Epidemiological Thoughts. Cardiovascular Diseases Yesterday, Today and Tomorrow?
Kékes Ede, Tóth Kálmán
PTE KK, I. sz. Belgyógyászati Klinika, Kardiológiai és Angiológiai Tanszék, Pécs
In addition to the prevalence of diseases, the individual’s state of health is most often characterized by mortality data, lost years of life, and life expectancy at birth and at age 60. Since 1950, the total number of deaths in our world has grown steadily, but every year there has been an ever-increasing decline in each age group, especially between 20 and 40 years. In all life groups, cardiovascular diseases are the dominant factors of total mortality. During the last two decades in case of cardiovascular diseases, the number of deaths and the loss of life years per 100,000 inhabitants – especially rheumatic heart disease, stroke, ischemic heart disease and cardiomyopathy – have decreased significantly. Data on domestic mortality and lost years of life have improved steadily however, they were far worse than those in developed European countries. The positive trends in the world were driven by the significant development of health technology, the use of effective drugs and – despite the economic, environmental and other catastrophes – by the increase in investment in healthcare. It is an important fact that high-level development plans have been and are being prepared in the world and in Hungary as well. This is evidenced by the slow but steady increase in life expectancy at birth and at the age of 60, which will hopefully continue in the next years.