Modern age-specific pattern of mortality from cardiovascular diseases and its Moscow-specific features

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Abstract

Background. Mortality from acute cardio-vascular diseases (CVD) remain a global challenge. Age-specific profiles of chronic and acute CVD deaths remain topical: is there any principal difference between the two?

The purpose of the study is to analyze age-specific profiles of acute and chronic CVD deaths in Russia and identify Moscow-specific features.

Material and methods. The study analyzed Rosstat data on mortality from leading CVD in Russia and Moscow in 2019.

Results. The internal structure of acute CVD is characterized by age-specific vectors, more pronounced in Russia. Myocardial infraction makes the highest contribution accounting for 27.9% and 26.1% in ages of 70–74 years. The share of other acute IHD is over 20% in males and 15% in females under 60, increasing with age. Mortality from stroke unsurprisingly increases with age with the maximum of about ⅔ over senile ages.

Sudden cardiac deaths are rather high among the Russian youth, while in Moscow they remain minimum throughout all ages.

Limitations. An analysis was made of data on mortality from major cardiovascular pathologies in Russia and Moscow only in 2019.

Conclusion. Age-specific profile of chronic and acute CVD are characterized by similar patterns: increase in age-specific indicators with the maximum in senile ages.

Age profile of the Moscow mortality is characterized by high mortality from unspecified cardiomyopathy, many-fold exceeding the Russian indicator.

Acute cardiac deaths require a further analysis to identify nosological criteria to evaluate death rates.

Compliance with ethical standards. This type of research does not require examination by the local ethics.

Contribution of the authors:
Zubko A.V. — research concept and design, statistical data processing, text writing and editing;
Semyonova V.G. — research concept and design, statistical data processing, text writing and editing;
Grigorov A.A. — research concept and design, collection and processing of research material, editing.
All authors were engaged in final review of the manuscript and are responsible for integrity of its parts.

Acknowledgment. The study had no sponsorship.

Conflict of interests. The authors declare no conflict of interest.

Received: June 22, 2023
Accepted: August 23, 2023
Published: November 3, 2023

About the authors

Victoria G. Semyonova

Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department; Institute for Demographic Research Branch of the Federal Center of Theoretical and Applied Sociology of the Russian Academy
of Sciences

Author for correspondence.
Email: noemail@neicon.ru
ORCID iD: 0000-0002-2794-1009
Russian Federation

Andrey A. Grigorov

Moscow Healthcare Department

Email: noemail@neicon.ru
ORCID iD: 0009-0008-4440-5858
Russian Federation

Aleksandr V. Zubko

Institute for Demographic Research Branch of the Federal Center of Theoretical and Applied Sociology of the Russian Academy
of Sciences; Russian Research Institute of Health

Email: zalexandrae@gmail.com
ORCID iD: 0000-0001-8958-1400

MD, PhD, leading researcher department of public health and demography Russian Research Institute of Health, Moscow,127254, Russian Federation.

e-mail: zalexandrae@gmail.com

Russian Federation

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