Infarction, cerebral vascular accidents, heart failure: from meeting to the Pays de la Loire, it remains “Strong disparities” Regional for cardio-necusal-vascular disease, a France’s public health study underlines on Monday June 30.
The health agency has drew up an inventory on a regional, departmental and, first time, infradepartial, for the three most frequent pathologies: ischemic cardiopathies, cardiovascular accidents (stroke) and cardiac insufficiencies.
With 140,000 deaths per year, cardio-necusal diseases are the second cause of death per year and are responsible for more than a million hospitalizations in adults each year, representing “A considerable weight for public health” According to this same study.
For so -called “ischemic” cardiac pathologies, like myocardial infarction, several regions have hospitalization rates and prevalence rates (people affected by the disease) much higher than those observed for the whole of France. The national average being 459 cases per 100,000 people, in Corsica it is 577, like the Grand-Est region (563), Provence-Alpes-Côte d’Azur (554) or Occitanie (519).
Regarding the mortality rate of these same diseases, Reunion is the department with the highest disparity with an average capping at 81 deaths per 100,000 inhabitants against a national average at 59 dead. Regions like Normandy with 71 deaths as well as Center-Val-de-Loire and Brittany both at 67 deaths are also above the national average.
In front of the cases of stroke, a strong inequality
The ultramarine departments (Reunion, Guyana, Martinique and Guadeloupe) are experiencing the highest hospitalized patients for cardiovascular accidents (stroke). While strokes affect approximately 2 % of adult population, this disease concerns 2.4 % to 3.3 % of the inhabitants of these overseas territories. The disparity with hexagonal France is also manifest concerning the mortality rate. While the national average concerns 58 people who died of a stroke for an average of 100,000 people, that of certain overseas territories is almost doubled, with an average oscillating of 83 to 93 deaths depending on the department.
For heart failure, Reunion, Hauts-de-France and Normandy have much higher hospitalization and prevalence.
How to explain these disparities in incidence, prevalence and mortality? 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.
