Burden of Ischemic Heart Disease in Central Asian Countries, 1990–2017 Publisher



Lui M¹ ; Safiri S^{2, 3, 4} ; Mereke A⁵ ; Davletov K⁵ ; Mebonia N⁶ ; Myrkassymova A⁷ ; Aripov T⁸ ; Mirrakhimov E^{9, 10} ; Aghayan SA¹¹ ; Gamkrelidze A¹² ; Naghavi M¹³ ; Kopec JA¹ ; Sarrafzadegan N^{1, 14}
Source: IJC Heart and Vasculature Published:2021

Abstract

Background: The burden of ischemic heart disease (IHD) is high. There is limited information on the burden of IHD in identified high risk areas like Central Asia (CA) which is comprised of Armenia, Azerbaijan, Georgia, Kazakhstan, Kyrgyzstan, Turkmenistan, Mongolia, Uzbekistan and Tajikistan. This study addresses the burden of IHD in CA at the regional and country levels. Methods: Using data from the latest iteration of the Global Burden of Disease Study (GBD), this study provides age-adjusted mortality, prevalence, and Disability Adjusted Life Years (DALYs) of IHD by sex in the CA region, and national levels for countries in this region from 1990 to 2017. Results: The CA region has a higher IHD burden than the rest of the world over the studied period. Amongst the countries within this region, age-standardized mortality and DALY rates in Uzbekistan are the highest not only in CA but worldwide, while Armenia consistently has the lowest IHD burden in CA. Unhealthy diet, high systolic blood pressure and LDL-cholesterol are the risk factors with the highest attributable IHD DALYs. Conclusion: Increasing burden of IHD over time in CA can be partially explained by the economic crisis in the 1990s. There is considerable variation in IHD DALY rates among countries in the CA region. The reasons for such differences are likely multifactorial such as differences in risk factors distribution, health care effectiveness, political, social and economic factors. © 2021