Cardiac causes of death in Moscow and Moscow Region

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Abstract

Rationale: Cardiovascular disorders play a leading role in populational mortality, but they are not synonymous to cardiac pathology. The city of Moscow and the Moscow Region are one of the biggest urban agglomeration worldwide.

Aim: Analysis of cardiac-related mortality in Moscow and the Moscow Region.

Materials and methods: We calculated standardized mortality coefficients (SMC) for 23  death causes given as separate lines in the Short List of Death Causes by the Russian Agency of Statistics (Rosstat) in 2019.

Results: In 2019, SMC for cardiac causes was 171.2 per 100 000 of the population in Moscow (27.6% of all causes) and 248.7 per 100 000 of the population in the Moscow Region (26.9% of all causes). More than 60% of deaths both in Moscow and in the Moscow Region were caused by chronic variants of ischemic heart diseases, whose criteria are not well-defined or are absent. In Moscow, SMC for myocardial infarction is significantly lower, whereas that for unspecified cardiomyopathy (the code by International Classification of Diseases and Health-related Conditions, version 10 (ICD10) I42.9) is higher. SMC from the groups of death causes related to chronic illness possibly unrelated to atherosclerosis, are comparable: 29.64 in Moscow and 24.59 in the Moscow Region. SMC from arterial hypertension (ICD10 I10-13) are 8.7 and 5.6 per 100000 of the population, respectively.

Conclusion: Despite higher total cardiac mortality in the Moscow Region, SMCs for individual death causes in Moscow are significantly higher. SMC variability is mostly related to different algorithms for determination of primary death cause. ICD10 and the Rosstat the Short List of Death Causes seem to be suboptimal sources to understand the contribution of cardiac causes into the mortality structure. Any correct comparison would become possible after a consensus of expert positions by specialists in Moscow and Moscow Region on the criteria of diagnosis, choice of primary death cause and corresponding disease code.

About the authors

I. V. Samorodskaya

National Medical and Research Center for Therapy and Preventive Medicine

Author for correspondence.
Email: samor2000@yandex.ru
ORCID iD: 0000-0001-9320-1503

Irina V. Samorodskaya – MD, PhD, Professor, Chief Research Fellow, Department of Fundamental and Applied Aspects of Obesity

10–3 Petroverigskiy per., Moscow, 101990, Russian Federation

Russian Federation

E. P. Kakorina

Moscow Regional Research and Clinical Institute (MONIKI)

Email: fake@neicon.ru
ORCID iD: 0000-0001-6033-5564

Ekaterina P. Kakorina – MD, PhD, Professor, Deputy Director on Science and International Communications

61/2 Shchepkina ul., Moscow, 129110, Russian Federation

Russian Federation

References

  1. Ruperti-Repilado FJ, Thomet C, Schwerzmann M. ESC-Leitlinie 2020 zur Behandlung von Erwachsenen mit angeborenem Herzfehler (ACHD) [2020 ESC guidelines on treatment of adult congenital heart disease (ACHD)]. Herz. 2021;46(1):14–27. German. doi: 10.1007/s00059-020-05003-0.
  2. Demografia World Urban Areas (Built Up Urban Areas or World Agglomerations) [Internet]. 16th ann. ed. 2020 Jun. Available from: http://www.demographia.com/db-worldua.pdf.
  3. Драпкина ОМ, Самородская ИВ, Какорина ЕП. Вариабельность региональных показателей смертности. Профилактическая медицина. 2019;22(6-2):28–33. doi: 10.17116/profmed20192206228.
  4. Nomenclature and criteria for diagnosis of ischemic heart disease. Report of the Joint International Society and Federation of Cardiology/World Health Organization task force on standardization of clinical nomenclature. Circulation. 1979;59(3):607–609. doi: 10.1161/01.cir.59.3.607.
  5. Франк ГА, Зайратьянц ОВ, Шпектор АВ, Кактурский ЛВ, Мишнев ОД, Рыбакова МГ, Черняев АЛ, Орехов ОО, Лосев АВ. Формулировка патологоанатомического диагноза при ишемической болезни сердца (класс IX «Болезни системы кровообращения» МКБ10): Клинические рекомендации [Интернет]. М.; 2015. Доступно на: https://www.volgmed.ru/uploads/files/2015-11/49580-klinicheskie_rekomendacii_po_formulirovke_patologoanatomicheskogo_diagnoza_pri_ibs.pdf.
  6. Министерство здравоохранения Российской Федерации. Стабильная ишемическая болезнь сердца: Клинические рекомендации [Интернет]. 2020. Доступно на: https://scardio.ru/content/Guidelines/2020/Clinic_rekom_IBS.pdf.
  7. Knuuti J, Wijns W, Saraste A, Capodanno D, Barbato E, Funck-Brentano C, Prescott E, Storey RF, Deaton C, Cuisset T, Agewall S, Dickstein K, Edvardsen T, Escaned J, Gersh BJ, Svitil P, Gilard M, Hasdai D, Hatala R, Mahfoud F, Masip J, Muneretto C, Valgimigli M, Achenbach S, Bax JJ; ESC Scientific Document Group. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. Eur Heart J. 2020;41(3):407–477. doi: 10.1093/eurheartj/ehz425. Erratum in: Eur Heart J. 2020;41(44): 4242.
  8. Драпкина ОМ, Самородская ИВ, Ларина ВН. Рекомендации Европейского общества кардиологов по диагностике и лечению хронических коронарных синдромов – вопрос приемлемости для первичного звена здравоохранения в Российской Федерации. Кардиология. 2020;60(4):130–136. doi: 10.18087/cardio.2020.4.n1000.
  9. Kunadian V, Chieffo A, Camici PG, Berry C, Escaned J, Maas AHEM, Prescott E, Karam N, Appelman Y, Fraccaro C, Louise Buchanan G, Manzo-Silberman S, Al-Lamee R, Regar E, Lansky A, Abbott JD, Badimon L, Duncker DJ, Mehran R, Capodanno D, Baumbach A. An EAPCI Expert Consensus Document on Ischaemia with Non-Obstructive Coronary Arteries in Collaboration with European Society of Cardiology Working Group on Coronary Pathophysiology & Microcirculation Endorsed by Coronary Vasomotor Disorders International Study Group. Eur Heart J. 2020;41(37):3504–3520. doi: 10.1093/eurheartj/ehaa503.
  10. World Health Organization. The top 10 causes of death [Internet]. 2020 Dec 9. Available from: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death.
  11. Имаева АЭ, Баланова ЮА, Капустина АВ, Шальнова СА, Школьников ВМ. Влияние артериального давления на смертность мужчин и женщин среднего и пожилого возраста: когортное исследование. Экология человека. 2020;(9):49–56. doi: 10.33396/1728-0869-2020-9-49-56.
  12. Rethy L, Shah NS, Paparello JJ, Lloyd-Jones DM, Khan SS. Trends in Hypertension-Related Cardiovascular Mortality in the United States, 2000 to 2018. Hypertension. 2020;76(3):e23–e25. doi: 10.1161/HYPERTENSIONAHA.120.15153.
  13. Dai H, Bragazzi NL, Younis A, Zhong W, Liu X, Wu J, Grossman E. Worldwide Trends in Prevalence, Mortality, and Disability-Adjusted Life Years for Hypertensive Heart Disease From 1990 to 2017. Hypertension. 2021;77(4): 1223–1233. doi: 10.1161/HYPERTENSIONAHA.120.16483.
  14. Centers for Disease Control and Prevention. About Underlying Cause of Death, 1999–2019 [Internet]. Available from: https://wonder.cdc.gov/controller/datarequest/D76;jsessionid=5EC2D14EB30D4617FA1047CAA0BB.
  15. Lu TH. Why hypertension is not the first leading cause of death? – The problems related to the selection rules for underlying cause of death. Taiwan Journal of Public Health. 2001;20(1): 5–14.
  16. Зайратьянц ОВ, Васильева ЕЮ, Михалева ЛМ, Оленев АС, Черкасов СН, Черняев АЛ, Шамалов НА, Шпектор АВ. Правила формулировки патологоанатомического диагноза, выбора и кодирования по МКБ-10 причин смерти. Класс IX. Болезни системы кровообращения. Часть 1. Болезни, характеризующиеся повышенным кровяным давлением. Методические рекомендации № 49. М.: ДЗ г. Москвы; 2019. 44 с.
  17. Coelho JC, Ferretti-Rebustini REL, Suemoto CK, Leite REP, Jacob-Filho W, Pierin AMG. Hypertension is the underlying cause of death assessed at the autopsy of individuals. Rev Esc Enferm USP. 2019;53:e03457. English, Portuguese. doi: 10.1590/S1980-220X2018006103457.

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Copyright (c) 2021 Samorodskaya I.V., Kakorina E.P.

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