Burden of cardiovascular diseases in the Eastern Mediterranean Region, 1990–2015 : findings from the Global Burden of Disease 2015 Study

GBD 2015 Eastern Mediterranean Region Cardiovascular Disease Collaborators, Arash Tehrani-Banihashemi, Maziar Moradi-Lakeh, Charbel El Bcheraoui, Raghid Charara, Ibrahim Khalil, Ashkan Afshin, Michael Collison, Farah Daoud, Kristopher J. Krohn, Adrienne Chew, Leslile Cornaby, Kyle J. Foreman, Joseph Frostad, Nicholas J. Kassebaum, Laura Kemmer, Michael Kutz, Patrick Liu, Mojde Mirarefin, Grant NguyenHaidong Wang, Ben Zipkin, Amanuel Alemu Abajobir, Marian Abouzeid, Niveen M. E. Abu-Rmeileh, Aliasghar Ahmad Kiadaliri, Muktar Beshir Ahmed, Baran Aksut, Khurshid Alam, Deena Alasfoor, Raghib Ali, Reza Alizadeh-Navaei, Rajaa Al-Raddadi, Ubai Alsharif, Khalid A. Altirkawi, Nelson Alvis-Guzman, Nahla Anber, Palwasha Anwari, Johan Arnlov, Solomon Weldegebreal Asgedom, Tesfay Mehari Atey, Ashish Awasthi, Till Barnighausen, Umar Bacha, Aleksandra Barac, Suzanne L. Barker-Collo, Neeraj Bedi, Derrick A. Bennett, Derbew Fikadu Berhe, Sibhatu Biadgilign, Zahid A. Butt, Jonathan R. Carapetis, Ruben Estanislao Castro, Abdulaal A. Chitheer, Kairat Davletov, Samath D. Dharmaratne, Shirin Djalalinia, Huyen Phuc Do, Manisha Dubey, Hedyeh Ebrahimi, Babak Eshrati, Alireza Esteghamati, Maryam S. Farvid, Seyed-Mohammad Fereshtehnejad, Florian Fischer, Solomon Weldemariam Gebrehiwot, Tsegaye Tewelde Gebrehiwot, Richard F. Gillum, Philimon Gona, Rajeev Gupta, Nima Hafezi-Nejad, Randah Ribhi Hamadeh, Samer Hamidi, Mohamed Hsairi, Sun Ha Jee, Jost B. Jonas, Chante Karimkhani, Amir Kasaeian, Yousef Saleh Khader, Ejaz Ahmad Khan, Daniel Kim, Dharmesh Kumar Lal, Heidi J. Larson, Asma Abdul Latif, Shai Linn, Paulo A. Lotufo, Raimundas Lunevicius, Hassan Magdy Abd El Razek, Azeem Majeed, Reza Malekzadeh, Deborah Carvalho Malta, Toni Meier, Peter Memiah, Ziad A. Memish, Walter Mendoza, George A. Mensah, Atte Meretoja, Ted R. Miller, Erkin M. Mirrakhimov, Shafiu Mohammed, Quyen Le Nguyen, Vuong Minh Nong, Jonathan Pearson-Stuttard, Farhad Pishgar, Farshad Pourmalek, Mostafa Qorbani, Amir Radfar, Anwar Rafay, Vafa Rahimi-Movaghar, Rajesh Kumar Rai, Saleem M. Rana, David Laith Rawaf, Salman Rawaf, Andre M. N. Renzaho, Satar Rezaei, Kedir Teji Roba, Gholamreza Roshandel, Mahdi Safdarian, Sare Safi, Saeid Safiri, Mohammad Ali Sahraian, Payman Salamati, Abdallah M. Samy, Milena M. Santric Milicevic, Benn Sartorius, Sadaf G. Sepanlou, Masood Ali Shaikh, Diego Augusto Santos Silva, Jasvinder A. Singh, Badr H. A. Sobaih, Konstantinos Stroumpoulis, Rizwan Suliankatchi Abdulkader, Cassandra E. I. Szoeke, Mohamad-Hani Temsah, Bach Xuan Tran, Kingsley Nnanna Ukwaja, Olalekan A. Uthman, Tommi Vasankari, Vasiliy Victorovich Vlassov, Stein Emil Vollset, Tolassa Wakayo, Robert G. Weintraub, Priscilla R. Wessly, Tissa Wijeratne, Charles D. A. Wolfe, Abdulhalik Workicho, Mohsen Yaghoubi, Yuichiro Yano, Mehdi Yaseri, Naohiro Yonemoto, Mustafa Z. Younis, Chuanhua Yu, Maysaa El Sayed Zaki, Aisha O. Jumaan, Theo Vos, Gregory A. Roth, Simon I. Hay, Mohsen Naghavi, Christopher J. L. Murray, Ali H. Mokdad

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Abstract

Objectives: To report the burden of cardiovascular diseases (CVD) in the Eastern Mediterranean Region (EMR) during 1990–2015. Methods: We used the 2015 Global Burden of Disease study for estimates of mortality and disability-adjusted life years (DALYs) of different CVD in 22 countries of EMR. Results: A total of 1.4 million CVD deaths (95% UI: 1.3–1.5) occurred in 2015 in the EMR, with the highest number of deaths in Pakistan (465,116) and the lowest number of deaths in Qatar (723). The age-standardized DALY rate per 100,000 decreased from 10,080 in 1990 to 8606 in 2015 (14.6% decrease). Afghanistan had the highest age-standardized DALY rate of CVD in both 1990 and 2015. Kuwait and Qatar had the lowest age-standardized DALY rates of CVD in 1990 and 2015, respectively. High blood pressure, high total cholesterol, and high body mass index were the leading risk factors for CVD. Conclusions: The age-standardized DALY rates in the EMR are considerably higher than the global average. These findings call for a comprehensive approach to prevent and control the burden of CVD in the region.
Original languageEnglish
Pages (from-to)137-149
Number of pages13
JournalInternational Journal of Public Health
Volume63
Issue numberSuppl. 1
DOIs
Publication statusPublished - 2018

Open Access - Access Right Statement

© The Author(s) 2017. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

Keywords

  • Middle East
  • cardiovascular system
  • coronary heart disease
  • stroke

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