irish nurses cardiovascular association michael o shea 31st march 2006 disease background decline in chd mortality ireland obesity eu green paper ehn recommendations marketing of energy dense foods to kids conclusions worldwide 17 million deaths from cvd 2003 europe half all 2002 smoking increases chances dying heart attack & stroke by 200 300 high blood pressure 140 90 30 adults suffer bp cholesterol cause 1 3 cv diseases why have death rates halved since the 1980s evidence based cardiology treatments or risk factor reductions aim explain fall last 15 years impact model compares population between 1985 2000 men women age groups 25 84 building a comprehensive includes immediate ami secondary prevention post cabg angioplasty chronic angina aspirin unstable heparin pg iib iiia failure hypertension statins for primary factors surveys local studies diabetes inactivity results using as base year expected number