BookPDF Available

European cardiovascular disease statistics

Authors:

Abstract

This is the third edition of European cardiovascular disease statistics. The first edition was published in 2000 when the European Union (EU) consisted of 15 Member States. After enlargement in 2004 and then again in 2007, there are now 27 Member States. Much has changed in the last seven years, but cardiovascular disease (CVD) remains the main cause of death in the EU. The European cardiovascular disease statistics was the first publication to bring together all the available sources of information about the burden of CVD in Europe, including data on death and illness, treatment, the prevalence of behavioural risk factors for CVD (smoking, diet, physical inactivity and alcohol consumption), and the prevalence of medical conditions associated with CVD (raised cholesterol, raised blood pressure, overweight and obesity, and diabetes). It has become an indispensable resource for anybody working on reducing the burden of CVD in Europe or in public health generally.<br /
European
cardiovascular
disease statistics
1
European
cardiovascular
disease statistics
2008 edition
Steven Allender, Peter Scarborough, Viv Peto and Mike Rayner
British Heart Foundation Health Promotion Research Group
Department of Public Health, University of Oxford
Jose Leal, Ramon Luengo-Fernandez and Alastair Gray
Health Economics Research Centre,
Department of Public Health, University of Oxford
European
cardiovascular
disease statistics
2
European
cardiovascular
disease statistics
3
Contents
Page
Foreword 7
Summary 8
Introduction 9
Chapter 1 Mortality 11
Table 1.1 Total numbers of deaths by cause and sex, latest available year,
Europe 16
Figure 1.1a Deaths by cause, men, latest available year, Europe 18
Figure 1.1b Deaths by cause, women, latest available year, Europe 18
Figure 1.1c Deaths by cause, men, latest available year, EU 19
Figure 1.1d Deaths by cause, women, latest available year, EU 19
Table 1.2 Deaths under 75 by cause and sex, latest available year, Europe 20
Figure 1.2a Deaths under 75 by cause, men, latest available year, Europe 22
Figure 1.2b Deaths under 75 by cause, women, latest available year, Europe 22
Figure 1.2c Deaths under 75 by cause, men, latest available year, EU 23
Figure 1.2d Deaths under 75 by cause, women, latest available year, EU 23
Table 1.3 Deaths under 65 by cause and sex, latest available year, Europe 24
Figure 1.3a Deaths under 65 by cause, men, latest available year, Europe 26
Figure 1.3b Deaths under 65 by cause, women, latest available year, Europe 26
Figure 1.3c Deaths under 65 by cause, men, latest available year, EU 27
Figure 1.3d Deaths under 65 by cause, women, latest available year, EU 27
Table 1.4 Age-standardized death rates from CHD, adults aged 0 to 64,
by sex, 1972 to 2005, Europe 28
Figure 1.4a Age-standardized death rates from CHD, men aged 0 to 64,
latest available year 30
Figure 1.4b Age-standardized death rates from CHD, women aged 0 to 64,
latest available year 30
Figure 1.4c Death rates from CHD, men aged under 65, 1972 to 2005,
selected countries 31
Figure 1.4d Death rates from CHD, women aged under 65, 1972 to 2005,
selected countries 31
Table 1.5 Age-standardized death rates from stroke, adults aged 0 to 64,
by sex, 1972 to 2005 32
Figure 1.5a Age-standardized death rates from stroke, men aged 0 to 64,
latest available year 34
Figure 1.5b Age-standardized death rates from stroke, women aged 0 to 64,
latest available year 34
Figure 1.5c Death rates from stroke, men aged under 65, 1972 to 2005,
selected countries 35
Figure 1.5d Death rates from stroke, women aged under 65, 1972 to 2005,
selected countries 35
European
cardiovascular
disease statistics
4
Chapter 2 Morbidity 36
Table 2.1 Coronary event rates, coronary case fatality, annual change in
coronary event rates and annual change in coronary case fatality
by sex, adults aged 35 to 64, latest available year, MONICA
European Project populations 38
Table 2.2 Disability-adjusted life years (DALYs) by cause, 2002,
WHO Mortality Sub-Region, EU and Europe 39
Figure 2.2a Disability-adjusted life years lost by cause, 2002, Europe 40
Figure 2.2b Disability-adjusted life years lost by cause, 2002, EU 40
Table 2.3 Age-standardized DALYs rate for CHD, stroke and other CVD
by country, 2002, Europe 41
Figure 2.3a Age-standardized DALYs rate for CHD, 2002, Europe 42
Figure 2.3b Age-standardized DALYs rate for stroke, 2002, Europe 42
Chapter 3 Treatment 43
Table 3.1 Rates of hospital discharges from CVD, 1970 to 2005, Europe 45
Table 3.2 Rates of hospital discharges from CHD, 1970 to 2005, Europe 46
Figure 3.2 Rates of hospital discharge from CHD, latest available year, Europe 47
Table 3.3 Rates of hospital discharges from stroke, 1970 to 2005, Europe 48
Table 3.4 Rates of various procedures for treating CVD, around 2000, Europe 49
Figure 3.4a Crude rate of coronary artery bypass surgery, adults aged 35 to 74,
around 2000, Europe 50
Figure 3.4b Crude rate of percutaneous coronary interventions, adults aged 35 to
74, around 2000, Europe 50
Table 3.5 Rates of percutaneous coronary interventions, 1990 to 2003, selected
European countries 51
Figure 3.5 Rates of percutaneous coronary interventions, 1990 to 2003, selected
European countries 52
Table 3.6 Reported medication, hospital patients with established CHD,
around 1999/2000, EUROASPIRE II Survey populations 53
Chapter 4 Smoking 54
Table 4.1 Total numbers of deaths and numbers of deaths due to smoking
by cause, adults aged 35 and over, by sex, 2000 57
Table 4.2 Total all-cause mortality rate and smoking attributable all-cause
mortality rate by age and sex, Europe, 1950 to 2000 58
Figure 4.2a All-cause mortality due to smoking, men aged 35 to 69,
Europe, 2000 60
Figure 4.2b All-cause mortality due to smoking, women aged 35 to 69,
Europe, 2000 60
Figure 4.2c Change in mortality rate due to smoking between 1990 and 2000,
men aged 35 to 69, Europe 61
Figure 4.2d Change in mortality rate due to smoking between 1990 and 2000,
women aged 35 to 69, Europe 61
Table 4.3 Prevalence of smoking by sex, adults aged 15 and over, Europe,
1980 to 2005 62
Figure 4.3a Prevalence of smoking, men aged 15 and over, Europe, latest
available year 63
Figure 4.3b Prevalence of smoking, women aged 15 and over, Europe, latest
available year 63
Table 4.4 Prevalence of smoking by sex, 15 year olds, 1989/90 to 2001/02,
Europe 64
European
cardiovascular
disease statistics
5
Figure 4.4a Prevalence of smoking, boys aged 15, 2001/02, Europe 65
Figure 4.4b Prevalence of smoking, girls aged 15, 2001/02, Europe 65
Table 4.5 Estimated number of deaths attributable to passive smoking,
adults aged 20 and over, Europe, 2002 66
Chapter 5 Diet 67
Table 5.1 Fruit and vegetable consumption by country, adults by sex,
latest available year, Europe 69
Table 5.2 Quantity of fruit and vegetables consumed, Europe,
1969/71 to 2001/03 70
Figure 5.2a Quantity of fruit and vegetables consumed, Europe, 2001/03 71
Figure 5.2b Quantity of fruit and vegetables consumed, selected European
countries, 1969/71 to 2001/03 71
Table 5.3 Percentage of total energy from fat by country and sex, adults,
latest available year, Europe 72
Table 5.4 Quantity of fat consumed and percentage of energy from fat,
Europe, 1969/71 to 2002/04 73
Figure 5.4a Quantity of fat consumed, Europe, 2001/03 74
Figure 5.4b Percentage of energy from fat, selected European countries,
1969/71 to 2001/03 74
Table 5.5 Percentage of total energy from saturated fat, Europe, 1998 75
Chapter 6 Physical activity 76
Table 6.1 Self-reported physical activity levels, 2005, EU-15 countries 77
Figure 6.1 Percentage of adults who do no moderate-intensity activity in a
typical week, 2005, EU-15 countries 78
Chapter 7 Alcohol 79
Table 7.1 Alcohol consumption, adults aged 15 years and above,
1970 to 2005, Europe 80
Figure 7.1 Alcohol consumption, adults aged 15 years and above, 2003 81
Chapter 8 Blood pressure 82
Table 8.1 Systolic blood pressure levels, adults aged 35 to 64, by sex,
latest available data, MONICA European Project populations 83
Figure 8.1 Percentage with systolic blood pressure levels > 160mmHg by sex,
adults aged 35 to 64, latest available year, MONICA European
Project populations 84
Table 8.2 Mean systolic blood pressure by sex, adults aged 15 and over,
Europe, 2002, and projections for 2005 and 2010 85
Chapter 9 Blood cholesterol 86
Table 9.1 Mean total blood cholesterol and percentage with levels of
6.5mmol/l and above, adults aged 35 to 64, by sex, latest available
data, MONICA European Project populations 87
Figure 9.1 Percentage with blood cholesterol levels of 6.5mmol/l and over by
sex, adults aged 35 to 64, latest available year, MONICA European
Project populations 88
Table 9.2 Mean total cholesterol by sex, adults aged 15 and over, Europe,
2002, and projections for 2005 and 2010 89
European
cardiovascular
disease statistics
6
Chapter 10 Overweight and obesity 90
Table 10.1 Prevalence of overweight and obesity, adults aged 35 to 64, by sex,
latest available data, MONICA Project populations 92
Table 10.2 Prevalence of obesity by sex, adults aged 15 and over,
latest available year, Europe 93
Figure 10.2a Prevalence of obesity, men aged 15 and over, latest available
year, Europe 94
Figure 10.2b Prevalence of obesity, women aged 15 and over, latest available
year, Europe 94
Table 10.3 Mean Body Mass Index by sex, adults aged 15 and over, 2002
and projections for 2005 and 2010, Europe 95
Figure 10.3a Mean Body Mass Index, men aged 15 and over, 2002, Europe 96
Figure 10.3b Mean Body Mass Index, women aged 15 and over, 2002, Europe 96
Figure 10.3c Mean Body Mass Index, men aged 15 and over, projections for
2010, Europe 97
Figure 10.3d Mean Body Mass Index, women aged 15 and over, projections for
2010, Europe 97
Table 10.4 Prevalence of overweight and obesity in children, latest available
year, Europe 98
Chapter 11 Diabetes 99
Table 11.1 Prevalence of diabetes, 1980 to 2005, adults, Europe 100
Table 11.2 Estimated prevalence of diabetes, 2003, 2007 and 2025, Europe 101
Figure 11.2 Estimated prevalence of diabetes, 2003, Europe 102
Chapter 12 Economic costs 103
Table 12.1 Health care costs of CVD, by country, 2006, EU 105
Figure 12.1 Costs of CVD to the health care system, 2006, EU 106
Table 12.2 Health care costs of CHD by country, 2006, EU 107
Table 12.3 Health care costs of stroke by country, 2006, EU 108
Table 12.4 Non health care costs of CVD, CHD and stroke, by country,
2006, EU 109
Table 12.5 Total cost of CVD, CHD and stroke, 2006, EU 110
Appendix:
Member states of the WHO European region 111
European
cardiovascular
disease statistics
7
Foreword
This is the third edition of European cardiovascular disease statistics. The first edition was published
in 2000 when the European Union (EU) consisted of 15 Member States. After enlargement in
2004 and then again in 2007, there are now 27 Member States. Much has changed in the last
seven years, but cardiovascular disease (CVD) remains the main cause of death in the EU.
The European cardiovascular disease statistics was the first publication to bring together all
the available sources of information about the burden of CVD in Europe, including data on
death and illness, treatment, the prevalence of behavioural risk factors for CVD (smoking, diet,
physical inactivity and alcohol consumption), and the prevalence of medical conditions associated
with CVD (raised cholesterol, raised blood pressure, overweight and obesity, and diabetes). It
has become an indispensable resource for anybody working on reducing the burden of CVD in
Europe or in public health generally.
The publication also includes an update of the analysis of economic costs of CVD in Europe,
first published in the 2005 edition. The figures are staggering: CVD cost the EU just under 192
billion in 2006, almost 110 billion of which were for health care costs and 82 billion were
from lost productivity and the cost of informal care. The direct health care costs alone cost each
resident of the EU 223 per annum.
Coronary heart diseases (CHD) by itself remains the single most common cause of deaths in
the EU but the 2008 European cardiovascular disease statistics shows a reduction in the crude
number of CHD deaths when compared with the 2005 edition. This reflects a general trend in
Western, Northern and Southern European countries, where CHD mortality rates are falling
steadily. The situation in some Central and Eastern European countries is very different, with
CHD rates rising dramatically. This gradient is more marked for stroke mortality, where the
crude number of deaths increased since 2005. Over 200,000 men and nearly 300,000 women
die of stroke in the EU every year.
The third edition of the European cardiovascular disease statistics is published by the European
Heart Network. We hope that this important document will be used by policy makers, researchers,
health professionals and all those working to improve the health and quality of life for people
living in Europe.
Susanne Løgstrup
Director
European Heart Network
European
cardiovascular
disease statistics
8
Summary
nEach year cardiovascular disease (CVD) causes over 4.3 million deaths in Europe and over
2.0 million deaths in the European Union (EU).
n CVD causes nearly half of all deaths in Europe (48%) and in the EU (42%).
n CVD is the main cause of death in women in all countries of Europe and is the main cause
of death in men in all countries except France, the Netherlands and Spain.
n CVD is the main cause of the disease burden (illness and death) in Europe (23% of all the
disease burden) and the second main cause of the disease burden in those EU countries with
very low child and adult mortality (17%).
n Death rates from CHD are generally higher in Central and Eastern Europe than in Northern,
Southern and Western Europe.
n Death rates from stroke are higher in Central and Eastern Europe than in Northern, Southern
and Western Europe.
n CVD mortality, incidence and case fatality are falling in most Northern, Southern and Western
European Countries but either not falling as fast or rising in Central and Eastern European
countries.
n Each year smoking kills over 1.2 million people in Europe (450,000 from CVD) and about
650,000 people in the EU (185,000 from CVD). The numbers dying in Europe from CVD
due to smoking rose by 13% between 1990 and 2000.
n Smoking has been declining in many European countries but the rate of decline is now slowing.
Women are now smoking nearly as much as men in many European countries and girls often
smoke more than boys.
n Dietary patterns across Europe - once very different - are now converging.
n Diets are generally improving in Northern and Western European countries but deteriorating
in Southern, Central and Eastern European countries.
n Levels of physical inactivity are high in many European countries.
n Levels of obesity are increasing across Europe in both adults and children.
n Over 48 million adults in Europe and 23 million adults in the EU have diabetes and the
prevalence is increasing.
n Overall CVD is estimated to cost the EU economy 192 billion a year.
n Of the total cost of CVD in the EU, around 57% is due to health care costs, 21% due to
productivity losses and 22% due to informal care of people with CVD.
European
cardiovascular
disease statistics
9
Introduction
The aim of the publication
This is the third edition of European cardiovascular disease statistics published by the European
Heart Network. European cardiovascular disease statistics is designed for policy makers, health
professionals, medical researchers and anyone else with an interest in cardiovascular disease
(CVD). It provides the most recent statistics related to the incidence, prevalence, causes and
effects of the disease.
The aim of European cardiovascular disease statistics is to show:
(i) the extent to which CVD is a major health problem in Europe;
(ii) where, in Europe, this problem is greatest;
(iii) the variability in efforts to treat and prevent CVD across Europe as shown by differences
in levels of treatment and in levels of risk factors for the disease;
(iv) the economic costs of CVD in the European Union;
(v) trends in CVD mortality, morbidity, treatment and risk factors over time.
European cardiovascular disease statistics is divided into 12 sections. The first two sections on
mortality and morbidity deal with the burden of CVD in Europe. Next there is a section on
treatment. Then there are four sections on the main aspects of lifestyle which affect the risk of
the disease: smoking, diet, physical activity and alcohol consumption. These are followed by four
sections on the main pathophysiological risk factors for the disease: raised blood pressure, raised
blood cholesterol, overweight/obesity and diabetes. The final section provides information about
the economic costs of CVD in the European Union (EU)1. Each section contains a set of tables
and graphs and a brief description of the data presented.
In European cardiovascular disease statistics we aim only to describe and not to explain. So,
although there may be relationships between the various geographical and temporal patterns
observed, we have made no attempt to draw any conclusions about the strength of these
relationships or about causality.
Sources and scope of the data
In compiling the first 11 sections of European cardiovascular disease statistics we have only
consulted international sources: that is the World Health Organization (WHO), the WHO
MONICA (monitoring trends and determinants in cardiovascular disease) Project, Eurostat
(provided by the European Commission), the Food and Agriculture Organization of the United
Nations, the EU, the European Society of Cardiology etc. In the final section on economic costs,
we have also consulted national sources. It should be noted that the data presented are extremely
variable in quality and are only a selection of those available. The original sources need to be
consulted for further information.
European
cardiovascular
disease statistics
10
We also investigated several sources of data from which we have not extracted statistics: either
because the data provided were similar, but less comprehensive or less recent than those we have
included, or were not directly relevant to the focus of the publication.
There are many different definitions of ‘Europe’. We have chosen to use the member states of
the World Health Organization’s European Region as our definition of ‘Europe’. (An appendix
provides a list and a map of the European Region and the EU.) The number of European countries
covered in the tables and graphs varies considerably. We have, where possible, given an overall
figure for Europe and also for the EU.
Previous publications
There have been several previous attempts to characterise the burden of CVD in Europe and to
examine geographical and temporal patterns in the disease and its prevention and treatment.
Notable in this regard is the 1997 report of a Task Force of the European Society of Cardiology
on Cardiovascular Mortality and Morbidity Statistics in Europe2 and a report published by the
European Society of Cardiology entitled Cardiovascular diseases in Europe from which we draw
data on rates of procedures in Europe3. European cardiovascular disease statistics, complements
these publications. It is less detailed but more up-to-date than the European Society of Cardiology
Task Force report and, in contrast to both previous publications, includes data on the prevalence
of risk factors for CVD and the economic costs of CVD.
This publication is also designed to complement the work of the European Commission on
monitoring health in the EU. Since the mid-1990s health status reports have been prepared for the
European Commission on a regular basis. The recent The health status of the European Union:
narrowing the health gap, was published in 20034. This report- like European cardiovascular
disease statistics - shows that CVD is the main health problem in the EU.
1. Because of a paucity of published economic data in many countries, the economic costs section of this publication relates only to
the EU.
2. Task Force of the European Society of Cardiology on Cardiovascular Mortality and Morbidity Statistics in Europe (1997) The
burden of cardiovascular diseases mortality in Europe. European Heart Journal 18; 1231-48.
3. European Society of Cardiology (2004) Cardiovascular Diseases in Europe. Nice: ESC.
4. European Commission (2003) The health status of the European Union: narrowing the health gap. Luxembourg: Office for Official
Publications of the European Union.
European
cardiovascular
disease statistics
11
1. Mortality
Total mortality
Diseases of the heart and circulatory system (cardiovascular disease or CVD) are the main cause
of death in Europe: accounting for over 4.30 million deaths each year1. Nearly half (48%) of all
deaths are from CVD (54% of deaths in women and 43% of deaths in men). The main forms of
CVD are coronary heart disease (CHD) and stroke. Just under half of all deaths from CVD are
from CHD and nearly a third are from stroke (Table 1.1, Figures 1.1a and 1.1b).
CVD is also the main cause of death in the European Union (EU) accounting for over 2.0 million
deaths each year. Nearly half (42%)2 of all deaths in the EU (45% deaths in women and 38%
deaths in men) are from CVD - slightly less than for Europe as a whole. Over a third of deaths
from CVD are from CHD and just over a quarter are from stroke (Table 1.1, Figures 1.1c and
1.1d).
CHD by itself is the single most common cause of death in Europe: accounting for 1.92 million
deaths in Europe each year. Over one in five women (22%) and over one in five men (21%) die
from the disease (Table 1.1).
CHD by itself is also the single most common cause of death in the EU: accounting for over
741,000 deaths in the EU each year. Around one in six men (16%) and over one in seven women
(15%) die from the disease (Table 1.1).
Stroke by itself is the second single most common cause of death in Europe: accounting for 1.24
million deaths in Europe each year. Over one in six women (17%) and one in ten men (11%)
die from the disease (Table 1.1)
Stroke by itself is also the second single most common cause of death in the EU: accounting for
just over 508,000 deaths in the EU each year. Around one in ten men (9%) and one in eight
women (12%) die from the disease (Table 1.1).
CVD is the main cause of death for women in all 48 countries of Europe for which we have
mortality data and it is the main cause of death for men in all these countries except France, the
Netherlands and Spain3. CVD causes more than 50% of deaths in women in 25 countries. These
countries are mostly in Central and Eastern Europe but they also include some Southern and
Western European countries such as Greece. CVD causes more than 50% of deaths in men in eight
countries: Armenia, Azerbaijan, Bulgaria, Georgia, FYR Macedonia, Serbia and Montenegro,
Romania, and Ukraine (Table 1.1).
CVD is the main cause of death for women in all 27 countries of the EU and it is the main cause
of death for men in all these countries except France, the Netherlands and Spain3. For men living
in EU countries CVD causes between 62% (Bulgaria) and 26% of deaths (France)
3
and for women
between 71% (Bulgaria) and 31% of deaths (France)3 (Table 1.1).
European
cardiovascular
disease statistics
12
Deaths before the age of 75
CVD is the main cause of deaths before the age of 75 in Europe: accounting for over 1.81 million
deaths each year. 43% of deaths before the age of 75 in women and 38% of deaths before the age
of 75 in men are from CVD. One in four of all men (25%) and one in six of all women (16%)
die from CVD before the age of 75 (Tables 1.1 and 1.2, Figures 1.2a and 1.2b).
CVD is the second main cause of death before the age of 75 in the EU: accounting for over
576,000 deaths. CVD causes 30% of deaths but cancer causes 36% of deaths. 31% of deaths
before the age of 75 in men and 29% of deaths before the age of 75 in women are from CVD.
One in six of all men (16%) and one in 12 of all women (8%) die from CVD before the age of
75 (Tables 1.1 and 1.2, Figures 1.2c and 1.2d).
CHD by itself is the single most common cause of death before the age of 75 in Europe: accounting
for over 900,000 deaths. 20% of deaths before the age of 75 in men and 19% of deaths before
the age of 75 in women are from CHD (Table 1.2, Figures 1.2a and 1.2b).
CHD by itself is the single most common cause of death before the age of 75 in the EU: accounting
for over 250,000 deaths. In the EU CHD causes 15% of deaths before the age of 75 in menmore
than the most common form of cancer in men - lung cancer - which causes 11% of deaths. CHD
causes 10% of deaths before the age of 75 in women - more that the most common form of cancer
in women - breast cancer - which causes 8% of deaths (Table 1.2, Figures 1.2c and 1.2d).
Stroke accounts for almost 500,000 deaths among those aged 75 and under in Europe. Of all
deaths in Europe among those aged under 75 almost one in ten men (9%) and one in seven
women (14%) die from stroke.
Stroke accounts for just over 130,000 deaths among those aged 75 and under in the EU. Of the
deaths in the EU among those aged under 75 6% of men and 8% of women die from stroke.
CVD is the main cause of death before the age of 75 for men in 28 of the 48 countries of Europe
for which we have mortality data and for women in 23 countries. The countries where CVD is the
main cause of death before the age of 75 are generally Central and Eastern European countries but,
for men in particular, they also include Northern, Southern and Western countries. CVD causes
between 61% (Georgia) and 18% (France)3 of deaths before the age of 75 in men, and between
64% (Georgia) and 16% (France)3 of deaths before the age of 75 in women (Table 1.2).
CVD is the main cause of death before the age of 75 for men in 12 countries out of 27 in the EU
(Bulgaria, Cyprus, Czech Republic, Estonia, Finland, Hungary, Latvia, Lithuania, Malta, Poland,
Romania and Slovakia). For women it is the main cause in seven countries: Bulgaria, Estonia,
Hungary, Latvia, Lithuania, Romania and Slovakia (Table 1.2).
Deaths before the age of 65
CVD is the main cause of death before the age of 65 in Europe: accounting for over 803,000
deaths each year. 31% of deaths before the age of 65 in men and 29% of deaths before the age
of 65 in women are from CVD. One in eight of all men (12%) and one in 20 of all women (5%)
die from CVD before the age of 65 (Tables 1.1 and 1.3, Figures 1.3a and 1.3b).
CVD is the second main cause of death before the age of 65 in the EU: accounting for just under
232,000 deaths. CVD causes 24% of deaths but cancer causes 35% of deaths. 26% of deaths
European
cardiovascular
disease statistics
13
before the age of 65 in men and 19% of deaths before the age of 65 in women are from CVD.
7% of all men and 3% of all women die from CVD before the age of 65 (Tables 1.1 and 1.3,
Figures 1.3c and 1.3d).
CHD by itself is the single most common cause of death before the age of 65 in Europe: accounting
for just under 401,000 deaths. 17% of deaths before the age of 65 in men and 12% of deaths
before the age of 65 in women are from CHD (Table 1.3, Figures 1.3a and 1.3b).
CHD by itself is the single most common cause of death before the age of 65 in the EU: accounting
for just over 104,000 deaths. In the EU, CHD causes 13% of deaths before the age of 65 in
men - more than the most common form of cancer in men - lung cancer - which causes 10% of
deaths. CHD causes 6% of deaths before the age of 65 in women - less than the most common
form of cancer in women - breast cancer - which causes 11% of deaths (Table 1.3, Figures 1.3c
and 1.3d).
Stroke accounts for more than 190,000 deaths among those aged 65 and under in Europe. Of
all deaths in Europe among those aged under 65 6% of men and one in eleven women (9%) die
from stroke.
Stroke accounts for just under 48,000 deaths among those aged 65 and under in the EU. Of all
deaths in the EU among those aged under 65 5% of men and 6% of women die from stroke.
CVD is the main cause of death before the age of 65 for men in 26 of the 48 countries of Europe
for which we have mortality data and for women in 17 countries. In women, the countries
where CVD is the main cause of death before the age of 65 are all Central and Eastern European
countries. CVD causes between 50% (Georgia) and 15% (France)3 of deaths before the age of
65 in men, and between 46% (Georgia) and 11% (France)3 of deaths before the age of 65 in
women (Table 1.3).
CVD is the main cause of death before the age of 65 for men in 11 countries in the EU (Bulgaria,
Cyprus, Estonia, Finland, Hungary, Latvia, Lithuania, Malta, Poland, Romania and Slovakia). For
women it is the main cause of death before the age of 65 in three countries in the EU: Bulgaria,
Latvia and Romania (Table 1.3).
Death rates
Death rates from CHD are generally higher in Central and Eastern Europe than in Northern,
Southern and Western Europe. For example the death rate for men aged under 65 living in Ukraine
is fourteen times higher than in France3 and for women it is twenty-five times higher. Western
European countries generally have higher rates than Southern European countries. For example
the death rate for men aged under 65 living in Ireland is 1.6 times higher than in Italy and for
women it is 1.8 times higher (Table 1.4, Figures 1.4a and 1.4b).
Death rates from stroke are higher in Central and Eastern Europe than in Northern, Southern
and Western Europe. For example the death rate in men aged under 65 living in the Russian
Federation is twenty times higher than in Switzerland and for women of the same age it is fifteen
times higher (Table 1.5, Figures 1.5a and 1.5b).
Over the past 30 years death rates from CHD have been falling rapidly in most Northern and
Western European countries but rising rapidly in some Central and Eastern European countries.
European
cardiovascular
disease statistics
14
For example death rates for men aged under 65 living in Finland and the United Kingdom fell by
37% and 42% respectively between 1994 and 2004, but rose by 57% for men of the same age
living in Albania and by 19% for men living in the Ukraine. For women aged under 65 living
in Finland and the United Kingdom death rates fell by 35% and 49% respectively, but rose by
46% for women living in Albania and by 19% for women living in Ukraine (Table 1.4, Figures
1.4c and 1.4d).
Death rates from stroke are falling rapidly in most European countries with some exceptions.
For example death rates for men aged under 65 living in Germany and UK fell by 43% and 28%
respectively between 1994 and 2004. For women aged 65 and under living in Germany and UK
death rates fell by 37% and 28% respectively but rose by 15% for women living in Albania
(Table 1.5, Figure 1.5c and 1.5d).
A recent publication by the Institute des Sciences de la Sante, describes changes in CHD mortality
in under 75s in the EU over a decade, between 1990/91 and 2000/02. Age-standardized death
rates fell in all countries, but not equally across the EU. Death rates almost halved in four
countries - the Czech Republic, the UK, Ireland and Finland. Elsewhere rates fell by about one
fifth to one-third, the only exceptions being Latvia (men) and Poland (women) where there were
improvements of just over 10%4.
The WHO MONICA Project measured trends in CHD mortality between the early 1980s and
1990s, in 37 populations worldwide, including 29 populations in Europe. Results showed that
around two-thirds of the decline in CHD mortality during this period was due to a decline in
CHD incidence rates and the remaining one-third was due to improvements in survival because
of better treatments. This highlights the importance of improvements in cardiovascular risk
factors such as smoking5.
This conclusion was also found in a recent study looking at the decline in CHD mortality over a
20-year period in the UK. The authors found that between 1981 and 2000 in England and Wales,
58% of the decline was attributable to reductions in major risk factors, principally smoking,
whereas treatment of individuals, including secondary prevention, explained the remaining 42%
of the mortality decline6.
Years of life lost due to an early death
CVD is not only the main cause of death in Europe and the EU but is also the main cause of
years lost due to an early death.
The WHO Global Burden of Disease Study found that in 1990 on average 31% of years of life
lost were due to CVD in ‘Established Market Economies’ (mostly Northern, Southern and Western
countries in Europe and all the member states of the EU - 15). This was more than any other
cause. On average 16% of years of life lost were due to CHD in Established Market Economies,
so by itself CHD was the most important cause of years of life lost in these countries7.
In Central and Eastern European countries 35% of years of life lost were due to CVD - again
more than from any other cause - and 18% were lost due to CHD7.
European
cardiovascular
disease statistics
15
1. When we state, in this section, that CVD is the main cause of death we are comparing “Diseases of the circulatory system” (Chapter
IX 10th Revision) of the International Classification of Diseases, with other chapters (e.g. Chapter II “Neoplasms”). When we state
that CHD is the most common cause of death we are comparing CHD ( Chapter IX, I20-I25, 10th Revision) with all diseases within
all chapters (e.g. with lung cancer, Chapter II, C33-C34, 10th Revision).
2. This figure and similar figures in the text are calculated from the tables rather than the graphs. Figures in the text may not seem to
correspond exactly to figures in graphs because of rounding.
3. Data from the WHO MONICA project suggest that official mortality statistics in France under-report deaths from CVD compared
to other countries. MONICA data from the French populations included in the MONICA Project (Lille, Strasbourg and Toulouse)
show an underestimate of CHD deaths of over 75%. (See WHO Monica Project (2003) MONICA Monograph and Multimedia
Sourcebook: World’s largest study of heart disease stroke, risk factors and population trends 1979-2002. Edited by Hugh Tunstall-
Pedoe for the WHO MONICA Project. WHO: Geneva). Table 1.1 also highlights that doctors in France have a much higher rate
of reporting deaths from “all other causes”. Together these suggest that the true numbers and proportions of deaths from CVD and
CHD in France are likely to be higher than those reported in Table and Figures 1.1.
4. Newey C, Nolte E, Mckee M and Mossialos E (2004) Avoidable mortality in the Enlarged European Union. ISS Statistics 2.
Brussels:ISS.
5. Tunstall-Pedoe H, Kuulasmaa K, Mahonen M, Tolonen H, Ruokokoski E, Amouyel P, for the WHO MONICA Project (1999)
Contribution of trends in survival and coronary event rates to changes in coronary heart disease mortality: 10 year results from
37 WHO MONICA Project populations. Monitoring trends and determinants in cardiovascular disease. The Lancet; 353: 1547-
1557.
6. Unal B, Critchley J and Capewell S (2004) Explaining the decline in coronary heart disease mortality in England and Wales between
1981 and 2000. Circulation; 109:1101-1107.
7. Murray JL and Lopez AD (1996) The global burden of disease. WHO: Geneva.
European
cardiovascular
disease statistics
16
Table 1.1 Total number of deaths by cause and sex, latest available year, Europe
Year All causes Coronary Stroke Other CVD Stomach Colo-rectal Lung Breast Other Respiratory Injuries and All other
heart disease cancer cancer cancer cancer cancer disease poisoning causes
MEN
Albania 2004 9,949 1,593 1,521 1,583 233 60 507 13 894 557 905 2,083
Armenia 2002 13,093 4,292 1,810 552 267 159 743 0 1,196 931 824 2,319
Austria 2006 34,757 6,908 2,103 4,159 525 1,230 2,465 24 5,850 2,219 2,769 6,505
Azerbaijan 2002 24,405 9,112 2,282 1,661 656 164 656 17 1,779 1,754 1,422 4,902
Belarus 2001 73,649 24,324 8,206 3,475 1,725 1,097 3,312 0 5,349 4,587 13,198 8,376
Belgium 1997 51,888 6,723 3,652 6,656 644 1,532 6,029 17 7,847 6,225 4,054 8,509
Bulgaria 2005 60,761 9,856 10,657 17,217 970 1,429 3,224 31 4,665 2,790 2,986 6,936
Croatia 2005 26,066 4,819 3,373 3,151 556 998 2,300 10 3,566 1,817 1,950 3,526
Cyprus 2005 2,835 447 176 443 18 38 139 0 359 195 269 751
Czech Republic 2005 54,072 11,330 5,808 7,435 755 2,463 4,436 23 7,890 3,237 4,333 6,362
Denmark 2001 27,877 4,832 2,129 3,079 237 1,024 2,029 16 4,428 2,542 1,815 5,746
Estonia 2005 8,834 2,268 888 922 163 203 546 1 1,024 331 1,276 1,212
Finland 2005 23,965 5,916 1,792 1,639 301 505 1,438 1 3,273 1,445 2,997 4,658
France 2005 276,553 23,300 14,844 33,413 3,177 8,856 23,467 203 54,454 18,365 23,399 73,075
Georgia 2001 19,569 7,518 4,323 1,386 266 205 659 0 1,036 528 1,139 2,509
Germany 2005 388,554 72,003 24,786 55,485 6,211 13,696 30,347 245 61,569 29,333 20,358 74,521
Greece 2005 55,030 7,878 7,226 8,534 780 1,132 5,352 29 8,669 4,337 3,101 7,992
Hungary 2005 69,781 17,559 6,837 8,240 984 2,462 5,836 24 7,828 3,724 5,442 10,845
Iceland 2005 944 193 65 78 17 25 75 1 169 85 66 170
Ireland 2006 14,111 2,741 767 1,421 192 558 1,033 7 2,364 1,845 909 2,274
Israel 1999 18,836 3,100 1,013 1,596 270 592 869 11 2,571 1,386 1,446 5,982
Italy 2002 279,296 39,345 26,545 39,836 6,266 9,164 27,512 101 46,998 20,617 16,026 46,886
Kazakhstan 2002 82,913 19,788 8,664 8,027 1,520 666 2,985 0 5,009 6,310 16,135 13,809
Kyrgyzstan 2002 19,249 4,178 2,909 913 352 116 345 3 775 2,366 2,905 4,387
Latvia 2005 16,632 4,403 2,217 1,563 318 316 961 3 1,609 667 2,440 2,135
Lithuania 2005 23,384 6,950 2,010 1,775 431 465 1,279 6 2,252 1,223 4,314 2,679
Luxembourg 2005 1,735 216 122 258 23 52 152 0 281 144 138 349
Macedonia, TFYR 2006 10,000 1,300 1,722 2,487 242 186 714 7 887 396 476 1,583
Malta 2005 1,576 414 130 115 23 47 112 0 205 189 72 269
Moldova 2002 21,518 7,129 2,864 527 296 319 594 6 1,485 1,721 2,723 3,854
Netherlands 2005 66,362 7,631 4,032 9,110 963 2,267 6,549 21 11,441 7,305 3,070 13,973
Norway 2004 20,025 3,557 1,541 2,195 244 806 1,211 3 3,325 1,711 1,553 3,879
Poland 2005 196,786 27,016 16,702 35,537 3,562 4,959 18,104 51 24,375 11,066 19,211 36,203
Portugal 2005 55,753 4,586 7,112 4,785 1,463 1,856 2,947 19 7,136 6,139 3,297 16,413
Romania 2005 138,461 28,012 25,249 23,955 2,516 2,557 8,266 49 12,693 8,311 9,818 17,035
Russian Federation 2002 1,249,784 308,708 183,890 100,378 23,812 15,866 47,620 229 73,386 72,564 264,055 159,276
San Marino 2000 105 3 9 30 8 2 10 0 22 5 5 11
Serbia and Montenegro 2000 61,656 7,763 8,616 15,188 904 1,276 3,586 31 5,795 3,191 3,401 11,905
Slovakia 2005 28,151 7,064 1,946 4,458 419 1,052 1,901 8 3,526 1,786 2,456 3,535
Slovenia 2005 9,413 1,128 728 1,439 209 335 855 0 1,408 758 973 1,580
Spain 2005 201,769 22,188 14,611 20,943 3,549 7,472 18,178 65 31,578 27,183 11,798 44,204
Sweden 2004 44,194 9,673 3,696 5,228 476 1,257 1,878 10 7,721 2,845 3,175 8,235
Switzerland 2004 28,991 4,603 1,626 3,659 311 848 2,022 9 5,260 2,068 2,147 6,438
Tajikistan 2001 14,252 2,718 836 2,483 236 43 75 0 570 1,910 1,065 4,316
Turkmenistan 1998 16,517 3,648 626 2,861 167 40 151 0 722 2,543 1,842 3,917
Ukraine 2002 385,385 136,352 42,226 23,168 7,090 5,925 14,829 0 25,614 22,777 60,298 47,106
United Kingdom 2005 277,309 56,337 21,899 21,706 3,527 8,653 20,098 92 47,414 36,737 12,648 48,198
Uzbekistan 2000 70,794 19,210 7,402 6,891 808 232 740 0 3,154 8,489 7,941 15,927
European Union 2,409,861 386,637 208,787 319,356 38,749 75,566 195,056 1,037 368,603 201,685 163,290 451,095
Total Europe 4,577,539 960,632 494,188 501,640 78,682 105,205 279,136 1,386 511,421 339,254 548,640 757,355
European
cardiovascular
disease statistics
17
Table 1.1 continued
Year All causes Coronary Stroke Other CVD Stomach Colo-rectal Lung Breast Other Respiratory Injuries and All other
heart disease cancer cancer cancer cancer cancer disease poisoning causes
WOMEN
Albania 2004 7,799 1,065 1,661 1,501 138 41 150 138 544 396 310 1,855
Armenia 2002 12,461 4,193 2,563 617 138 178 137 457 958 489 247 2,484
Austria 2006 39,538 8,052 3,508 7,759 491 1,119 1,077 1,563 4,712 2,182 1,442 7,633
Azerbaijan 2002 22,121 8,609 2,914 1,927 432 158 183 410 1,404 1,446 447 4,191
Belarus 2001 66,650 26,335 11,768 2,628 1,241 1,207 392 1,272 3,863 1,928 3,441 12,575
Belgium 1997 51,912 5,256 5,801 9,866 499 1,627 1,145 2,416 6,118 4,447 2,238 12,499
Bulgaria 2005 52,613 7,897 11,715 17,590 629 1,097 667 1,293 3,772 1,679 945 5,329
Croatia 2005 25,724 5,129 4,781 4,776 350 749 569 922 2,620 1,363 928 3,537
Cyprus 2005 2,590 256 255 527 9 33 48 87 248 169 169 789
Czech Republic 2005 53,866 12,037 8,780 9,765 541 1,783 1,400 1,916 6,826 2,803 2,043 5,972
Denmark 2001 29,755 4,434 2,941 3,458 179 1,068 1,508 1,333 3,629 2,797 1,263 7,145
Estonia 2005 8,482 2,644 1,446 1,063 150 210 144 242 796 142 383 1,262
Finland 2005 23,786 5,812 2,669 1,936 240 544 540 827 2,924 1,022 1,298 5,974
France 2005 261,633 17,842 20,076 43,407 1,867 7,958 6,127 11,466 33,608 17,269 15,366 86,647
Georgia 2001 19,770 8,158 5,381 1,571 224 191 166 535 954 412 206 1,972
Germany 2005 441,672 76,638 42,332 96,120 5,090 13,843 11,871 17,454 51,076 28,411 12,687 86,150
Greece 2005 49,476 4,706 9,952 11,192 500 993 950 1,790 5,644 3,855 923 8,971
Hungary 2005 65,951 19,334 8,720 10,248 738 2,095 2,294 2,085 6,269 2,778 2,548 8,842
Iceland 2005 893 143 85 92 14 26 56 31 97 96 38 215
Ireland 2006 13,368 2,119 1,136 1,478 133 396 650 667 1,868 2,133 383 2,405
Israel 1999 18,455 2,699 1,260 1,969 193 607 349 918 2,234 1,296 646 6,284
Italy 2002 281,094 36,035 39,350 56,087 4,686 8,072 6,685 11,309 36,073 15,324 10,667 56,806
Kazakhstan 2002 65,787 19,355 11,577 8,036 1,074 795 683 1,317 4,807 3,475 4,558 10,110
Kyrgyzstan 2002 15,986 4,492 3,477 813 197 129 93 204 784 1,780 713 3,304
Latvia 2005 16,177 4,565 3,833 1,495 228 382 212 400 1,396 258 787 2,621
Lithuania 2005 20,415 8,099 3,400 1,589 337 463 225 582 2,008 513 1,235 1,964
Luxembourg 2005 1,861 184 202 419 14 62 63 62 209 130 73 443
Macedonia, TFYR 2006 8,630 780 1,936 2,707 123 143 132 252 705 295 177 1,380
Malta 2005 1,554 348 196 185 15 43 17 71 166 116 45 352
Moldova 2002 20,335 8,932 3,735 532 190 269 149 434 1,059 972 770 3,293
Netherlands 2005 70,040 5,712 6,294 10,571 566 2,333 3,092 3,301 8,813 7,010 2,273 20,075
Norway 2004 21,232 3,212 2,287 3,070 164 780 749 694 2,513 1,783 1,002 4,978
Poland 2005 171,499 22,757 22,310 43,905 1,955 4,500 5,123 5,112 22,655 7,481 6,152 29,549
Portugal 2005 52,086 4,051 9,168 7,021 965 1,463 652 1,479 4,744 5,160 1,260 16,123
Romania 2005 123,640 26,633 30,635 28,513 1,215 2,100 1,771 3,169 10,236 5,040 3,223 11,105
Russian Federation 2002 1,082,488 309,463 301,951 103,681 17,483 19,520 8,625 21,873 64,539 28,439 75,241 131,673
San Marino 2000 83 4 7 27 2 3 3 5 10 6 0 16
Serbia and Montenegro 2000 56,422 5,613 10,644 18,163 520 921 972 1,600 4,555 2,124 1,243 10,067
Slovakia 2005 25,324 8,201 2,375 5,087 318 720 386 707 2,757 1,328 676 2,769
Slovenia 2005 9,412 1,010 981 2,362 147 317 279 389 1,167 641 462 1,657
Spain 2005 185,586 17,125 20,139 31,901 2,132 5,462 2,540 5,727 20,036 19,906 5,104 55,514
Sweden 2004 46,891 8,298 5,379 6,780 357 1,289 1,507 1,572 5,799 2,902 1,941 11,067
Switzerland 2004 31,189 4,595 2,457 5,511 219 761 874 1,379 3,746 1,780 1,394 8,473
Tajikistan 2001 12,485 2,429 801 2,491 175 33 45 102 513 1,772 566 3,558
Turkmenistan 1998 13,179 3,247 750 2,971 102 64 46 100 578 1,989 736 2,596
Ukraine 2002 369,526 168,579 65,305 29,715 4,497 5,692 2,625 7,954 20,088 9,048 16,013 40,010
United Kingdom 2005 305,551 44,876 35,829 28,085 2,152 7,464 14,194 12,434 37,706 44,662 7,963 70,186
Uzbekistan 2000 64,804 21,451 9,788 6,645 519 229 279 696 2,939 7,217 2,739 12,302
European Union 2,406,606 355,196 299,378 438,606 26,168 67,465 65,135 89,484 281,333 180,277 83,642 519,922
Total Europe 4,341,791 963,404 744,550 637,852 54,148 99,932 82,444 130,746 400,765 248,264 194,964 784,722
Notes: No national mortality data available for Andorra, Bosnia and Herzegovina, Monaco and Turkey.
Source: World Health Organization (2007) www.who.int/whosis/database/mort/table1.cfm
Eurostat (2007) http://epp.eurostat.ec.europa.eu/portal/page?_pageid=1090,30070682,1090_33076576&_dad=portal&_schema=PORTAL
European
cardiovascular
disease statistics
18
Figure 1.1a Deaths by cause, men, latest available year,
Europe
All other causes
17%
Other cancer 11%
Respiratory disease
7%
Lung cancer 6%
Injuries and poisoning
12%
Stomach cancer 2%
Coronary
heart disease
21%
Other CVD
11%
Colo-rectal cancer 2%
Stroke
11%
Figure 1.1b Deaths by cause, women, latest available year,
Europe
All other causes
18%
Other cancer 9%
Respiratory disease
6%
Lung cancer 2%
Injuries and poisoning
5%
Stomach cancer 1%
Coronary
heart disease
22%
Other CVD
15%
Colo-rectal cancer 2%
Stroke
17%
Breast cancer 3%
European
cardiovascular
disease statistics
19
Figure 1.1c Deaths by cause, men, latest available year,
EU
Figure 1.1d Deaths by cause, women, latest available year,
EU
All other causes
19%
Other cancer 15%
Respiratory disease
8%
Lung cancer 8%
Injuries and poisoning
7%
Stomach cancer 2%
Coronary
heart disease
16%
Other CVD
13%
Colo-rectal cancer 3%
Stroke
9%
European
cardiovascular
disease statistics
20
Table 1.2 Deaths under 75 by cause and sex, latest available year, Europe
Year All causes Coronary Stroke Other CVD Stomach Colo-rectal Lung Breast Other Respiratory Injuries and All other
heart disease cancer cancer cancer cancer cancer disease poisoning causes
MEN
Albania 2004 6,084 1,020 657 785 184 54 375 10 670 314 867 1,148
Armenia 2002 9,701 2,873 1,130 415 229 124 668 0 1,027 659 764 1,812
Austria 2006 16,529 2,538 604 1,175 260 634 1,675 10 3,181 718 2,098 3,636
Azerbaijan 2002 20,036 6,821 1,692 1,310 558 152 603 15 1,617 1,545 1,396 4,327
Belarus 2001 58,025 17,160 6,107 2,973 1,438 852 2,914 0 4,531 3,428 12,876 5,746
Belgium 1997 27,275 3,668 1,322 2,545 359 862 4,220 12 4,463 2,346 3,344 4,134
Bulgaria 2005 35,515 5,608 5,072 8,294 669 897 2,712 22 3,340 1,635 2,621 4,645
Croatia 2005 15,999 2,692 1,667 1,472 367 625 1,818 6 2,476 881 1,630 2,365
Cyprus 2005 1,282 226 56 122 12 19 84 0 161 50 218 334
Czech Republic 2005 31,230 5,499 2,137 3,525 461 1,514 3,409 13 5,006 1,576 3,672 4,418
Denmark 2001 13,063 1,826 681 1,194 145 534 1,260 10 2,354 814 1,294 2,951
Estonia 2005 6,072 1,248 506 611 133 124 416 1 676 220 1,204 933
Finland 2005 12,919 2,648 685 936 183 300 880 1 1,810 498 2,496 2,482
France 2005 130,665 9,379 4,565 10,217 1,697 4,295 16,327 114 29,506 4,937 16,352 33,276
Georgia 2001 13,913 4,846 2,774 898 210 161 575 0 866 439 1,091 2,053
Germany 2005 201,986 32,049 8,885 21,561 3,605 7,832 20,984 141 36,483 10,784 15,676 43,986
Greece 2005 24,500 4,411 2,070 2,275 444 540 3,484 10 4,284 1,245 2,668 3,069
Hungary 2005 44,144 8,987 3,289 4,375 638 1,608 4,731 10 5,634 2,054 4,510 8,308
Iceland 2005 376 70 14 23 6 14 48 1 73 17 51 59
Ireland 2006 6,710 1,219 255 537 121 317 637 4 1,236 475 805 1,104
Israel 1999 9,127 1,221 391 637 136 279 609 4 1,360 484 1,172 2,834
Italy 2002 124,064 15,889 6,659 12,395 3,336 4,839 17,383 60 25,357 5,149 11,288 21,709
Kazakhstan 2002 70,914 14,885 6,649 6,604 1,302 530 2,668 0 4,310 5,261 15,922 12,783
Kyrgyzstan 2002 15,933 2,803 2,199 782 312 92 306 3 673 1,842 2,859 4,062
Latvia 2005 11,987 2,812 1,269 1,188 222 206 759 3 1,169 530 2,343 1,486
Lithuania 2005 16,578 3,821 1,073 1,328 306 285 1,010 2 1,562 815 4,114 2,262
Luxembourg 2005 926 119 42 107 17 25 100 0 165 62 116 173
Macedonia, TFYR 2006 6,074 921 890 1,027 165 130 610 5 659 192 403 1,072
Malta 2005 746 190 36 53 16 27 77 0 115 52 58 122
Moldova 2002 16,015 3,889 1,941 457 262 260 551 5 1,308 1,280 2,632 3,430
Netherlands 2005 30,466 3,598 1,317 3,424 554 1,235 3,964 13 6,223 1,855 2,211 6,072
Norway 2004 7,872 1,216 375 552 105 351 734 1 1,457 395 1,148 1,538
Poland 2005 128,698 16,486 9,014 17,221 2,432 3,214 14,045 34 16,605 5,371 17,548 26,728
Portugal 2005 26,255 2,113 2,179 1,395 895 1,005 2,087 9 4,013 1,662 2,631 8,266
Romania 2005 87,734 15,495 12,885 10,342 1,858 1,784 7,173 31 9,629 5,331 9,076 14,130
Russian Federation 2002 1,046,236 237,332 126,244 83,069 20,023 12,119 41,625 182 62,501 61,621 259,141 142,379
San Marino 2000 48 2 2 10 5 1 6 0 13 3 5 1
Serbia and Montenegro 2000 42,147 5,749 5,347 7,663 713 982 3,168 21 4,691 2,035 3,040 8,738
Slovakia 2005 17,670 3,361 964 2,435 262 702 1,452 7 2,512 937 2,269 2,769
Slovenia 2005 5,629 626 341 606 124 226 647 0 900 263 829 1,067
Spain 2005 88,825 9,740 4,267 6,513 1,951 3,666 11,767 30 16,532 6,981 9,282 18,096
Sweden 2004 16,187 3,097 868 1,176 231 579 1,109 4 3,335 648 2,202 2,938
Switzerland 2004 12,464 1,516 415 1,051 160 427 1,332 7 2,698 514 1,545 2,799
Tajikistan 2001 11,315 1,813 564 1,628 191 39 70 0 487 1,616 1,057 3,850
Turkmenistan 1998 14,582 2,706 487 2,376 150 38 145 0 680 2,436 1,815 3,749
Ukraine 2002 297,532 91,099 28,148 16,265 6,079 4,561 12,980 0 21,927 17,471 58,619 40,383
United Kingdom 2005 121,240 24,299 5,894 7,913 1,736 4,412 11,155 44 23,853 10,161 9,906 21,867
Uzbekistan 2000 58,744 12,793 4,998 5,851 727 209 667 0 2,854 7,749 7,837 15,059
European Union 1,229,518 181,084 77,008 123,518 22,683 41,649 133,540 582 210,027 67,260 130,954 241,213
Total Europe 2,962,032 594,379 269,626 259,311 55,989 63,681 206,019 845 326,982 177,351 506,701 501,148
European
cardiovascular
disease statistics
21
Table 1.2 continued
Year All causes Coronary Stroke Other CVD Stomach Colo-rectal Lung Breast Other Respiratory Injuries and All other
heart disease cancer cancer cancer cancer cancer disease poisoning causes
WOMEN
Albania 2004 3,310 438 524 493 99 26 103 117 413 160 274 663
Armenia 2002 6,407 1,491 1,153 322 104 143 107 394 765 226 193 1,509
Austria 2006 9,076 873 493 660 177 367 630 845 2,031 353 660 1,987
Azerbaijan 2002 13,755 4,193 1,670 1,131 339 132 153 385 1,224 1,063 419 3,046
Belarus 2001 30,657 10,327 5,706 1,550 847 819 271 1,010 2,943 888 2,999 3,297
Belgium 1997 15,163 1,357 1,072 1,485 159 640 740 1,571 2,960 854 1,343 2,982
Bulgaria 2005 19,940 2,453 3,592 5,071 329 641 479 950 2,599 646 693 2,487
Croatia 2005 8,582 1,274 1,285 929 181 354 387 545 1,473 342 464 1,348
Cyprus 2005 790 62 39 72 9 13 35 63 150 31 110 206
Czech Republic 2005 17,377 2,444 1,463 2,037 275 807 922 1,155 3,860 753 1,034 2,627
Denmark 2001 9,271 719 516 568 80 432 995 806 1,819 897 495 1,944
Estonia 2005 2,969 575 345 290 85 93 80 172 441 54 301 533
Finland 2005 6,401 705 438 373 125 225 290 527 1,326 237 757 1,398
France 2005 63,970 2,336 2,784 4,854 659 2,749 3,841 6,658 14,588 2,098 5,909 17,494
Georgia 2001 8,972 3,000 2,165 552 157 134 134 445 770 277 160 1,178
Germany 2005 110,398 10,980 5,822 11,671 1,983 4,750 7,347 10,308 23,431 5,277 5,445 23,384
Greece 2005 12,369 1,259 1,485 1,394 242 374 524 1,033 2,700 674 678 2,006
Hungary 2005 24,820 4,695 2,152 2,560 370 1,053 1,719 1,362 3,787 1,075 1,329 4,718
Iceland 2005 238 18 11 15 5 9 37 22 51 11 27 32
Ireland 2006 4,046 354 208 256 65 147 360 498 860 342 241 715
Israel 1999 6,612 597 310 498 106 283 201 579 1,177 324 322 2,215
Italy 2002 69,218 5,470 4,739 7,278 1,754 3,310 3,630 6,758 16,201 2,236 3,293 14,549
Kazakhstan 2002 38,977 8,075 5,663 4,475 799 598 527 1,113 3,754 2,369 4,249 7,355
Kyrgyzstan 2002 9,453 1,709 1,835 524 146 102 73 168 637 1,049 668 2,542
Latvia 2005 6,189 1,324 1,025 547 127 201 123 297 863 153 624 905
Lithuania 2005 7,745 1,660 886 622 178 242 117 412 1,178 201 1,021 1,228
Luxembourg 2005 507 34 39 69 6 19 35 36 87 30 45 107
Macedonia,TFYR 2006 3,993 388 772 784 82 102 119 201 524 140 113 768
Malta 2005 484 72 44 23 7 25 14 49 105 30 17 98
Moldova 2002 11,194 3,260 1,963 412 154 215 128 386 911 532 669 2,564
Netherlands 2005 20,012 1,278 1,037 1,724 247 968 2,171 1,976 4,286 1,288 948 4,089
Norway 2004 4,815 344 284 283 67 265 472 397 1,076 281 489 857
Poland 2005 63,229 6,263 6,387 8,697 1,070 2,307 3,728 3,570 13,565 2,146 3,732 11,764
Portugal 2005 13,938 865 1,420 1,010 460 636 397 947 2,408 752 711 4,332
Romania 2005 51,958 8,566 10,631 6,896 718 1,234 1,309 2,365 7,372 2,268 2,666 7,933
Russian Federation 2002 536,280 125,361 112,911 48,645 11,692 12,575 5,926 17,314 47,549 17,141 67,247 69,919
San Marino 2000 23 2 3 5 0 1 1 2 7 1 0 1
Serbia and Montenegro 2000 28,774 3,028 5,262 6,165 370 622 794 1,302 3,457 1,083 987 5,704
Slovakia 2005 9,279 1,806 583 1,388 152 371 269 492 1,770 410 504 1,534
Slovenia 2005 2,908 194 203 333 64 141 183 236 612 115 248 579
Spain 2005 40,883 2,808 2,593 3,721 854 2,066 1,548 3,425 9,206 2,300 2,452 9,910
Sweden 2004 10,468 1,059 587 598 133 466 934 865 2,536 536 922 1,832
Switzerland 2004 7,243 452 278 537 75 281 564 788 1,686 258 598 1,726
Tajikistan 2001 8,930 1,291 481 1,453 136 28 40 94 450 1,399 550 3,008
Turkmenistan 1998 9,701 1,634 433 2,034 82 57 42 92 495 1,813 706 2,313
Ukraine 2002 163,916 61,129 25,467 8,910 3,256 3,937 1,894 6,562 15,814 4,334 13,967 18,646
United Kingdom 2005 81,289 8,796 4,914 5,077 772 2,905 7,280 6,901 17,515 7,646 3,534 15,949
Uzbekistan 2000 41,495 9,112 4,318 4,651 430 193 226 611 2,555 6,054 2,605 10,740
European Union 675,221 69,118 55,445 69,345 11,088 27,229 39,692 54,209 138,461 33,453 39,731 137,450
Total Europe 1,618,024 306,130 227,991 153,642 30,227 48,058 51,899 86,804 225,987 73,147 137,418 276,721
Notes: No national mortality data available for Andorra, Bosnia and Herzegovina, Monaco and Turkey.
Source: World Health Organization (2007) www.who.int/whosis/database/mort/table1.cfm
Eurostat (2007) http://epp.eurostat.ec.europa.eu/portal/page?_pageid=1090,30070682,1090_33076576&_dad=portal&_schema=PORTAL
European
cardiovascular
disease statistics
22
Figure 1.2a Deaths under 75 by cause, men, latest available
year, Europe
Figure 1.2b Deaths under 75 by cause, women, latest
available year, Europe
All other causes
17%
Other cancer 11%
Respiratory disease
6%
Lung cancer 7%
Injuries and poisoning
17%
Stomach cancer 2%
Coronary
heart disease
20%
Other CVD
9%
Colo-rectal cancer 2%
Stroke
9%
All other causes
17%
Other cancer 14%
Respiratory disease
5%
Lung cancer 3%
Injuries and poisoning
9%
Stomach cancer 2%
Coronary
heart disease
18%
Other CVD
10%
Colo-rectal cancer 3%
Stroke
14%
Breast cancer 5%
European
cardiovascular
disease statistics
23
Figure 1.2c Deaths under 75 by cause, men, latest available
year, EU
Figure 1.2d Deaths under 75 by cause, women, latest
available year, EU
All other causes
20%
Other cancer 17%
Respiratory disease
5%
Lung cancer 11%
Injuries and poisoning
11%
Stomach cancer 2%
Coronary
heart disease
15%
Other CVD
10%
Colo-rectal cancer 3%
Stroke
6%
All other causes
20%
Other cancer
21% Respiratory disease
5%
Lung cancer 6%
Injuries and poisoning
6%
Stomach cancer 2%
Coronary
heart disease
10%
Other CVD
10%
Colo-rectal cancer 4%
Stroke
8%
Breast cancer 8%
European
cardiovascular
disease statistics
24
Table 1.3 Deaths under 65 by cause and sex, latest available year, Europe
Year All causes Coronary Stroke Other CVD Stomach Colo-rectal Lung Breast Other Respiratory Injuries and All other
heart disease cancer cancer cancer cancer cancer disease poisoning causes
MEN
Albania 2004 3,448 515 223 350 117 25 172 8 383 177 878 600
Armenia 2002 4,815 1,213 366 184 94 54 329 0 572 243 649 1,111
Austria 2006 9,005 1,100 207 504 130 255 877 6 1,622 294 2,125 1,885
Azerbaijan 2002 11,982 3,120 695 743 293 96 380 9 985 1,133 1,300 3,228
Belarus 2001 36,890 8,270 2,994 2,057 757 401 1,542 0 2,711 1,746 11,771 4,641
Belgium 1997 13,109 1,544 483 931 153 350 1,767 6 2,028 661 3,293 1,893
Bulgaria 2005 19,370 2,909 1,993 3,965 339 404 1,662 11 1,879 874 2,595 2,739
Croatia 2005 7,898 1,156 591 639 169 226 889 2 1,245 287 1,592 1,102
Cyprus 2005 729 128 26 51 6 11 32 0 69 16 219 171
Czech Republic 2005 18,400 2,750 840 1,832 249 787 1,936 5 2,804 779 3,649 2,769
Denmark 2001 6,918 743 298 519 79 238 551 7 1,175 242 1,271 1,795
Estonia 2005 3,671 549 215 369 58 53 192 1 338 134 1,232 530
Finland 2005 7,820 1,268 300 567 103 168 405 0 964 193 2,521 1,331
France 2005 76,095 4,629 1,931 4,692 848 1,920 9,629 51 15,403 1,901 16,000 19,091
Georgia 2001 7,190 2,105 1,050 448 99 82 278 0 465 315 970 1,378
Germany 2005 97,862 12,580 3,045 8,999 1,632 3,053 9,432 66 16,879 3,553 15,797 22,826
Greece 2005 11,776 2,372 676 668 188 210 1,591 4 1,842 444 2,611 1,170
Hungary 2005 27,474 4,680 1,513 2,466 347 832 3,003 5 3,663 1,104 4,528 5,333
Iceland 2005 211 34 5 13 4 9 21 1 33 6 50 35
Ireland 2006 3,629 554 108 250 58 145 286 2 637 155 803 631
Israel 1999 4,993 532 131 299 62 123 285 2 701 182 1,045 1,631
Italy 2002 57,920 6,405 2,163 5,106 1,382 2,060 7,063 31 11,324 1,569 11,094 9,723
Kazakhstan 2002 52,199 8,817 3,542 4,602 765 286 1,618 0 2,832 3,541 15,004 11,192
Kyrgyzstan 2002 11,306 1,341 1,121 537 188 40 181 2 418 1,211 2,692 3,575
Latvia 2005 7,408 1,426 505 812 102 78 375 0 621 342 2,410 737
Lithuania 2005 10,808 1,890 465 912 156 115 496 1 861 484 4,190 1,238
Luxembourg 2005 505 57 15 45 9 14 48 0 86 27 119 85
Macedonia, TFYR 2006 3,287 533 317 408 79 65 397 2 398 76 390 622
Malta 2005 357 87 15 18 7 15 24 0 49 15 61 66
Moldova 2002 10,111 1,491 906 318 167 142 376 4 866 745 2,366 2,730
Netherlands 2005 15,474 1,727 523 1,527 253 578 1,756 6 3,084 543 2,191 3,286
Norway 2004 4,296 548 142 242 52 161 329 1 704 140 1,140 837
Poland 2005 79,020 8,874 4,294 8,766 1,211 1,427 7,339 14 9,174 2,282 17,689 17,950
Portugal 2005 13,979 959 763 533 452 427 1,117 5 2,044 587 2,622 4,470
Romania 2005 49,258 7,505 4,817 4,245 929 830 4,312 20 5,600 2,981 9,221 8,798
Russian Federation 2002 732,857 136,364 56,159 58,810 11,150 5,714 23,333 121 38,106 41,332 239,626 122,142
San Marino 2000 27 1 1 6 3 0 3 0 6 2 5 0
Serbia and Montenegro 2000 21,232 2,947 1,987 2,754 352 437 1,712 11 2,495 775 2,384 5,378
Slovakia 2005 11,016 1,596 420 1,371 146 347 814 6 1,615 524 2,298 1,879
Slovenia 2005 3,085 313 122 272 50 85 343 0 464 96 828 512
Spain 2005 46,309 4,395 1,600 2,909 941 1,568 6,004 13 8,175 2,322 9,044 9,338
Sweden 2004 8,289 1,308 343 523 112 239 463 1 1,500 243 2,203 1,354
Switzerland 2004 6,781 694 172 472 81 212 654 2 1,323 169 1,535 1,467
Tajikistan 2001 7,810 833 214 709 91 27 44 0 332 1,246 1,022 3,292
Turkmenistan 1998 11,518 1,524 262 1,596 89 28 99 0 479 2,242 1,781 3,418
Ukraine 2002 193,104 42,688 13,293 11,381 3,486 2,178 7,493 0 13,902 10,308 53,315 35,060
United Kingdom 2005 62,418 10,916 2,316 3,647 669 1,888 4,812 17 11,142 3,706 9,826 13,479
Uzbekistan 2000 42,274 5,702 2,429 3,798 471 142 455 0 2,059 6,466 7,517 13,235
European Union 662,240 83,355 30,070 56,560 10,612 18,095 66,352 276 105,053 26,060 130,514 135,293
Total Europe 1,835,933 303,692 116,596 146,865 29,178 28,545 106,919 443 176,057 98,413 477,472 351,753
European
cardiovascular
disease statistics
25
Table 1.3 continued
Year All causes Coronary Stroke Other CVD Stomach Colo-rectal Lung Breast Other Respiratory Injuries and All other
heart disease cancer cancer cancer cancer cancer disease poisoning causes
WOMEN
Albania 2004 1,798 171 169 205 62 20 59 93 249 97 268 405
Armenia 2002 2,680 363 268 128 48 76 59 274 481 106 159 718
Austria 2006 4,449 264 192 202 88 163 382 521 975 135 672 855
Azerbaijan 2002 7,141 1,328 587 534 183 81 95 316 843 837 374 1,963
Belarus 2001 13,680 2,739 1,887 856 368 392 114 638 1,584 367 2,499 2,236
Belgium 1997 6,938 387 340 412 55 249 380 956 1,377 303 1,336 1,143
Bulgaria 2005 8,488 741 1,041 1,628 147 278 283 623 1,529 329 665 1,224
Croatia 2005 3,228 305 305 236 68 130 176 294 720 91 433 470
Cyprus 2005 401 27 11 16 5 5 19 36 76 10 108 88
Czech Republic 2005 8,438 720 450 766 124 371 529 706 2,100 350 995 1,327
Denmark 2001 4,503 219 184 195 48 169 457 526 974 259 485 987
Estonia 2005 1,423 131 107 127 40 43 43 102 212 29 297 292
Finland 2005 3,467 191 169 164 62 117 157 355 680 100 750 722
France 2005 34,851 772 1,091 1,906 322 1,287 2,407 4,279 7,517 826 5,685 8,759
Georgia 2001 3,594 855 595 205 65 67 73 284 463 213 123 651
Germany 2005 49,935 3,028 1,908 3,860 908 1,858 4,061 5,945 10,771 1,839 5,398 10,359
Greece 2005 5,067 480 351 281 97 156 274 564 1,283 207 656 718
Hungary 2005 12,194 1,493 750 993 192 488 1,122 812 2,077 526 1,259 2,482
Iceland 2005 124 3 6 3 3 4 20 11 25 4 24 21
Ireland 2006 2,230 126 92 129 22 62 176 353 454 136 228 452
Israel 1999 3,116 144 96 177 62 130 92 407 581 113 251 1,063
Italy 2002 30,270 1,421 1,452 2,294 767 1,499 1,721 4,065 7,511 779 3,051 5,710
Kazakhstan 2002 23,532 2,980 2,514 2,497 453 311 288 815 2,381 1,634 3,846 5,813
Kyrgyzstan 2002 5,807 544 815 345 87 57 35 133 424 692 607 2,068
Latvia 2005 2,922 398 296 299 64 83 52 190 406 98 613 423
Lithuania 2005 3,869 448 267 313 83 111 66 245 625 104 1,029 578
Luxembourg 2005 252 7 13 24 2 9 21 26 50 8 47 45
Macedonia, TFYR 2006 1,793 162 242 234 44 60 70 123 318 64 105 371
Malta 2005 238 22 10 12 4 13 9 35 59 13 13 48
Moldova 2002 5,789 908 803 264 91 128 84 277 611 281 553 1,789
Netherlands 2005 10,709 493 425 642 120 484 1,280 1,397 2,380 488 922 2,078
Norway 2004 2,600 117 97 101 36 113 242 271 603 103 487 430
Poland 2005 31,681 2,042 2,298 2,854 512 1,031 2,273 2,363 7,530 904 3,618 6,256
Portugal 2005 6,272 263 381 304 223 284 216 615 1,177 259 669 1,881
Romania 2005 23,126 2,653 2,997 1,922 295 531 692 1,473 4,273 1,286 2,688 4,316
Russian Federation 2002 275,324 42,569 34,908 25,394 5,497 5,682 2,882 11,782 27,308 10,297 57,604 51,401
San Marino 2000 10 1 2 0 0 0 0 2 4 0 0 1
Serbia and Montenegro 2000 11,693 1,034 1,536 1,616 167 268 449 882 1,840 434 682 2,785
Slovakia 2005 4,524 455 165 518 81 183 161 342 994 208 493 924
Slovenia 2005 1,345 51 66 103 31 47 99 147 286 42 227 246
Spain 2005 19,132 844 852 1,142 407 914 971 2,197 4,580 765 2,283 4,177
Sweden 2004 5,277 292 211 218 61 218 520 551 1,299 170 891 846
Switzerland 2004 3,673 138 96 197 37 130 323 469 796 103 595 789
Tajikistan 2001 6,190 568 218 649 74 19 28 80 343 1,120 526 2,565
Turkmenistan 1998 6,951 634 185 1,213 52 47 26 73 345 1,691 676 2,009
Ukraine 2002 78,898 17,958 8,994 4,620 1,666 1,928 985 4,518 9,589 2,298 11,819 14,523
United Kingdom 2005 39,457 2,793 1,833 1,923 321 1,275 3,162 4,533 8,772 2,560 3,455 8,830
Uzbekistan 2000 26,794 2,845 1,735 2,711 288 133 149 486 1,862 5,095 2,439 9,051
European Union 321,807 20,806 17,911 23,248 5,081 11,947 21,532 33,908 70,193 12,735 38,535 65,911
Total Europe 805,873 97,127 74,010 65,432 14,432 21,704 27,782 56,185 121,337 38,373 122,603 166,888
Notes: No national mortality data available for Andorra, Bosnia and Herzegovina, Monaco and Turkey.
Source: World Health Organization (2007) www.who.int/whosis/database/mort/table1.cfm
Eurostat (2007) http://epp.eurostat.ec.europa.eu/portal/page?_pageid=1090,30070682,1090_33076576&_dad=portal&_schema=PORTAL
European
cardiovascular
disease statistics
26
Figure 1.3a Deaths under 65 by cause, men, latest available
year, Europe
Figure 1.3b Deaths under 65 by cause, women, latest
available year, Europe
All other causes
19%
Other cancer 10%
Respiratory disease
5%
Lung cancer 6%
Injuries and poisoning
26%
Stomach cancer 2%
Coronary
heart disease
16%
Other CVD
8%
Colo-rectal cancer 2%
Stroke
6%
All other causes
21%
Other cancer 15%
Respiratory disease
5%
Lung cancer 3%
Injuries and poisoning
15%
Stomach cancer 2%
Coronary
heart disease
12%
Other CVD
8%
Colo-rectal cancer 3%
Stroke
9%
Breast cancer 7%
European
cardiovascular
disease statistics
27
Figure 1.3c Deaths under 65 by cause, men, latest available
year, EU
Figure 1.3d Deaths under 65 by cause, women, latest
available year, EU
All other causes
19%
Other cancer 16%
Respiratory disease
4%
Lung cancer 10%
Injuries and poisoning
19%
Stomach cancer 2%
Coronary
heart disease
13%
Other CVD
9%
Colo-rectal cancer 3%
Stroke
5%
All other causes
20%
Other cancer 21%
Respiratory disease
4%
Lung cancer 7%
Injuries and poisoning
12%
Stomach cancer 2% Coronary
heart disease
6%
Other CVD
7%
Colo-rectal cancer 4%
Stroke
6%
Breast cancer 11%
European
cardiovascular
disease statistics
28
Table 1.4 Age-standardized death rates from CHD, adults aged 0 to 64, by sex, 1972 to 2005, Europe
Deaths per 100,000 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
MEN
Albania 36 37 42 38 34 30 35 42 36 37 40 40 39 41 45 48
Armenia 104 108 107 113 100 119 127 137 143 145 157 148 169 160 147 144 147 138 134 125 120
Austria 83 82 86 85 88 88 89 89 83 85 85 84 79 77 74 73 67 64 61 63 61 58 58 57 55 55 51 48 46 43 38 33 30 30
Azerbaijan 151 153 152 150 161 171 161 188 209 197 219 191 203 199 190 178 177 175 158 155 156 168
Belarus 137 139 153 140 141 137 146 150 159 164 198 201 216 187 207 215 219 207 222 233 234 194 238
Belgium 103 92 90 90 90 85 84 80 77 73 73 70 65 62 57 52 47 43 40 38 38 40 37 38 37 36
Bosnia and Herzegovina 67 70 71 73 70 70 73
Bulgaria 59 61 65 65 69 75 77 78 77 71 78 80 83 83 84 83 83 85 89 91 91 105 100 105 94 101 95 87 84 83 84 82 80
Croatia 70 69 66 65 63 65 70 68 68 65 65 68 73 74 69 65 65 62 65 57 58
Cyprus 38
Czech Republic 123 124 125 127 126 132 134 132 139 134 131 140 142 144 143 138 135 135 143 132 127 116 109 103 97 87 81 78 73 68 65 60 58 55
Denmark 107 107 108 108 118 107 111 110 107 110 99 98 96 94 88 90 81 78 73 67 64 60 55 51 43 41 38 35 31 30
Estonia 170 158 175 171 163 156 164 174 173 179 203 214 195 161 140 167 137 137 136 136 126 123 104
Finland 206 204 202 198 206 205 193 183 170 171 165 152 151 151 140 126 121 118 110 102 96 87 82 78 74 68 65 63 65 54 52 54 51 48
France 41 41 43 43 43 41 42 41 39 38 38 36 37 37 36 33 32 29 28 27 26 25 24 23 23 22 22 21 21 20 19 19 17
Georgia 141 132 128 120 134 153 150 148 159 198 235 255 210 176 148 139 130 126
Germany 61 62 60 58 55 53 50 47 45 42 39 38 36 35 33
Greece 44 47 47 49 55 57 56 53 54 52 55 54 53 56 53 56 54 53 53 52 52 50 50 51 52 54 53 54 51 53 50 52 55 50
Hungary 95 93 95 97 101 111 122 114 130 141 143 141 141 139 140 136 135 133 136 139 141 143 131 132 123 117 118 116 105 99 94 97 97 105
Iceland 119 109 129 113 123 109 99 119 124 117 97 137 107 100 78 83 87 57 60 63 51 64 62 51 42 45 34 48 39 31 34 33 39 30
Ireland 141 146 149 145 139 144 147 146 142 140 136 143 135 132 127 126 113 110 103 101 88 94 86 83 78 71 71 62 60 53 52 46 44 39
Israel 126 116 118 100 106 96 98 88 89 89 90 79 77 69 76 71 61 53 50 52 51 47 44 43 33 31 34 30 28 21
Italy 59 62 65 67 69 69 70 67 62 60 58 58 54 53 51 49 45 44 41 41 39 38 36 34 32 31 31 28 27 25
Kazakhstan 145 144 146 129 135 132 134 143 143 150 178 187 215 220 207 209 194 207 200 204 202 188 193
Kyrgyzstan 111 112 103 98 107 105 105 103 104 109 135 158 152 153 136 132 119 123 127 124 130 130 127
Latvia 187 184 169 180 187 191 159 169 166 174 195 193 225 265 285 246 194 174 177 156 156 164 162 148 145 156
Lithuania 126 133 150 137 145 140 149 167 168 181 198 195 179 155 131 122 125 117 130 126 129 132 146
Luxembourg 91 90 102 105 98 90 99 91 85 93 111 86 91 78 74 73 58 56 54 47 52 51 48 47 54 37 36 29 35 33 35 28 31 28
Macedonia, TFYR 68 76 72 81 70 75 70 73 70 71 72 70 62
Malta 90 102 93 116 140 117 130 127 130 107 108 117 88 78 92 80 91 77 72 57 71 66 58 49 46 53 54 50 44 46 44 42 38 45
Moldova 123 127 129 112 108 97 95 108 113 105 116 140 148 136 136 120 139 134 124 126 130 132 146
Netherlands 112 101 99 103 103 100 100 97 92 89 86 83 80 81 78 71 66 64 58 55 50 48 46 44 43 39 38 35 34 28 27 28 22
Norway 109 116 111 110 107 109 108 107 108 105 104 98 101 103 103 97 94 85 82 73 72 62 57 59 49 47 47 40 35 36 32 27 27
Poland 64 66 67 73 78 82 85 83 93 88 90 89 97 102 107 110 106 112 112 116 109 99 90 88 85 85 77 71 66 63 61 57
Portugal 47 48 47 47 50 47 48 48 48 45 40 41 45 41 39 40 41 37 38 41 38 39 33 33 33 30 31 29 26 26 29 28 27
Romania 42 44 43 43 46 52 56 62 67 66 72 72 76 76 80 76 75 85 91 102 111 110 113 117 115 106 100 96 97 97 96 90
Russian Federation 169 163 163 167 173 162 146 150 147 152 161 161 178 231 267 239 214 192 188 208 224 232 244 251 243 242
San Marino 0 18 0 0 17 8
Slovakia 99 101 102 100 106 109 118 116 112 111 111 118 128 121 124 121 123 130 143 140 129 122 122 120 115 108 97 96 92 86 85 79 76 74
Slovenia 71 68 64 55 49 54 58 59 62 54 46 42 49 47 44 41 42 35 39 34 33
Spain 37 40 45 46 45 44 45 45 44 43 42 42 42 41 41 39 38 35 35 36 36 34 33 33 34 32 32 31 30 28 27 27 25
Sweden 92 96 95 94 99 99 99 99 99 100 94 89 85 87 82 78 75 65 63 61 55 54 51 50 44 43 39 38 37 36 33 31 29
Switzerland 60 58 56 63 61 61 64 58 60 58 57 54 55 51 51 48 45 43 40 41 38 35 32 35 29 31 30 29 26 23 23 22 20
Tajikistan 99 91 81 80 85 86 93 89 89 90 108 111 118 98 83 84 90 93 87 85 85 86 88
Turkmenistan 148 143 145 148 151 156 180 171 171 166 220 199 195 203 189 175
Ukraine 149 150 145 125 129 123 128 136 147 160 175 190 208 207 201 186 198 208 205 216 218 225 234
United Kingdom 151 149 149 147 145 144 149 148 143 138 132 132 128 126 122 117 110 102 97 93 88 86 76 74 69 65 63 58 54 52 49 47 44
Uzbekistan 124 123 119 113 108 119 123 125 124 125 139 142 141 141 121 126 121 122 115 129 127 118 121
European Region 108 107 106 106 108 105 98 98 96 96 98 99 102 115 120 116 108 101 98 99 101 100 101 102 98 99
European Union 80 79 77 77 77 77 75 74 71 69 69 69 67 66 62 60 57 55 53 51 48 46 44 42 40 40
European
cardiovascular
disease statistics
29
Table 1.4 continued
Deaths per 100,000 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
WOMEN
Albania 10 11 10 12 8 11 11 12 12 12 13 15 13 15 17 16
Armenia 33 35 32 37 43 33 35 38 37 42 43 37 43 41 39 37 35 33 33 28 26
Austria 20 20 20 21 19 21 20 18 20 18 18 19 17 17 16 16 14 14 14 15 14 16 13 14 15 13 13 14 10 11 10 8 7 7
Azerbaijan 52 51 53 58 60 62 59 71 78 83 90 71 73 75 70 67 67 66 59 60 62 65
Belarus 42 41 43 38 40 36 36 39 39 42 51 50 55 63 55 55 59 54 59 61 59 51 9
Belgium 22 22 23 20 20 18 20 17 18 17 16 16 16 14 13 14 11 11 9 9 9 10 10 10 8 9
Bosnia and Herzegovina 22 25 24 26 23 23 24
Bulgaria 25 24 24 23 24 25 27 23 22 19 22 22 24 24 22 20 22 22 24 25 25 27 24 26 25 26 25 24 23 22 24 22 21
Croatia 15 16 17 17 16 15 18 19 18 16 16 17 17 17 16 17 17 15 15 14 14
Cyprus 7
Czech Republic 29 31 30 29 32 31 30 32 31 31 32 34 35 34 35 34 31 33 34 33 30 29 28 28 25 22 20 19 18 17 16 16 14 13
Denmark 27 27 29 28 29 26 26 27 26 25 26 24 24 22 24 22 21 20 21 18 17 19 14 16 13 11 10 9 9 9
Estonia 39 34 40 39 35 35 37 39 36 40 42 48 44 36 37 35 32 30 28 28 28 22 20
Finland 36 36 35 34 34 31 31 31 27 28 25 24 24 24 23 25 22 19 18 16 15 14 13 12 11 10 12 10 11 9 9 8 9 7
France 9 8 8 8 8 8 7 7 7 6 7 6 6 6 6 6 5 5 5 5 5 4 4 4 4 4 4 4 3 4 3 3 3
Georgia 48 46 47 44 47 52 51 50 54 70 82 81 66 62 47 46 41 40
Germany 14 15 14 14 13 13 12 12 11 10 9 9 9 8 8
Greece 11 11 11 12 13 11 12 11 10 11 11 12 11 11 10 12 11 11 10 10 10 10 10 11 10 11 10 11 9 10 10 11 11 10
Hungary 32 30 33 31 33 32 36 33 35 39 37 38 37 40 38 37 37 37 38 38 39 40 38 37 34 33 34 32 29 29 28 27 28 28
Iceland 31 26 19 25 13 21 23 30 22 13 23 20 22 19 12 13 23 13 18 9 13 8 15 7 8 8 7 15 14 9 13 11 6 3
Ireland 48 44 49 42 44 45 43 40 42 38 40 37 39 35 35 34 31 30 27 21 24 24 21 21 17 19 17 14 12 11 11 10 8 9
Israel 50 41 43 44 38 39 39 32 30 32 31 26 24 22 23 22 21 18 17 17 15 15 17 14 10 8 9 7 7 5
Italy 15 15 15 15 15 15 15 14 13 12 11 12 11 10 10 9 9 9 8 8 8 7 7 7 7 6 6 6 5 5
Kazakhstan 46 44 46 38 40 37 38 39 43 43 54 56 66 67 63 61 59 62 59 56 58 53 54
Kyrgyzstan 45 42 42 40 39 41 38 39 38 39 46 55 60 55 51 46 41 48 45 48 47 47 47
Latvia 47 47 45 45 47 46 40 39 41 39 43 47 52 61 72 58 44 40 40 34 34 38 33 34 34 34
Lithuania 33 35 34 29 34 34 37 37 42 38 43 44 43 38 27 28 24 23 25 25 25 27 27
Luxembourg 19 18 24 16 21 15 22 21 23 18 17 15 21 16 13 18 12 14 10 12 9 13 10 8 7 7 8 6 5 8 10 7 10 4
Macedonia, TFYR 22 23 24 24 23 26 25 25 22 22 23 19 25
Malta 35 32 22 41 32 33 48 49 49 37 22 30 24 14 34 35 20 26 31 22 26 16 18 14 16 17 15 17 17 15 17 14 6 11
Moldova 73 73 72 61 56 51 50 52 58 53 59 68 73 73 67 59 62 65 58 63 63 56 60
Netherlands 23 22 20 20 21 21 20 20 19 20 18 18 18 18 17 16 16 14 13 15 13 14 13 12 12 11 10 10 9 9 9 8 7
Norway 22 21 23 18 20 21 19 19 19 18 19 19 17 18 20 19 17 17 18 16 16 14 14 13 10 9 10 11 10 9 8 7 6
Poland 13 14 14 15 15 16 17 16 18 17 17 18 20 21 21 22 22 24 24 24 24 22 20 20 18 19 17 16 13 13 13 12
Portugal 17 17 17 16 15 14 14 15 12 13 12 13 11 11 11 11 11 10 10 11 9 11 9 9 8 8 8 8 7 7 7 7 6
Romania 16 17 17 16 18 19 20 24 24 24 26 25 27 26 28 27 27 27 29 31 35 34 35 38 37 36 34 32 33 32 31 28
Russian Federation 47 44 43 44 46 44 37 37 36 37 38 39 43 58 68 60 53 48 45 50 54 56 61 63 59 60
San Marino 0 0 18 0 8 8
Slovakia 28 29 29 29 29 31 33 32 30 30 27 29 31 33 31 33 32 34 37 40 34 32 34 33 32 33 29 26 27 21 21 21 21 19
Slovenia 16 12 12 12 11 12 14 12 15 13 9 11 8 11 8 8 8 6 5 7 5
Spain 8 9 9 10 9 9 9 9 9 8 8 8 8 7 7 7 7 7 7 7 6 6 6 6 6 6 5 6 5 5 5 5 4
Sweden 21 20 21 22 21 20 19 20 19 19 18 18 17 16 16 16 16 14 15 15 14 12 12 12 10 10 9 10 10 9 9 9 7
Switzerland 11 11 11 12 10 11 12 12 12 11 10 10 9 9 8 7 8 8 8 7 8 7 6 6 6 7 7 6 5 4 5 5 4
Tajikistan 48 47 39 39 39 43 44 45 45 43 53 64 63 55 41 36 44 47 43 44 41 41 47
Turkmenistan 62 55 62 61 61 72 80 74 76 70 100 85 87 98 82 68
Ukraine 52 52 50 41 41 39 38 41 44 47 55 60 66 66 65 58 63 64 65 68 70 70 74
United Kingdom 36 37 37 36 37 35 37 37 36 34 34 34 34 33 32 31 30 28 28 26 24 23 21 20 19 18 17 15 14 14 13 12 11
Uzbekistan 57 52 57 52 49 53 57 54 60 60 67 72 70 64 59 65 58 60 56 63 58 54 59
European Region 29 29 28 29 30 29 26 26 25 25 26 27 28 32 34 33 31 29 27 28 28 28 29 29 27 27
EU 18 18 18 18 18 18 17 17 17 17 17 17 16 16 15 15 14 14 13 12 11 11 11 10 10 9
Notes: Age standardized using the European Standard Population
Source: World Health Organisation (2004) http://www3.who.int/whosis/menu.cfm
European Health for all database http://www.euro.who.int/hfadb
European
cardiovascular
disease statistics
30
Figure 1.4a Age-standardized death rates from CHD, men
aged 0 to 64, latest available year
>=130
>=80, <130
>=45, <80
>=30, <45
<30
Deaths
per 100,000
Figure 1.4b Age-standardized death rates from CHD,
women aged 0 to 64, latest available year
>=50
>=20, <50
>=10, <20
>=7, <10
<7
Deaths
per 100,000
European
cardiovascular
disease statistics
31
Figure 1.4c Death rates from CHD, men aged under 65,
1972 to 2005, selected countries
Figure 1.4d Death rates from CHD, women aged under 65,
1972 to 2005, selected countries
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Deaths/ 100,000
0
50
100
150
200
250
Ukraine
Romania
UK
Austria
France
0
10
20
30
40
50
60
70
80
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Deaths/ 100,000
Ukraine
Austria
UK
Romania
France
European
cardiovascular
disease statistics
32
Table 1.5 Age-standardized death rates from stroke, adults aged 0 to 64, by sex, 1972 to 2005
Deaths per 100,000 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
MEN
Albania 33 31 29 32 25 21 25 24 27 26 27 22 26 22 23 20
Armenia 27 24 27 28 27 30 32 33 37 37 49 45 45 42 40 36 37 35 32 36 35
Austria 32 28 29 29 28 29 29 26 27 27 25 27 26 23 21 20 20 18 18 16 16 15 15 16 15 14 13 12 10 11 9 8 7 7
Azerbaijan 58 58 56 53 57 53 44 45 44 50 54 50 49 53 47 41 39 41 34 36 36 44
Belarus 59 55 59 52 50 52 55 56 61 62 73 73 77 77 79 79 80 74 81 82 79 74 71
Belgium 27 25 25 23 24 23 20 18 19 18 18 18 17 15 15 13 13 12 13 13 12 11 11 10 11 11
Bosnia and Herzegovina 30 31 31 34 34 35 42
Bulgaria 48 48 51 52 53 60 62 63 61 61 62 61 65 66 64 62 66 64 68 68 75 83 78 69 66 70 69 59 63 59 60 55 55
Croatia 48 50 47 47 48 46 45 43 43 42 40 46 40 38 41 38 33 34 29 29 30
Cyprus 10
Czech Republic 49 47 49 47 44 45 45 45 49 46 47 47 46 46 46 44 42 39 44 39 36 33 31 30 27 25 24 24 23 21 20 20 17 17
Denmark 15 16 16 16 16 17 16 16 15 15 17 15 14 14 14 14 13 15 15 14 15 12 13 13 15 12 12 15 11 12
Estonia 54 49 62 54 47 59 53 63 60 68 66 68 66 60 52 53 52 55 50 45 48 41 41
Finland 42 42 40 35 37 38 35 31 27 28 27 26 26 27 27 24 23 22 26 22 21 21 18 18 18 17 16 17 13 15 14 14 14 11
France 29 28 27 26 25 22 22 22 20 19 19 18 18 17 17 15 14 13 13 12 11 12 10 10 10 10 9 10 8 8 8 8 7
Georgia 70 77 80 73 65 69 69 69 73 81 92 97 85 74 65 70 67 61
Germany 14 15 14 14 14 13 13 12 11 10 10 9 9 8 8
Greece 24 23 21 22 23 23 24 22 22 21 20 20 21 20 18 18 18 19 17 19 17 17 17 17 18 17 16 15 17 15 15 14 15 14
Hungary 36 38 38 41 44 46 50 56 61 59 62 66 68 67 63 60 59 61 62 61 61 62 58 57 55 52 51 50 48 45 45 43 39 34
Iceland 32 12 19 23 22 21 13 19 12 16 12 19 10 8 15 19 9 8 6 12 7 8 7 9 8 9 6 7 4 5 8 4 6 4
Ireland 33 31 31 31 29 31 27 28 24 23 22 21 21 18 17 17 15 15 15 13 11 14 12 12 11 11 11 11 10 10 8 8 7 8
Israel 26 27 27 26 25 24 21 20 23 17 18 17 16 17 16 16 12 11 12 11 13 13 12 13 13 10 10 8 9 7
Italy 29 28 28 29 28 28 29 27 25 24 23 22 22 21 20 19 17 16 15 15 15 13 13 12 11 11 10 10 9 9
Kazakhstan 69 67 65 61 58 58 64 66 65 65 73 82 88 88 88 91 87 94 81 83 93 88 91
Kyrgyzstan 84 80 77 70 68 67 71 75 79 84 98 114 126 106 107 104 104 110 110 110 105 110 108
Latvia 66 65 61 61 62 63 55 51 55 58 70 65 67 81 86 78 72 65 62 56 56 60 62 55 55 55
Lithuania 41 39 41 38 40 33 40 41 41 42 47 45 43 37 38 34 31 30 36 33 35 36 36
Luxembourg 34 35 31 26 27 19 21 28 25 28 20 29 31 30 25 24 21 20 21 17 15 12 18 13 17 10 12 8 10 16 13 16 9 7
Macedonia, TFYR 39 44 45 45 47 51 44 43 46 40 46 44 45
Malta 41 33 39 39 38 49 42 23 32 26 32 33 19 22 29 38 16 15 10 20 16 16 10 12 14 8 8 8 7 13 12 8 6 8
Moldova 52 52 69 58 56 54 54 65 68 63 71 81 85 83 84 74 81 83 82 77 79 78 80
Netherlands 19 19 17 18 16 16 15 14 15 14 14 12 14 12 12 11 11 11 11 10 10 11 11 10 10 10 9 9 9 9 9 8 7
Norway 22 20 17 17 18 16 16 16 16 14 13 15 15 13 12 15 12 12 13 10 11 13 10 10 11 10 9 9 8 8 7 6 7
Poland 19 20 20 22 24 26 27 27 28 24 24 25 27 29 30 30 30 30 31 32 32 32 31 31 29 35 32 31 30 29 30 28
Portugal 59 60 57 63 59 54 50 46 53 50 45 45 43 41 41 36 37 34 35 37 35 34 30 29 29 28 26 24 25 24 22 20 19
Romania 42 43 40 41 40 42 45 44 45 44 45 47 48 47 52 49 48 50 51 54 70 73 74 77 79 73 66 62 64 65 62 57
Russian Federation 72 73 71 72 75 72 65 64 64 64 66 67 71 87 103 97 90 85 82 90 98 100 103 104 101 99
San Marino 9 0 0 0 0 6
Slovakia 41 38 44 41 40 43 43 38 42 37 39 46 48 44 41 40 42 45 45 47 35 31 32 30 28 29 31 25 24 21 24 22 19 19
Slovenia 34 28 36 37 32 32 36 33 31 34 27 27 25 25 20 22 18 18 19 18 13
Spain 28 31 30 31 30 26 26 26 24 24 22 21 21 21 19 18 18 16 15 15 14 14 13 13 12 12 11 11 10 10 10 9 9
Sweden 18 18 20 18 18 16 17 15 15 16 14 13 12 13 12 12 12 11 12 12 12 12 11 10 11 10 10 10 9 8 8 8 8
Switzerland 15 16 14 14 14 14 14 12 11 12 11 11 10 10 8 8 8 7 8 7 6 6 6 6 6 7 6 5 6 4 5 4 5
Tajikistan 49 48 40 39 42 40 40 39 41 46 46 39 36 28 23 16 20 20 22 30 31 26 31
Turkmenistan 86 94 93 90 86 90 49 56 76 66 76 66 59 49 30 30
Ukraine 58 59 63 53 54 54 55 59 65 69 73 77 86 82 79 71 72 74 70 68 67 67 69
United Kingdom 28 28 27 27 25 24 24 24 23 21 20 20 19 19 19 17 16 15 15 15 14 13 13 13 13 12 12 11 10 11 10 10 9
Uzbekistan 65 68 66 62 62 62 63 64 65 62 61 75 72 73 69 58 52 55 57 58 54 48 56
European Region 41 40 40 40 41 40 37 37 36 36 37 38 38 43 46 45 43 41 39 39 40 40 40 40 38 38
EU 26 25 24 24 25 24 24 23 22 22 22 22 21 22 21 21 20 20 19 18 17 17 16 16 15 15
European
cardiovascular
disease statistics
33
Table 1.5 continued
Deaths per 100,000 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
WOMEN
Albania 20 22 19 21 20 14 18 15 16 17 16 19 13 14 15 16
Armenia 17 23 28 23 24 22 27 27 25 32 33 30 30 34 27 27 28 24 24 22 24
Austria 18 19 16 16 17 16 16 15 14 15 13 14 14 12 12 12 10 8 9 10 8 9 8 8 9 8 9 8 7 7 6 6 5 4
Azerbaijan 37 40 41 43 42 39 34 29 28 35 38 35 37 36 33 33 32 30 28 27 28 28
Belarus 35 34 38 35 34 32 32 33 35 36 42 42 44 45 44 42 43 39 41 42 40 36 34
Belgium 17 18 17 17 16 15 15 14 12 13 13 12 11 10 11 10 9 9 8 7 8 8 7 7 8 8
Bosnia and Herzegovina 20 24 24 27 26 26 27
Bulgaria 41 40 42 39 43 45 45 43 38 38 42 39 39 37 37 36 35 35 36 38 39 39 36 35 33 35 35 32 30 29 28 26 26
Croatia 30 26 29 25 26 25 25 24 23 23 22 25 21 19 22 19 17 16 17 14 14
Cyprus 5
Czech Republic 29 30 29 29 27 28 27 27 27 26 26 25 25 25 24 22 21 22 18 18 17 15 15 14 12 13 10 11 11 10 9 9 8
Denmark 13 12 13 12 12 12 11 11 12 10 11 12 10 12 11 10 10 10 12 11 11 12 10 8 8 8 8 9 8 7
Estonia 35 32 34 32 28 30 33 27 30 40 37 38 33 30 27 25 25 23 21 19 20 15 16
Finland 27 25 25 24 24 20 20 17 18 17 16 16 14 16 16 14 13 13 12 11 11 12 10 10 9 9 9 8 10 7 8 7 8 6
France 16 15 15 14 13 12 11 11 10 10 9 9 9 8 8 7 7 6 6 6 6 5 5 5 5 5 5 5 5 4 4 4 4
Georgia 39 40 44 44 38 40 39 40 38 49 51 47 38 44 34 34 31 28
Germany 8 9 8 8 8 8 7 7 7 6 6 6 6 5 5
Greece 18 19 20 18 17 16 17 15 16 17 15 15 14 13 13 13 12 12 11 12 12 10 10 10 9 8 10 9 8 8 8 7 7 7
Hungary 26 25 26 25 28 29 30 34 36 36 34 36 36 35 34 32 30 31 30 30 28 28 26 27 25 24 24 23 21 21 20 18 18 15
Iceland 24 21 20 10 14 13 15 6 21 13 13 6 9 9 8 7 8 9 11 7 5 4 5 8 11 8 4 5 10 3 3 4 3 5
Ireland 29 31 31 27 26 28 22 21 22 19 18 18 16 16 15 11 11 11 11 11 10 9 10 10 10 9 8 10 10 7 6 7 6 4
Israel 24 28 25 24 22 24 21 20 18 19 15 16 15 12 11 11 9 9 9 8 9 9 8 7 7 5 5 5 5 4
Italy 20 19 19 18 18 17 17 16 15 15 14 14 13 12 12 11 10 10 9 9 8 8 8 7 7 7 6 6 6 5
Kazakhstan 42 41 42 43 40 38 42 41 40 40 46 53 56 55 57 58 55 55 50 48 53 49 49
Kyrgyzstan 56 55 60 55 48 51 50 48 58 60 64 79 84 78 66 72 72 69 71 73 71 70 72
Latvia 33 40 34 35 37 38 33 33 28 35 32 32 38 43 42 39 40 33 34 31 31 30 31 27 27 25
Lithuania 26 23 25 22 24 22 24 23 23 23 23 25 24 22 23 21 18 16 17 19 17 15 16
Luxembourg 13 14 17 16 11 15 6 21 20 14 9 19 16 15 18 14 12 13 13 11 13 13 9 12 8 7 13 8 13 10 12 7 8 7
Macedonia, TFYR 30 33 34 34 35 32 33 32 33 34 30 34 30
Malta 27 25 28 19 33 35 34 16 16 17 19 18 13 8 7 12 12 15 15 10 12 7 6 5 6 6 3 5 7 4 7 5 5 5
Moldova 38 40 60 52 46 47 46 48 54 47 51 56 61 58 60 55 53 60 60 56 53 55 55
Netherlands 13 14 14 13 12 12 12 11 11 9 10 9 9 9 9 8 7 8 8 8 8 8 7 8 7 8 8 7 7 7 8 7 6
Norway 15 13 14 15 13 12 12 10 9 11 9 8 8 9 9 9 9 8 7 6 7 8 8 6 6 5 6 5 5 6 5 4 5
Poland 14 14 15 15 17 17 18 18 17 17 17 15 17 18 17 18 17 17 17 17 17 16 16 16 16 18 17 16 15 14 14 13
Portugal 37 40 39 39 33 34 30 29 30 29 26 26 25 24 22 23 20 19 20 20 18 18 16 15 16 15 14 14 12 12 11 10 9
Romania 34 36 31 32 32 33 34 33 33 32 32 34 33 34 37 35 33 33 34 33 43 42 44 44 43 42 38 36 36 36 35 33
Russian Federation 41 42 42 43 45 44 41 40 39 38 38 38 41 48 54 51 48 46 45 47 50 50 50 50 47 46
San Marino 0 9 0 0 9 15
Slovakia 28 28 28 26 27 24 27 23 24 18 21 24 25 21 23 22 21 21 22 22 17 16 16 15 15 15 14 10 8 10 7 8 9 7
Slovenia 17 15 14 15 18 15 18 16 13 15 14 11 10 11 9 9 11 9 7 8 7
Spain 21 21 20 20 19 18 17 16 15 15 13 12 13 11 11 10 9 9 8 8 7 7 7 6 6 6 5 6 5 5 5 5 4
Sweden 14 15 13 14 14 12 10 10 11 11 10 8 9 8 8 7 8 7 7 7 7 7 7 6 7 7 6 6 6 6 6 5 5
Switzerland 11 10 11 9 10 9 7 8 8 7 7 7 7 5 6 5 5 5 5 5 5 4 4 4 4 4 4 4 4 3 3 3 3
Tajikistan 43 40 37 33 34 33 38 33 35 37 37 39 30 23 23 16 21 21 25 30 32 26 27
Turkmenistan 64 64 68 76 64 69 39 43 46 46 55 46 42 34 23 21
Ukraine 35 36 37 35 35 34 34 34 36 39 43 45 47 46 43 39 40 39 38 35 35 33 32
United Kingdom 23 22 22 21 21 20 20 19 18 17 17 16 15 15 14 14 13 12 11 11 11 11 10 10 10 9 9 9 8 8 8 8 7
Uzbekistan 43 44 47 45 48 43 42 45 44 45 43 51 50 50 44 41 37 37 40 37 35 30 35
European Region 25 25 25 25 26 25 24 23 23 22 22 22 23 25 26 26 25 24 23 23 23 22 22 21 20 20
EU 16 16 16 15 15 15 14 14 13 13 13 13 12 12 12 12 11 11 11 10 10 10 9 9 8 8
Notes: Age standardized using the European Standard Population
Source: World Health Organisation (2004) http://www3.who.int/whosis/menu.cfm
European Health for all database http://www.euro.who.int/hfadb
European
cardiovascular
disease statistics
34
Figure 1.5a Age-standardized death rates from stroke, men
aged 0 to 64, latest available year
Figure 1.5b Age-standardized death rates from stroke,