Daily Mail online about underlying health conditions and mortality in covid 19 patients in the UK. For men under 65 the main condition was ischmaetic heart disease.
Just wondered if anyone aged under 65 and male and had a bypass or stent had received a shielding letter from the NHS as I did not think this group were in the High or very high risk category?
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Well i am 71 so i have no letter or chance!! keep on keeping on snd wash your hands!!
People who are considered to be extremely vulnerable are being advised to shield themselves and self isolate.
Here is some information from the BHF that discusses the difference between those who are extremely vulnerable, particularly high risk and high risk.
bhf.org.uk/informationsuppo...
You may also find Helen BHF admins post from a few days ago helpful too.
healthunlocked.com/bhf/post...
Any particular reason why you are asking as you are based in New Zealand?
It seems to annoy you that I live in New Zealand.
I'm under 65 and have heart disease and am interested as this seems to be a far bigger risk factor for death than some of the illnesses listed on the high risk list.
Can I ask you why you constantly comment on posts about ischmaetic heart disease when this is something you do not have?
I do live with ischaemic heart disease.
Non obstructive coronary artery disease.
Ischaemia and non obstructive coronary arteries INOCA
It is even possible to have a heart attack without obstructive coronary arteries too.
Please see the European Society of Cardiology's 4th Unversal definition of Myocardial infarction
Also ESC guidelines for the management of chronic coronary syndromes for more details
escardio.org/Guidelines/Cli...
heart.bmj.com/content/105/S...
academic.oup.com/eurheartj/...
academic.oup.com/cardiovasc...
We are all at risk from the effects of coronavirus some extremely vulnerable others particularly high risk others high risk.
If you are concerned I suggest you contact your GP or Cardiologist to confirm which group you are in.
Each country has it's own guidelines so that is why I made reference to where you are based.
heartfoundation.org.nz/well...
Thank you for the information 👍
Milkfairy is one of the most knowledgeable and helpful people here. "Constantly commenting" on subjects that one is knowledgeable about is one symptom of his/her generous and helpful nature.
I believe if you have had bypass surgery (as I have)this actually improved ischmaetic heart disease. What your article I think refers to people who have not had treatment and will be at a higher risk. I have not had a letter and don’t want one. I will follow all advice given and protect myself as well as I can
You must have read exactly what I did!
Kia Ora Fergus
No letter here and I don't feel I want or need one !!
I have Moderate /Severe Heart Failure which was caused by a total but distil occlusion of my Left & Right Stenotic Arteries back in 1982.
In 2015 I had CABG to my LAD & my Circumflex
In 2018 I had 2 Stents again into my LAD
My RCA is 100% blocked and currently not worth the Risk of unblocking.
And I will try my Best not to be a Daily Mail stat !!
Regards
Kia Ora Prada, thanks for the information and stay safe 👍
I had heart attack20 years ago . Stent 2002 . I'm monitor fitted 2 years ago. Never received a letter about shielding. I still registered online 2 weeks ago. I then received an email off I eland saying my details have been passed onto by the government son I could get priority deliveries. Hope that helps?? 🤔
I don't trust the Daily Mail at all, but on this occasion their stats have come from the National Statistics Office report published yesterday. These are the stats for March so already out of date but they do included all deaths not just hospital deaths. It covers deaths by other health conditions, age and geographical area.
ons.gov.uk/peoplepopulation...
Deaths from ischaemic heart disease have declined but ischaemic heart disease is the most common co-occuring condition with Covid deaths.
I was just being a bit facetious and I guess it's not "our" Daily Mail that we all know and hate, but this does raise an interesting point, and I am a little taken aback now. However, surely you have to look subjectively at it? I am sure there are many people who have ischaemic heart disease who are still suffering from it and for who it is very debilitating. Personally I do not feel that I am in any way vulnerable, yes I had severe blockages, but I did not have a HA and the blockages have been fixed with stents, and I now have a very healthy diet and take loads of exercise, and at 61 am a lot fitter than most, regularly finishing in the top half of the local park run (or did). Going forward who knows, but as I sit here I cannot see how I am at any more risk than the 40 year old guy next door who is well overweight? Or am I missing something?
Might it also be a reflection of how widespread CAD (whether diagnosed or not) is in general?
I think the more people do to manage and control their conditions the better chance they have of coping with any illness (eg pneumonia) - COVID 19 included.
Bottom line is it’s a horrid disease and we still don’t know enough about it. But I’m confident that doctors and scientists around the globe are learning fast and this will lead to better understanding and treatment.
Good point. I never displayed any symptoms until a few days before I got admitted. A guy I knew at the time had exactly the same blockage in the same place and sadly died while out cycling, so I guess I could have suffered a similar fate. If this had been delayed 18 months I would be blissfully unaware of this ticking time bomb and if I got C19 I may well not be able to fight it, so do they do post mortems on all those that die or just record it as Covid 19?
People to a degree have to take personal responsibility for their health though, would it be too draconian for the Government to temporarily ban the sale of cigarettes?
Hi Guitarist
I would disagree with your last paragraph, reason being it could/would hurt peoples Mental Health at this critical time if they were forced to stop like that.
My wife told me this morning a packet of Marlboro is over £13 for 20 if that isn't an incentive to Stop I don't know what is.
Other point is HMG are taking more and more control of our daily life which I personally don't think is a good thing.
Take Care and keep Practising
You may be right, just a thought. 13 quid a packet, wow what can I say.
Here in the States they record every death as a COVID-19 death. Now the public is asking what is the common denominator in these deaths. The major one appears to be obesity, undetected heart disease, diabetes, and interestingly enough COPD and lung cancer don’t seem to affect your susceptibility to COVID. In looking through a number of research articles, in my opinion, it seems like it hits folks that either don’t live a healthy lifestyle, haven’t had their medical issues addressed or don’t follow the medical protocol once their disease is discovered.
So far the largest percentage of deaths in the US are our poorer communities and our African American communities.
Hopefully when this pandemic is over our Government will give us the actual information so we can be prepared should this happen again and those at risk communities are properly served by our health agencies.
It is an interesting point. Here in the UK roughly 1300 people die usually every day, so I am unclear if the deaths we report are on top of this or if some sort of aggregated total is available. Many of the older people have one or more underlying illnesses which may well have killed them anyway. As you say people who do not have a healthy lifestyle seem to be at risk, you only have to look around in both our countries to see how many obese people there are. I do find it difficult to believe however, that smoking would not seriously aggravate the condition?? Surely it is common sense when the disease targets the lungs and they are clogged up with tar to begin with?
As soon as I read the words "Daily Mail" I switched off. I would only have bought a copy if the loo roll situation had continued.
You just need to use a bit of common sense and evaluate your own situation really, especially given the figures for New Zealand??
Under BHF I am considered in a high risk (hypertension-high blood pressure) lists but on NHS policy I am not so my Trust doesn’t allow me for shielding. I’ve read also that 50% of deaths from Coronavirus was related to high blood pressure!
Hi Fergusthegreat,
To answer the specific question asked in your second paragraph, I am 62, had a stent fitted 9 years ago and have not received a letter.
If it interests anyone just, over three weeks ago I had a high fever which developed rapidly but it left just as quickly. I then had the dry cough and latterly slight breathlessness.
Classic symptoms of a mild case of Coronavirus but, since I am not the heir apparent or their spouse, I have not had a test.
It seems it is survivable with ischaemic heart disease so there is hope for us all.
Thanks for the info, it's exactly what I was asking.
59 and no letters, high blood pressure and type 2 diabetes to boot.
Thanks for the reply
With all due respect, my hospital Cardiologist told me a few years ago and more recently my GP as I had a tendency to quote health info I’d read from the newspapers, and I’ve stopped buying newspapers a long time ago; they both told me to avoid reading health discoveries etc... from newspapers. It’s usually the wrong info and is editorially spun to suit the type of readers and the daily mail being one of those who spin things and put false hopes into people. So I’d take what you read with a very big pinch of salt or pepper whatever you prefer!
7. Ischemic Heart Disease
ncbi.nlm.nih.gov/books/NBK2...
Ischemic means that an organ (e.g., the heart) is not getting enough blood and oxygen. Ischemic heart disease, also called coronary heart disease (CHD) or coronary artery disease, is the term given to heart problems caused by narrowed heart (coronary) arteries that supply blood to the heart muscle.
Coronary artery disease is caused by plaque buildup in the wall of the arteries that supply blood to the heart (called coronary arteries). Plaque is made up of cholesterol deposits. Plaque buildup causes the inside of the arteries to narrow over time. This process is called atherosclerosis.
Coronavirus: Facebook fact check hides Epoch Times YouTube documentary
As I understand it Coronavirus enters the body on the protein covering Angiotensin Converting Enzyme 2. So if you are on ACE inhibitors you are probably producing too much of this enzyme, and it may be a logical conclusion that if you have this condition you could be at higher risk because the virus has a greater opportunity to invade . I believe The Jury is out as to whether ACE inhibitors help or hinder the process. But whatever, It would seem to me that anyone with heart problems should be in the higher risk category. It may not make any difference to those who are able to live off a pension, or are in a household that where both/all can self isolate if they choose. Not so if one person in a couple is not able to self isolate along with the vulnerable person because they need to work and on top of that is working in care. Scary. If there was an official recognition of heart failure and other heart disease carrying a greater risk, it would make it easier for the working person to negotiate with employers, change working practice or even take sick leave to help keep the vulnerable person in the couple safe. But the lockdown and shielding is not really about the people it about numbers the government have simply taken a group of illnesses that are most likely to cause person to be hospitalised if they catch this thing. Sorry!
Well said,my Husband had to carry on working but he stopped last week for 2 weeks annual leave and then he will be furloughed.He has been staying with my Daughter for a month,but now he has isolated same as my Daughter so he can come back here later next week ,on a lighter note are you also a Prince fan
Does Ischaemic heart diseases include high blood pressure?
73% of people dying from Covid-19 in Italy had hypertension as the pre-existing health condition, the ONS study doesn't have this listed as a category.
I'm interested because of the possible ACE inhibitor link to severe cases of Coronavirus.
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