Abstract
Methods and results: In this report, contemporary CVD statistics are presented for member countries of the ESC. The statistics are 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) 22.5–23.1%] vs. 15.7% (IQR 14.5–21.1%)}, diabetes [7.7% (IQR 7.1–10.1%) vs. 5.6% (IQR 4.8–7.0%)], and among males smoking [43.8% (IQR 37.4–48.0%) vs. 26.0% (IQR 20.9–31.7%)] although among females smoking was less common in middle-income countries [8.7% (IQR 3.0–10.8) vs. 16.7% (IQR 13.9–19.7%)]. 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 5655–8115)] compared with high-income [2235 (IQR 1896–3602)] 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.
Original language | English |
---|---|
Pages (from-to) | 12-85 |
Number of pages | 74 |
Journal | European Heart Journal |
Volume | 41 |
Issue number | 1 |
Early online date | 10 Dec 2019 |
DOIs | |
Publication status | Published - 1 Jan 2020 |
Keywords
- ACUTE MYOCARDIAL-INFARCTION
- ALL-CAUSE MORTALITY
- BLOOD-PRESSURE
- CORONARY-HEART-DISEASE
- Cardiovascular disease
- ECONOMIC BURDEN
- European Society of Cardiology
- GLOBAL BURDEN
- Health infrastructure
- INDIVIDUAL DATA
- Morbidity
- Mortality
- NONCOMMUNICABLE DISEASES
- PHYSICAL INACTIVITY
- Risk factors
- SYSTEMATIC ANALYSIS
- Service provision
- Statistics
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}
European Society of Cardiology: Cardiovascular Disease Statistics 2019. / Timmis, Adam; Townsend, Nick; Gale, Chris P.; Torbica, Aleksandra; Lettino, Maddalena; Petersen, Steffen E.; Mossialos, Elias A.; Maggioni, Aldo P.; Kazakiewicz, Dzianis; May, Heidi T; De Smedt, Delphine; Flather, Marcus; Zuhlke, Liesl; Beltrame, John F.; Huculeci, Radu; Tavazzi, Luigi; Hindricks, Gerhard; Bax, Jeroen; Casadei, Barbara; Achenbach, Stephan; Wright, Lucy; Vardas, Panos; Mimoza, Lezha; Artan, Goda; Aurel, Demiraj; Chettibi, Mohammed; Hammoudi, Naima; Sisakian, Hamayak; Pepoyan, Sergey; Metzler, Bernhard; Siostrzonek, Peter; Weidinger, Franz; Jahangirov, Tofig; Aliyev, Farid; Rustamova, Yasmin; Manak, Nikolay; Mrochak, Aliaksandr; Lancellotti, Patrizio; Pasquet, Agnès; Claeys, Marc; Kušljugić, Zumreta; Dizdarević Hudić, Larisa; Smajić, Elnur; Tokmakova, Mariya Petkova; Gatzov, Plamen Marinov; Milicic, Davor; Bergovec, Mijo; Christou, Christos; Moustra, Hera Heracleous; Christodoulides, Theodoros; Linhart, Ales; Taborsky, Milos; Hansen, Henrik Steen; Holmvang, Lene; Kristensen, Steen Dalby; Abdelhamid, Magdy; Shokry, Khaled; Kampus, Priit; Viigimaa, Margus; Ryödi, Essi; Niemelä, Matti; Rissanen, Tuomas T.; Le Heuzey, Jean-Yves; Gilard, Martine; Aladashvili, A.; Gamkrelidze, A.; Kereselidze, Maia; Zeiher, A.; Katus, H.; Bestehorn, K.; Tsioufis, Costas; Goudevenos, John; Csanádi, Zoltán; Becker, Dávid; Tóth, Kálmán; Jóna Hrafnkelsdóttir, Þórdís; Crowley, James; Kearney, Peter; Dalton, Barbra; Zahger, Doron; Wolak, Arik; Gabrielli, Domenico; Indolfi, Ciro; Urbinati, Stefano; Imantayeva, Gulnara; Berkinbayev, Salim; Bajraktari, Gani; Ahmeti, Artan; Berisha, Gezim; Erkin, Mirrakhimov; Saamay, Abilova; Erglis, Andrejs; Bajare, Iveta; Jegere, Sanda; Mohammed, Malek; Sarkis, Antoine; Saadeh, Georges; Zvirblyte, Ruta; Sakalyte, Gintare; Slapikas, Rimvydas; Ellafi, Khaled; El Ghamari, Fathi; Banu, Cristiana; Beissel, Jean; Felice, Tiziana; Buttigieg, Sandra C; Xuereb, Robert G.; Popovici, Mihail; Boskovic, Aneta; Rabrenovic, Miroslav; Ztot, Samir; Abir-khalil, Saadia; van Rossum, A. C.; Mulder, B. J. M.; Elsendoorn, M. W.; Srbinovska-Kostovska, Elizabeta; Kostov, Jorgo; Marjan, Bosevski; Steigen, Terje; Mjølstad, Ole Christian; Ponikowski, Piotr; Witkowski, Adam; Jankowski, Piotr; Gil, Victor Machado; Mimoso, Jorge; Baptista, Sérgio; Vinereanu, Dragos; Chioncel, Ovidiu; Popescu, Bogdan A.; Shlyakhto, Evgeny; Oganov, Raphael; Foscoli, Marina; Zavatta, Marco; Dikic, Ana Djordjevic; Beleslin, Branko; Radovanovic, Mina Radosavljevic; Hlivák, Peter; Hatala, Robert; Kaliská, Gabriela; Kenda, Miran; Fras, Zlatko; Anguita, Manuel; Cequier, Ángel; Muñiz, Javier; James, Stefan; Johansson, Bengt; Platonov, Pyotr; Zellweger, Michael Johannes; Pedrazzini, Giovanni B.; Carballo, David; Shebli, Hussam Eddin; Kabbani, Samer; Abid, Leila; Addad, Faouzi; Bozkurt, Engin; Kayıkçıoğlu, Meral; Erol, Mustafa Kemal; Kovalenko, Volodymyr; Nesukay, Elena; Wragg, Andrew; Ludman, Peter; Ray, Simon; Kurbanov, Ravshanbek; Boateng, Dennis; Daval, Ghislain; De Benito Rubio, Víctor; Sebastiao, David; De Courtelary, Paola Thellung; Bardinet, Isabel.
In: European Heart Journal, Vol. 41, No. 1, 01.01.2020, p. 12-85.Research output: Contribution to journal › Article › peer-review
TY - JOUR
T1 - European Society of Cardiology: Cardiovascular Disease Statistics 2019
AU - Timmis, Adam
AU - Townsend, Nick
AU - Gale, Chris P.
AU - Torbica, Aleksandra
AU - Lettino, Maddalena
AU - Petersen, Steffen E.
AU - Mossialos, Elias A.
AU - Maggioni, Aldo P.
AU - Kazakiewicz, Dzianis
AU - May, Heidi T
AU - De Smedt, Delphine
AU - Flather, Marcus
AU - Zuhlke, Liesl
AU - Beltrame, John F.
AU - Huculeci, Radu
AU - Tavazzi, Luigi
AU - Hindricks, Gerhard
AU - Bax, Jeroen
AU - Casadei, Barbara
AU - Achenbach, Stephan
AU - Wright, Lucy
AU - Vardas, Panos
AU - Mimoza, Lezha
AU - Artan, Goda
AU - Aurel, Demiraj
AU - Chettibi, Mohammed
AU - Hammoudi, Naima
AU - Sisakian, Hamayak
AU - Pepoyan, Sergey
AU - Metzler, Bernhard
AU - Siostrzonek, Peter
AU - Weidinger, Franz
AU - Jahangirov, Tofig
AU - Aliyev, Farid
AU - Rustamova, Yasmin
AU - Manak, Nikolay
AU - Mrochak, Aliaksandr
AU - Lancellotti, Patrizio
AU - Pasquet, Agnès
AU - Claeys, Marc
AU - Kušljugić, Zumreta
AU - Dizdarević Hudić, Larisa
AU - Smajić, Elnur
AU - Tokmakova, Mariya Petkova
AU - Gatzov, Plamen Marinov
AU - Milicic, Davor
AU - Bergovec, Mijo
AU - Christou, Christos
AU - Moustra, Hera Heracleous
AU - Christodoulides, Theodoros
AU - Linhart, Ales
AU - Taborsky, Milos
AU - Hansen, Henrik Steen
AU - Holmvang, Lene
AU - Kristensen, Steen Dalby
AU - Abdelhamid, Magdy
AU - Shokry, Khaled
AU - Kampus, Priit
AU - Viigimaa, Margus
AU - Ryödi, Essi
AU - Niemelä, Matti
AU - Rissanen, Tuomas T.
AU - Le Heuzey, Jean-Yves
AU - Gilard, Martine
AU - Aladashvili, A.
AU - Gamkrelidze, A.
AU - Kereselidze, Maia
AU - Zeiher, A.
AU - Katus, H.
AU - Bestehorn, K.
AU - Tsioufis, Costas
AU - Goudevenos, John
AU - Csanádi, Zoltán
AU - Becker, Dávid
AU - Tóth, Kálmán
AU - Jóna Hrafnkelsdóttir, Þórdís
AU - Crowley, James
AU - Kearney, Peter
AU - Dalton, Barbra
AU - Zahger, Doron
AU - Wolak, Arik
AU - Gabrielli, Domenico
AU - Indolfi, Ciro
AU - Urbinati, Stefano
AU - Imantayeva, Gulnara
AU - Berkinbayev, Salim
AU - Bajraktari, Gani
AU - Ahmeti, Artan
AU - Berisha, Gezim
AU - Erkin, Mirrakhimov
AU - Saamay, Abilova
AU - Erglis, Andrejs
AU - Bajare, Iveta
AU - Jegere, Sanda
AU - Mohammed, Malek
AU - Sarkis, Antoine
AU - Saadeh, Georges
AU - Zvirblyte, Ruta
AU - Sakalyte, Gintare
AU - Slapikas, Rimvydas
AU - Ellafi, Khaled
AU - El Ghamari, Fathi
AU - Banu, Cristiana
AU - Beissel, Jean
AU - Felice, Tiziana
AU - Buttigieg, Sandra C
AU - Xuereb, Robert G.
AU - Popovici, Mihail
AU - Boskovic, Aneta
AU - Rabrenovic, Miroslav
AU - Ztot, Samir
AU - Abir-khalil, Saadia
AU - van Rossum, A. C.
AU - Mulder, B. J. M.
AU - Elsendoorn, M. W.
AU - Srbinovska-Kostovska, Elizabeta
AU - Kostov, Jorgo
AU - Marjan, Bosevski
AU - Steigen, Terje
AU - Mjølstad, Ole Christian
AU - Ponikowski, Piotr
AU - Witkowski, Adam
AU - Jankowski, Piotr
AU - Gil, Victor Machado
AU - Mimoso, Jorge
AU - Baptista, Sérgio
AU - Vinereanu, Dragos
AU - Chioncel, Ovidiu
AU - Popescu, Bogdan A.
AU - Shlyakhto, Evgeny
AU - Oganov, Raphael
AU - Foscoli, Marina
AU - Zavatta, Marco
AU - Dikic, Ana Djordjevic
AU - Beleslin, Branko
AU - Radovanovic, Mina Radosavljevic
AU - Hlivák, Peter
AU - Hatala, Robert
AU - Kaliská, Gabriela
AU - Kenda, Miran
AU - Fras, Zlatko
AU - Anguita, Manuel
AU - Cequier, Ángel
AU - Muñiz, Javier
AU - James, Stefan
AU - Johansson, Bengt
AU - Platonov, Pyotr
AU - Zellweger, Michael Johannes
AU - Pedrazzini, Giovanni B.
AU - Carballo, David
AU - Shebli, Hussam Eddin
AU - Kabbani, Samer
AU - Abid, Leila
AU - Addad, Faouzi
AU - Bozkurt, Engin
AU - Kayıkçıoğlu, Meral
AU - Erol, Mustafa Kemal
AU - Kovalenko, Volodymyr
AU - Nesukay, Elena
AU - Wragg, Andrew
AU - Ludman, Peter
AU - Ray, Simon
AU - Kurbanov, Ravshanbek
AU - Boateng, Dennis
AU - Daval, Ghislain
AU - De Benito Rubio, Víctor
AU - Sebastiao, David
AU - De Courtelary, Paola Thellung
AU - Bardinet, Isabel
PY - 2020/1/1
Y1 - 2020/1/1
N2 - 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 and results: In this report, contemporary CVD statistics are presented for member countries of the ESC. The statistics are 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) 22.5–23.1%] vs. 15.7% (IQR 14.5–21.1%)}, diabetes [7.7% (IQR 7.1–10.1%) vs. 5.6% (IQR 4.8–7.0%)], and among males smoking [43.8% (IQR 37.4–48.0%) vs. 26.0% (IQR 20.9–31.7%)] although among females smoking was less common in middle-income countries [8.7% (IQR 3.0–10.8) vs. 16.7% (IQR 13.9–19.7%)]. 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 5655–8115)] compared with high-income [2235 (IQR 1896–3602)] 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.
AB - 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 and results: In this report, contemporary CVD statistics are presented for member countries of the ESC. The statistics are 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) 22.5–23.1%] vs. 15.7% (IQR 14.5–21.1%)}, diabetes [7.7% (IQR 7.1–10.1%) vs. 5.6% (IQR 4.8–7.0%)], and among males smoking [43.8% (IQR 37.4–48.0%) vs. 26.0% (IQR 20.9–31.7%)] although among females smoking was less common in middle-income countries [8.7% (IQR 3.0–10.8) vs. 16.7% (IQR 13.9–19.7%)]. 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 5655–8115)] compared with high-income [2235 (IQR 1896–3602)] 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.
KW - ACUTE MYOCARDIAL-INFARCTION
KW - ALL-CAUSE MORTALITY
KW - BLOOD-PRESSURE
KW - CORONARY-HEART-DISEASE
KW - Cardiovascular disease
KW - ECONOMIC BURDEN
KW - European Society of Cardiology
KW - GLOBAL BURDEN
KW - Health infrastructure
KW - INDIVIDUAL DATA
KW - Morbidity
KW - Mortality
KW - NONCOMMUNICABLE DISEASES
KW - PHYSICAL INACTIVITY
KW - Risk factors
KW - SYSTEMATIC ANALYSIS
KW - Service provision
KW - Statistics
UR - http://www.scopus.com/inward/record.url?scp=85077402058&partnerID=8YFLogxK
U2 - 10.1093/eurheartj/ehz859
DO - 10.1093/eurheartj/ehz859
M3 - Article
VL - 41
SP - 12
EP - 85
JO - European Heart Journal
JF - European Heart Journal
SN - 0195-668X
IS - 1
ER -