The burden of CVD in Romania - eu-ems.com Gaita full pres...  Dan Gaita,Dan Gaita, FESC...

download The burden of CVD in Romania - eu-ems.com Gaita full pres...  Dan Gaita,Dan Gaita, FESC Romanian

of 23

  • date post

    14-Nov-2018
  • Category

    Documents

  • view

    212
  • download

    0

Embed Size (px)

Transcript of The burden of CVD in Romania - eu-ems.com Gaita full pres...  Dan Gaita,Dan Gaita, FESC...

  • The burden of CVD in

    RomaniaDan Gaita, FESCDan Gaita, FESC

    Romanian Coordinator for CVD preventionChairman of EACPR Education & Accreditation Committee

    7214

    3 5003 500500 000500 000

  • li i ( l)Realities (general)Re litie ( pe ifi )Realities (specific)StrategyStrategy

    13.7% of the European population is aged 65 years or older

    Cardiovascular Diseases in Europe ; Euro Heart Survey, 2006

  • Cardiovascular Diseases in Europe ; Euro Heart Survey, 2006

    Cardiovascular Diseases in Europe ; Euro Heart Survey, 2006

  • Cardiovascular Diseases in Europe ; Euro Heart Survey, 2006

    Cardiovascular Diseases in Europe ; Euro Heart Survey, 2006

  • Cardiovascular Diseases in Europe ; Euro Heart Survey, 2006

    Cardiovascular Diseases in Europe ; Euro Heart Survey, 2006

  • li i ( l)Realities (general)Re litie ( pe ifi )Realities (specific)StrategyStrategy

  • Cardiovascular Diseases in Europe ; Euro Heart Survey, 2006

  • Cardiovascular Diseases in Europe ; Euro Heart Survey, 2006

  • Cardiovascular Diseases in Europe ; Euro Heart Survey, 2006

  • 1995 -2006

    ObesityDiabetes

  • EuroASPIRE Participating countries

    1 Belgium1. Belgium2. Bulgaria3. Croatia4 Finland4. Finland5. Germany6. Italy

    Latvia7. Latvia8. Poland9. Romania

    Sl i10. Slovenia11. Spain12. United Kingdom

    EuroASPIRE IIIInterview

    Prevalence of smoking*

    20.9%

    31.2%

    Slovenia

    Poland All patients: 16.9%MOR = 1.52

    17.7%

    19.9%

    Romania

    Germany

    SloveniaMen 22.6% , Women 12.7%

    17.5%

    17.6%

    17.6%

    Croatia

    Finland

    Latvia

    15.4%

    17.5%

    17.0%

    Spain

    Belgium

    Croatia

    4 6%

    11.8%

    14.1%

    Bulgaria

    UK

    Italy

    4.6%

    0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

    Bulgaria

    * Self-reported smoking or CO in breath > 10 ppm

  • EuroASPIRE IIIInterview

    Prevalence of obesity*

    65.3%

    68.4%

    Bulgaria

    Latvia

    47.8%

    49.0%

    65.3%

    Spain

    Germany

    Bulgaria

    41 1%

    41.9%

    42.5%

    UK

    Croatia

    Belgium

    37.4%

    41.1%

    40.6%

    Slovenia

    Finland

    UK

    27 6%

    37.1%

    37.3%

    Italy

    Poland

    Romania All patients: 43.5%MOR = 1.55Men 39.2% , Women 46.7%

    * Body mass index 30 kg/m

    27.6%

    0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

    Italy

    EuroASPIRE IIIInterview

    Prevalence of diagnosed or undiagnosed diabetes

    All patients: 38.6%MOR = 1.44Men 43.1% , Women 35.3%

    * Self-reported diabetes or fasting plasma glucose 7.0 mmol/L

  • EuroASPIRE IIIInterview

    Participation in programme for lifestyle & risk factor management*

    100%

    100% Belgium

    Finland

    88.9%

    98.9%

    100%

    Germany

    Italy

    Belgium

    78.4%

    78.8%

    UK

    Poland

    42.9%

    54.6%

    Bulgaria

    Slovenia

    0.0%

    3.2%

    12.5%

    Croatia

    Latvia

    Romania

    All patients: 85.3%Men 79.1% , Women 77.3%

    0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

    Croatia

    * Attending at least half of the sessions (if advised)

    EuroASPIRE IIIInterview

    Regular exercise to increase physical fitness

    64.8% Bulgaria 66.0% Belgium

    No and no intention Yes

    60.7%

    63.5%

    Latv ia

    Spain

    51.5%

    63.5%

    UK

    Finland

    36.4%

    45.1%

    46.7%

    Slov enia

    Romania

    Poland

    45.8%

    51.0%

    51.4%

    Croatia

    Germany

    Slov enia

    35.5%

    32.4% Croatia

    UK 33.3%

    28.8% Italy

    Romania

    21.0%

    25.6%

    26.7%

    Belgium

    Italy

    Germany

    21.7%

    26.8%

    26.9%

    Bulgaria

    Spain

    Poland

    19.3%

    0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

    Finland 20.4%

    0% 10% 20% 30% 40% 50% 60% 70%

    Latv iaAll patients: 38.6%All patients: 40.1%

  • li i ( l)Realities (general)Re litie ( pe ifi )Realities (specific)StrategyStrategy

    Cardiovascular Diseases in Europe ; Euro Heart Survey, 2006

  • Cardiovascular Diseases in Europe ; Euro Heart Survey, 2006

    Cardiovascular Diseases in Europe ; Euro Heart Survey, 2006

  • Hotel Radisson SAS, Bucharest, , ,7 February 2009

    12 June 2007J15 September 2007

    7 February 2009

  • 199919992003200320092009

  • ScreeningI t ti InterventionFollow up Follow-up

    199019902001200120092009

  • 1 October 3 500 GPs

    500 000 persons

  • Political support Practical guidance

    L t t hi Long-term partnership

    Attitude not only money Lifestyle not only drugs

  • Reliable dataEffi i t i t ti Efficient intervention

    Powerful alliancePowerful alliance Clear strategy

    7214

    3 5003 500500 000500 000