Implications of the 2021 ESC cardiovascular risk classification among 283,000 European immigrants living in a low-risk region: a population-based analysis in Catalonia
Introduction The ESC recently classified European countries into 4 cardiovascular risk regions. However, whether Europeans from higher-risk countries living in lower-risk regions may benefit from intensive cardiovascular prevention efforts is unknown. We described the burden of risk factors and card...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Termedia Publishing House
2021-12-01
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| Series: | Archives of Medical Science |
| Subjects: | |
| Online Access: | https://www.archivesofmedicalscience.com/Implications-of-the-2021-ESC-cardiovascular-risk-classification-among-283-000-European,144631,0,2.html |
| _version_ | 1797435396985978880 |
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| author | Emili Vela Montse Cleries Usama Bilal Maciej Banach John W McEvoy Martin Bødtker Mortensen Michael Joseph Blaha Khurram Nasir Josep Comin-Colet Josepa Mauri Miguel Cainzos-Achirica |
| author_facet | Emili Vela Montse Cleries Usama Bilal Maciej Banach John W McEvoy Martin Bødtker Mortensen Michael Joseph Blaha Khurram Nasir Josep Comin-Colet Josepa Mauri Miguel Cainzos-Achirica |
| author_sort | Emili Vela |
| collection | DOAJ |
| description | Introduction
The ESC recently classified European countries into 4 cardiovascular risk regions. However, whether Europeans from higher-risk countries living in lower-risk regions may benefit from intensive cardiovascular prevention efforts is unknown. We described the burden of risk factors and cardiovascular disease (CVD) among European-born immigrants living in Catalonia, a low-risk region.
Material and methods
A retrospective cohort study of 5.6 million adults of European origin living in Catalonia in 2019, including 282,789 European-born immigrants, was performed. We used the regionwide healthcare database and classified participants into 5 groups: low-, moderate-, high-, and very high-risk, and local-born. Age-standardized prevalence was estimated as of December 31st, 2019 and incidence was computed during 2019 among at-risk individuals.
Results
The very high-risk group was the largest immigrant group (N = 136,910; 48.4%), while the high-risk group was the smallest (N = 15,739; 5.6%). These two had the highest burden of coronary heart disease across all groups evaluated, in both men and women. The very high-risk group also had the highest prevalence of hypertension and obesity at young-to-middle age, and the burden of risk factors newly diagnosed during 2019 was highest in high- and very high-risk participants. The mean age at first diagnosis of risk factors and CVD was lower in these groups.
Conclusions
In Catalonia, residents born in high- and very-high-risk European countries are at increased risk of coronary heart disease and newly diagnosed risk factors. Low-risk European countries may consider tailored prevention efforts, early screening of risk factors, and adequate healthcare resource planning to better address the health needs of men and women from higher-risk countries. |
| first_indexed | 2024-03-09T10:46:40Z |
| format | Article |
| id | doaj.art-99707d9e3f834f8c9a3b34a3545f7b16 |
| institution | Directory Open Access Journal |
| issn | 1734-1922 1896-9151 |
| language | English |
| last_indexed | 2024-03-09T10:46:40Z |
| publishDate | 2021-12-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Archives of Medical Science |
| spelling | doaj.art-99707d9e3f834f8c9a3b34a3545f7b162023-12-01T09:55:34ZengTermedia Publishing HouseArchives of Medical Science1734-19221896-91512021-12-01191354510.5114/aoms/144631144631Implications of the 2021 ESC cardiovascular risk classification among 283,000 European immigrants living in a low-risk region: a population-based analysis in CataloniaEmili Vela0Montse Cleries1Usama Bilal2Maciej Banach3John W McEvoy4Martin Bødtker Mortensen5Michael Joseph Blaha6Khurram Nasir7Josep Comin-Colet8Josepa Mauri9Miguel Cainzos-Achirica10Healthcare Information and Knowledge Unit, Catalan Health Service, Barcelona, Spain, SpainHealthcare Information and Knowledge Unit, Catalan Health Service, Barcelona, Spain, SpainUrban Health Collaborative, Drexel Dornsife School of Public Health, Philadelphia (PA), USA, United StatesDepartment of Hypertension, Chair of Nephrology and Hypertension, Medical University of Lodz (MUL), Lodz, Poland, PolandNational University of Ireland and National Institute for Preventive Cardiology, Galway, Ireland, IrelandDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark, DenmarkCiccarone Center for the Prevention of Cardiovascular Disease, Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore (MD), USA, United StatesCiccarone Center for the Prevention of Cardiovascular Disease, Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore (MD), USA, United StatesDepartment of Cardiology, Bellvitge University Hospital, L’Hospitalet de Llobregat, Barcelona, Spain, SpainPla Director de Malalties Cardiovasculars, Health Department of the Government of Catalonia, Catalonia, Spain, SpainCiccarone Center for the Prevention of Cardiovascular Disease, Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore (MD), USA, United StatesIntroduction The ESC recently classified European countries into 4 cardiovascular risk regions. However, whether Europeans from higher-risk countries living in lower-risk regions may benefit from intensive cardiovascular prevention efforts is unknown. We described the burden of risk factors and cardiovascular disease (CVD) among European-born immigrants living in Catalonia, a low-risk region. Material and methods A retrospective cohort study of 5.6 million adults of European origin living in Catalonia in 2019, including 282,789 European-born immigrants, was performed. We used the regionwide healthcare database and classified participants into 5 groups: low-, moderate-, high-, and very high-risk, and local-born. Age-standardized prevalence was estimated as of December 31st, 2019 and incidence was computed during 2019 among at-risk individuals. Results The very high-risk group was the largest immigrant group (N = 136,910; 48.4%), while the high-risk group was the smallest (N = 15,739; 5.6%). These two had the highest burden of coronary heart disease across all groups evaluated, in both men and women. The very high-risk group also had the highest prevalence of hypertension and obesity at young-to-middle age, and the burden of risk factors newly diagnosed during 2019 was highest in high- and very high-risk participants. The mean age at first diagnosis of risk factors and CVD was lower in these groups. Conclusions In Catalonia, residents born in high- and very-high-risk European countries are at increased risk of coronary heart disease and newly diagnosed risk factors. Low-risk European countries may consider tailored prevention efforts, early screening of risk factors, and adequate healthcare resource planning to better address the health needs of men and women from higher-risk countries.https://www.archivesofmedicalscience.com/Implications-of-the-2021-ESC-cardiovascular-risk-classification-among-283-000-European,144631,0,2.htmlcardiovascular diseasecoronary heart diseaseeastern europeeuropeanguidelineshypertensionobesityrisk factors |
| spellingShingle | Emili Vela Montse Cleries Usama Bilal Maciej Banach John W McEvoy Martin Bødtker Mortensen Michael Joseph Blaha Khurram Nasir Josep Comin-Colet Josepa Mauri Miguel Cainzos-Achirica Implications of the 2021 ESC cardiovascular risk classification among 283,000 European immigrants living in a low-risk region: a population-based analysis in Catalonia Archives of Medical Science cardiovascular disease coronary heart disease eastern europe european guidelines hypertension obesity risk factors |
| title | Implications of the 2021 ESC cardiovascular risk classification among 283,000 European immigrants living in a low-risk region: a population-based analysis in Catalonia |
| title_full | Implications of the 2021 ESC cardiovascular risk classification among 283,000 European immigrants living in a low-risk region: a population-based analysis in Catalonia |
| title_fullStr | Implications of the 2021 ESC cardiovascular risk classification among 283,000 European immigrants living in a low-risk region: a population-based analysis in Catalonia |
| title_full_unstemmed | Implications of the 2021 ESC cardiovascular risk classification among 283,000 European immigrants living in a low-risk region: a population-based analysis in Catalonia |
| title_short | Implications of the 2021 ESC cardiovascular risk classification among 283,000 European immigrants living in a low-risk region: a population-based analysis in Catalonia |
| title_sort | implications of the 2021 esc cardiovascular risk classification among 283 000 european immigrants living in a low risk region a population based analysis in catalonia |
| topic | cardiovascular disease coronary heart disease eastern europe european guidelines hypertension obesity risk factors |
| url | https://www.archivesofmedicalscience.com/Implications-of-the-2021-ESC-cardiovascular-risk-classification-among-283-000-European,144631,0,2.html |
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