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The burden of CVD in

RomaniaDan Gaita, FESCDan Gaita, FESC

Romanian Coordinator for CVD prevention

Chairman of EACPR Education & Accreditation Committee

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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

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


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/m²

27.6%

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

Italy


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


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)


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%

Hotel Radisson SAS, Bucharest, , ,7 February 2009

12 June 2007J15 September 2007

7 February 2009

199919992003200320092009

• Screening

I t ti• Intervention

Follow up• Follow-up

19901990

20012001

20092009

• 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 data

Effi i t i t ti• Efficient intervention

• Powerful alliancePowerful alliance

• Clear strategy

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