Related Experiment Videos
Epidemiology of cardiovascular diseases in Warsaw Pol-MONICA area
S Rywik1, H Wagrowska, G Broda
1Department of Cardiovascular Epidemiology and Prevention National Institute of Cardiology, Warsaw, Poland.
Abstract:
In the Warsaw Pol-MONICA area, which is inhabited by 274,000 people of ages 25-64, trends in total mortality showed increases similar to those for the whole of Poland. In Warsaw, mortality from cardiovascular disease in men and from ischaemic heart disease (IHD), myocardial infarction (MI), and cerebrovascular disease in both sexes decreased from 1976 to 1986, whereas trends for these diseases were increasing for the whole of Poland. Within the last 11 years, the MI attack rate and case-fatality rate increased in Warsaw. In the Warsaw male population, an increase in the majority of CHD risk factors was also observed. Age-adjusted mortality rates, MI attack and incidence rates, and stroke attack rates in Warsaw were all higher in men than in women. The mean values of HDL cholesterol and LDL cholesterol, Quetelet's index, and prevalence of hypercholesterolaemia in Warsaw were higher in women than in men, whereas the mean values of triglycerides, diastolic blood pressure, and number of cigarettes smoked as well as prevalence of hypertriglyceridaemia, hypertension, and smoking were higher in men.
Insights
Cardiovascular disease mortality decreased in Warsaw from 1976-1986, but increased overall in Poland. Risk factors for coronary heart disease (CHD) rose in Warsaw men, with higher heart attack and stroke rates in men than women.
Area of Science:
- Epidemiology
- Cardiovascular Disease Research
- Public Health
Background:
- Total mortality trends in Warsaw mirrored those in Poland.
- Warsaw experienced decreasing cardiovascular disease (CVD), ischaemic heart disease (IHD), myocardial infarction (MI), and cerebrovascular disease mortality between 1976-1986, contrasting with Polish national trends.
Purpose of the Study:
- To analyze cardiovascular disease mortality trends and risk factors in the Warsaw population (ages 25-64).
- To compare disease rates and risk factor prevalence between men and women in Warsaw.
Main Methods:
- Analysis of mortality data from the Warsaw Pol-MONICA area.
- Examination of trends in ischaemic heart disease (IHD), myocardial infarction (MI), and cerebrovascular disease.
- Assessment of cardiovascular disease (CVD) risk factors including cholesterol, blood pressure, Quetelet's index, and smoking prevalence.
Main Results:
- While national trends showed increases, Warsaw saw decreases in CVD, IHD, MI, and cerebrovascular disease mortality from 1976-1986.
- In the last 11 years, MI attack and case-fatality rates increased in Warsaw.
- Coronary heart disease (CHD) risk factors increased in Warsaw men.
- Men exhibited higher age-adjusted mortality rates, MI attack/incidence, and stroke attack rates than women.
- Women had higher mean HDL and LDL cholesterol, Quetelet's index, and hypercholesterolemia prevalence.
- Men had higher mean triglycerides, diastolic blood pressure, smoking prevalence, hypertriglyceridemia, and hypertension.
Conclusions:
- Warsaw's cardiovascular disease mortality trends diverged from national patterns between 1976-1986.
- Recent increases in MI rates and risk factors in Warsaw men warrant further investigation.
- Significant sex-based differences exist in cardiovascular disease risk factor prevalence and mortality rates in Warsaw.