Global burden of cardiovascular disease

 

 

Article Publish Date: 2019-11-10

For most populations, the last century has witnessed the most dramatic improvements in health. Life expectance increased form average of 46 to 66 years. With industrialization & globalization, the major causes of death & disability have shifted from nutritional deficiencies & infections to cardiovascular diseases which is the most common cause of death worldwide accounting for approximately 30% in high-income countries versus 28% in low-income countries.

 

The Middle East & North Africa region show rates just below the high-income nations due to daily fat consumption ranging from 13.6% increase in Sudan to 14.3% increase in Saudi Arabia.

 

The burden of cardiovascular diseases changed due to change of global trends in risk factors:

 

1-Lipid levels: high cholesterol levels due to greater consumption of animal fat & processed oils as well as by decreased physical activity. It is estimated to cause 56% of ischemic heart disease.

 

 

 

2-Hypertension cause 49% of ischemic heart disease and this is due to high rate of undetected or untreated hypertension.

 

3-Smoking commonly cause ischemic heart disease & 5 million deaths annually. Smoking is easy in urban countries due to availability & relatively inexpensive tobacco products.

 

 

4-Diet & decrease of plant-based foods is key elements in the development of cardiovascular diseases.

 

5-Physical inactivity & shifting from physical demanding countries to motorized countries & office-based work.

 

6-Obesity can be seen in countries with under-nutrition at same level with rich countries and represents for 50-75% of adults especially women.

 

7-Diabetes mellitus is projected to double in Middle East by 2025 and it is associated with increased of cardiac diseases by two to three folds compared to non-diabetic.

 

 

 

Dr. Sherif Abuelenin

Cardiology specialist

 

Global burden of cardiovascular disease