The prevalence and magnitude of cardiovascular disease in the United States
make it the leading cause of mortality, far surpassing deaths from all can
cers. More than. 900, 000 Americans die each year from cardiovascular cause
s, including stroke, hypertension, congestive heart failure, atherosclerosi
s, and congenital heart defects, according to American Heart Association es
timates. Coronary heart disease alone accounts for 50% of all cardiovascula
r deaths. A host of agents designed to help manage cardiovascular disorders
and related conditions (eg, hypertension, diabetes, and hypercholesterolem
ia) are available to physicians who treat patients at high risk. In this in
terview, Jerome D. Cohen, MD, explains why more aggressive use of these dru
g treatments today could significantly improve older patients' quality of L
ife and reduce the risk of a disabling or fatal cardiovascular event in, th
e next millennium.