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Alcoholic cardiomyopathy-attributed mortality in Europe, 2012-20
Marco Zuin1,2,3, Fernando Domínguez4, Chiara Dalla Valle5
1Department of Translational Medicine, University of Ferrara, Via Luigi Borsari 46, Ferrara 44100, Italy.
Summary
Alcoholic cardiomyopathy (AC) mortality in Europe declined significantly from 2012-2020, particularly in women and older adults. This trend aligns with decreased alcohol consumption across the continent.
Area of Science:
- Cardiovascular Disease Epidemiology
- Public Health Trends
- Alcohol-Related Illness
Background:
- Alcoholic cardiomyopathy (AC) is a major global cardiovascular disease.
- Limited data exist on recent trends in AC-attributable mortality in Europe.
- Understanding these trends is crucial for public health interventions.
Purpose of the Study:
- To analyze trends in AC-attributable mortality in Europe from 2012 to 2020.
- To examine these trends across different age groups, sexes, and European subregions.
- To correlate mortality trends with alcohol consumption patterns.
Main Methods:
- Utilized World Health Organization (WHO) mortality data (2012-2020).
- Analyzed age-adjusted mortality rates (AAMRs) using joinpoint regression.
- Compared trends using parallelism tests and correlated with WHO NCD alcohol consumption data.
Main Results:
- Total AC-attributable deaths: 504,096.
- Overall AAMR decreased by 4.7% annually (p<0.001).
- Mortality decline was more pronounced in women and individuals aged 70+; decreased in all regions except Southern Europe. Alcohol consumption fell by 8.3%.
Conclusions:
- AC-attributable mortality in Europe shows a declining trend over the past decade.
- This reduction parallels a decrease in overall European alcohol consumption.
- Public health strategies may be contributing to improved outcomes in alcoholic cardiomyopathy.
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