Clinical determinants of ischemic heart disease in Eastern Europe.

Autor: Cenko E; Laboratory of Epidemiological and Clinical Cardiology, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy., Manfrini O; Laboratory of Epidemiological and Clinical Cardiology, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.; IRCCS Azienda Ospedaliero-Universitaria di Bologna Sant'Orsola Hospital, Bologna, Italy., Fabin N; Laboratory of Epidemiological and Clinical Cardiology, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy., Dorobantu M; University of Medicine and Pharmacy 'Carol Davila', Bucharest, Romania., Kedev S; University Clinic for Cardiology, 1000 Skopje, Republic of North Macedonia.; Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, 1000 Skopje, Republic of North Macedonia., Milicic D; Department for Cardiovascular Diseases, University Hospital Center Zagreb, University of Zagreb, Zagreb, Croatia., Vasiljevic Z; Medical Faculty, University of Belgrade, Belgrade, Serbia., Bugiardini R; Laboratory of Epidemiological and Clinical Cardiology, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Jazyk: angličtina
Zdroj: The Lancet regional health. Europe [Lancet Reg Health Eur] 2023 Oct 04; Vol. 33, pp. 100698. Date of Electronic Publication: 2023 Oct 04 (Print Publication: 2023).
DOI: 10.1016/j.lanepe.2023.100698
Abstrakt: Cardiovascular inequalities remain pervasive in the European countries. Disparities in disease burden is apparent among population groups based on sex, ethnicity, economic status or geography. To address this challenge, The Lancet Regional Health - Europe convened experts from a broad range of countries to assess the current state of knowledge of cardiovascular disease inequalities across Europe. This report presents the main challenges in Eastern Europe. There were pronounced variations in cardiovascular disease mortality rates across Eastern European countries with a remarkably high disease burden in the North-Eastern Europe. There were also significant differences in access and delivery to healthcare and unmet healthcare needs. Addressing the cardiovascular determinants of health and reducing health disparities in its many dimensions has long been a priority of the European Parliament's work through resolutions and by financing pilot projects. Yet, despite these efforts, few large-scale studies have been conducted to examine the feasibility of reducing cardiovascular disparities in Eastern Europe. There is an urgent need for improved data, measurements, reporting, and comparisons; and for dedicated, collaborative research. There is also a need for a broader understanding of the typology of actions needed to tackle cardiovascular inequalities and a clear political will.
Competing Interests: No specific funding was received for the preparation of this manuscript. The authors declare no conflicts of interest.
(© 2023 The Author(s).)
Databáze: MEDLINE