Semyonova V.G., Grigorov A.A., Zubko A.V. Modern age-specific pattern of mortality from cardiovascular diseases and its Moscow-specific features. Health care of the Russian Federation. 2023;67(5):444-452. (In Russ.) https: ...

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.