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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
European society of cardiology: Cardiovascular disease statistics 2019
European Heart Journal, Volume 41, No. 1, Year 2020
Notification
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Description
Aims The 2019 report from the European Society of Cardiology (ESC) Atlas provides a contemporary analysis of cardiovascular disease (CVD) statistics across 56 member countries, with particular emphasis on international inequalities in disease burden and healthcare delivery together with estimates of progress towards meeting 2025 World Health Organization (WHO) non-communicable disease targets. Methods In this report, contemporary CVD statistics are presented for member countries of the ESC. The statistics are and results drawn from the ESC Atlas which is a repository of CVD data from a variety of sources including the WHO, the Institute for Health Metrics and Evaluation, and the World Bank. The Atlas also includes novel ESC sponsored data on human and capital infrastructure and cardiovascular healthcare delivery obtained by annual survey of the national societies of ESC member countries. Across ESC member countries, the prevalence of obesity (body mass index >_30 kg/m2) and diabetes has increased two- to three-fold during the last 30 years making the WHO 2025 target to halt rises in these risk factors unlikely to be achieved. More encouraging have been variable declines in hypertension, smoking, and alcohol consumption but on current trends only the reduction in smoking from 28% to 21% during the last 20 years appears sufficient for the WHO target to be achieved. The median age-standardized prevalence of major risk factors was higher in middle-income compared with high-income ESC member countries for hypertension {23.8% [interquartile range (IQR) 22.523.1%] vs. 15.7% (IQR 14.521.1%)}, diabetes [7.7% (IQR 7.110.1%) vs. 5.6% (IQR 4.87.0%)], and among males smoking [43.8% (IQR 37.448.0%) vs. 26.0% (IQR 20.931.7%)] although among females smoking was less common in middle-income countries [8.7% (IQR 3.010.8) vs. 16.7% (IQR 13.919.7%)]. There were associated inequalities in disease burden with disability-adjusted life years per 100 000 people due to CVD over three times as high in middle-income [7160 (IQR 56558115)] compared with high-income [2235 (IQR 18963602)] countries. Cardiovascular disease mortality was also higher in middle-income countries where it accounted for a greater proportion of potential years of life lost compared with high-income countries in both females (43% vs. 28%) and males (39% vs. 28%). Despite the inequalities in disease burden across ESC member countries, survey data from the National Cardiac Societies of the ESC showed that middle-income member countries remain severely under-resourced compared with high-income countries in terms of cardiological person-power and technological infrastructure. Under-resourcing in middle-income countries is associated with a severe procedural deficit compared with high-income countries in terms of coronary intervention, device implantation and cardiac surgical procedures. Conclusion A seemingly inexorable rise in the prevalence of obesity and diabetes currently provides the greatest challenge to achieving further reductions in CVD burden across ESC member countries. Additional challenges are provided by inequalities in disease burden that now require intensification of policy initiatives in order to reduce population risk and prioritize cardiovascular healthcare delivery, particularly in the middle-income countries of the ESC where need is greatest. © The Author(s) 2019.
Authors & Co-Authors
Timmis, Adam David
United Kingdom, London
St Bartholomew's Hospital
Townsend, Nick P.
United Kingdom, Bath
University of Bath
Gale, Chris P.
United Kingdom, Leeds
University of Leeds
Torbica, Aleksandra
Italy, Milan
Università Bocconi
Lettino, Maddalena
Italy, Monza
Azienda Ospedaliera San Gerardo Monza
Petersen, Steffen E.
United Kingdom, London
St Bartholomew's Hospital
Mossialos, Elias A.
United Kingdom, London
London School of Economics and Political Science
Maggioni, Aldo Pietro
Italy, Florence
Associazione Nazionale Medici Cardiologi Ospedalieri
Kazakiewicz, Denis
United Kingdom, London
St Bartholomew's Hospital
May, Heidi T.
United Kingdom, London
St Bartholomew's Hospital
de Smedt, Delphine M.
Belgium, Ghent
Universiteit Gent
Flather, Marcus D.
United Kingdom, Norwich
University of East Anglia
Zühlke, Liesl Joanna
South Africa, Cape Town
Red Cross War Memorial Children's Hospital
Beltrame, John F.
Australia, Woodville South
The Queen Elizabeth Hospital, North Western Adelaide Health Service
Huculeci, Radu
Belgium, Brussels
European Heart Agency
Tavazzi, Luigi T.
Italy, Cotignola
Maria Cecilia Hospital
Hindricks, Gerhard
Germany, Leipzig
Universität Leipzig
Bax, Jeroen J.J.
Netherlands, Leiden
Leids Universitair Medisch Centrum
Casadei, Barbara
United Kingdom, Oxford
John Radcliffe Hospital
Achenbach, Stephan S.
Germany, Erlangen
Friedrich-alexander-universität Erlangen-nürnberg
Wright, Lucy
United Kingdom, Oxford
University of Oxford
Vardas, Panos E.
Belgium, Brussels
European Heart Agency
Mimoza, Lezha
Unknown Affiliation
Artan, Goda
Unknown Affiliation
Aurel, Demiraj
Unknown Affiliation
Chettibi, Mohamed
Unknown Affiliation
Hammoudi, Naima
Unknown Affiliation
Sisakian, Hamayak S.
Unknown Affiliation
Pepoyan, Sergey K.
Unknown Affiliation
Metzler, Bernhard
Unknown Affiliation
Siostrzonek, Peter
Unknown Affiliation
Weidinger, Franz F.
Unknown Affiliation
Jahangirov, Tofig Sh
Unknown Affiliation
Aliyev, Farid I.
Unknown Affiliation
Rustamova, Yasmin K.
Unknown Affiliation
Mrochak, Nikolay Manak Aliaksandr
Unknown Affiliation
Lancellotti, Patrizio
Unknown Affiliation
Pasquet, Agnès A.
Unknown Affiliation
Claeys, Marc J.
Unknown Affiliation
Kušljugić, Zumreta
Unknown Affiliation
Hudic, Larisa Dizdarevic
Unknown Affiliation
Smajić, Elnur
Unknown Affiliation
Tokmakova, Mariya Petkova
Unknown Affiliation
Gatzov, Plamen Marinov
Unknown Affiliation
Miličić, Davor
Unknown Affiliation
Bergovec, Mijo
Unknown Affiliation
Christou, Christos P.
Unknown Affiliation
Moustra, Hera Heracleous
Unknown Affiliation
Christodoulides, Theodoros A.
Unknown Affiliation
Linhart, Aleš
Unknown Affiliation
Táborsḱy, Miloš
Unknown Affiliation
Abdelhamid, Magdy A.
Unknown Affiliation
Shokry, Khaled Abdel Azim
Unknown Affiliation
Kampus, Priit
Unknown Affiliation
Viigimaa, Margus
Unknown Affiliation
Ryödi, Essi
Unknown Affiliation
Niemelä, Matti J.
Unknown Affiliation
Rissanen, Tuomas T.
Unknown Affiliation
Le-Heuzey, Jean Yves F.
Unknown Affiliation
Gilard, Martine
Unknown Affiliation
Aladashvili, Alexander
Unknown Affiliation
Gamkrelidze, Amiran
Unknown Affiliation
Kereselidze, Maia
Unknown Affiliation
Zeiher, Andreas Michael
United States, Murray
Intermountain Medical Center
Katus, Hugo Albert
United States, Murray
Intermountain Medical Center
Bestehorn, Kurt P.
United States, Murray
Intermountain Medical Center
Tsioufis, Costas P.
Unknown Affiliation
Goudevenos, John A.
Unknown Affiliation
Csanádi, Zoltán
Unknown Affiliation
Becker, Dávid
Unknown Affiliation
Tóth, Kálmán S.B.
Unknown Affiliation
Hrafnkelsdóttir, Pórdís Jóna
Unknown Affiliation
Crowley, James J.
Unknown Affiliation
Kearney, Peter P.
Unknown Affiliation
Dalton, Barbra
Unknown Affiliation
Zahger, Doron
Unknown Affiliation
Wolak, Arik
Unknown Affiliation
Gabrielli, Domenico
Unknown Affiliation
Indolfi, Ciro
Unknown Affiliation
Urbinati, Stefano
Unknown Affiliation
Imantayeva, Gulnara
Unknown Affiliation
Berkinbaev, Salim F.
Unknown Affiliation
Bajraktari, Gani
Unknown Affiliation
Ahmeti, Artan
Unknown Affiliation
Berisha, Gëzim
Unknown Affiliation
Erkin, Mirrakhimov
Unknown Affiliation
Saamay, Abilova
Unknown Affiliation
Erglis, Andrejs
Unknown Affiliation
Bajare, Iveta
Unknown Affiliation
Jēgere, Sanda
Unknown Affiliation
Mohammed, Malek
Unknown Affiliation
Sarkis, Antoine
Unknown Affiliation
Saadeh, George
Unknown Affiliation
Žvirblytė, Rūta
Unknown Affiliation
Šakalyte, Gintare
Unknown Affiliation
Šlapikas, Rimvydas
Unknown Affiliation
Ellafi, Khaled
Unknown Affiliation
El-Ghamari, Fathi A.
Unknown Affiliation
Banu, Cristiana A.
Unknown Affiliation
Beissel, Jean
Unknown Affiliation
Boskovic, Aneta
Unknown Affiliation
Ztot, Samir
Unknown Affiliation
Abir Khalil, S.
Unknown Affiliation
Van Rossum, Albert C.
Unknown Affiliation
Mulder, Barbara J.M.
Unknown Affiliation
Srbinovska-Kostovska, Elizabeta
Unknown Affiliation
Steigen, Terje Kristian
Unknown Affiliation
Ponikowski, Piotr P.
Unknown Affiliation
Witkowski, Adam Ryszard
Unknown Affiliation
Jankowski, Piotr
Unknown Affiliation
Gil, Víctor Machado
Unknown Affiliation
Mimoso, Jorge M.Vieira
Unknown Affiliation
Bravo Baptista, Sérgio Bravo Cordeiro
Unknown Affiliation
Vinereanu, Dragoș
Unknown Affiliation
Chioncel, O. D.
Unknown Affiliation
Popescu, Bogdan Alexandru
Unknown Affiliation
Schlyakhto, Evgeny Vladimirovich
Unknown Affiliation
Oganov, Raphael G.
Unknown Affiliation
Foscoli, Marina
Unknown Affiliation
Djordjevic-Dikic, Ana D.
Unknown Affiliation
Beleslin, Branko D.
Unknown Affiliation
Hlivák, Peter
Unknown Affiliation
Fras, Zlatko
Unknown Affiliation
Cequier, Ángel R.
Unknown Affiliation
James, Stefan Karl
Unknown Affiliation
Johansson, Bengt Erik
Unknown Affiliation
Platonov, Pyotr G.
Unknown Affiliation
Zellweger, Michael Johannes
Unknown Affiliation
Pedrazzini, Giovanni Battista
Unknown Affiliation
Kabbani, Samer
Unknown Affiliation
Abid, L.
Unknown Affiliation
Addad, Faouzi
Unknown Affiliation
Bozkurt, Engin
Unknown Affiliation
Kayikçioǧlu, Meral
Unknown Affiliation
Nesukay, Elena G.
Unknown Affiliation
Wragg, Andrew
Unknown Affiliation
Ludman, Peter Frederick
Unknown Affiliation
Boateng, Dennis
Unknown Affiliation
Statistics
Citations: 628
Authors: 138
Affiliations: 19
Identifiers
Doi:
10.1093/eurheartj/ehz859
ISSN:
0195668X
Research Areas
Disability
Health System And Policy
Noncommunicable Diseases
Substance Abuse
Study Design
Randomised Control Trial
Cross Sectional Study
Study Approach
Quantitative
Participants Gender
Female