These regional differences are often explained by differences in exposure to risk factors (tobacco, alcohol, nutrition, hypertension, diabetes …). Second cause of mortality in France, with around 140,000 deaths per year, all cardio-necked diseases are responsible for more than a million hospitalizations in adults each year and represent ” A considerable weight for public health ».
For the three most frequent pathologies, ischemic cardiopathies, stroke and cardiac insufficiency, the health agency has drew an inventory on a regional, departmental and, for the first time, infrared, showing “showing” strong disparities ». For ischemic heart disease, such as myocardial infarction, several regions have standardized incidence rates of hospitalized patients and prevalence rates much higher than those observed for the whole of France.
In Corsica (577 people per 100,000 inhabitants), in the Grand-Est (563), in Provence-Alpes-Côte-d’Azur (554), in Occitanie (519) or in Reunion (491), the proportion of hospitalized inhabitants for these pathologies thus clearly exceeds the annual national average (459 per 100,000). For mortality by ischemic cardiopathy, Reunion (81 per 100,000), Normandy (71), Haut-France, Center-Val-de-Loire and Brittany (all at 67) are beyond the national average of 59 deaths per 100,000 inhabitants.
For strokes, the overseas departments (Reunion, Guyana, Martinique and Guadeloupe) know the incidence rates of hospitalized patients (between 291 and 384 per 100,000), prevalence (2.4% to 3.3% of the population) and highest mortality (83 to 98 deaths per 100,000), much higher than those in the whole of France (231 hospitalized for 1001 000, 2% of the adult population, 58 deaths per 100,000).
For heart failure, Reunion, Hauts-de-France and Normandy have much higher hospitalization and prevalence. And there are also disparities in incidence, prevalence and mortality at the departmental level or within the same department.
There are behavioral risk factors, such as tobacco and/or alcohol, nutrition (food, physical activity and sedentary lifestyle), and metabolic, such as high blood pressure, diabetes or hypercholesterolemia. Territorial differences also result from differences “ In the severity of the cases, the prognosis, the use of care, and the immediate and long care of these pathologies “, According to the health agency.
With AFP
