4.5 Review

Socioeconomic status and cardiovascular health in the COVID-19 pandemic

期刊

HEART
卷 107, 期 5, 页码 358-365

出版社

BMJ PUBLISHING GROUP
DOI: 10.1136/heartjnl-2020-318425

关键词

-

资金

  1. British Heart Foundation Clinical Study Grant [CS/15/7/316]
  2. Newcastle NIHR Biomedical Research Centre
  3. Institutional Research Grant from AstraZeneca [ISSBRIL0303]

向作者/读者索取更多资源

Socioeconomic status has a significant impact on general health and cardiovascular health, especially during the COVID-19 pandemic. Lower socioeconomic status individuals are more prone to cardiovascular diseases, and comorbidity with CVD is higher among COVID-19 patients. The pandemic has disproportionately affected individuals with lower socioeconomic status and ethnic minority groups.
The goals of this review are to evaluate the impact of socioeconomic (SE) status on the general health and cardiovascular health of individuals during the COVID-19 pandemic and also discuss the measures to address disparity. SE status is a strong predictor of premature morbidity and mortality within general health. A lower SE status also has implications of increased cardiovascular disease (CVD) mortality and poorer CVD risk factor profiles. CVD comorbidity is associated with a higher case severity and mortality rate from COVID-19, with both CVD and COVID-19 sharing important risk factors. The COVID-19 pandemic has adversely affected people of a lower SE status and of ethnic minority group, who in the most deprived regions are suffering double the mortality rate of the least deprived. The acute stress, economic recession and quarantine restrictions in the wake of COVID-19 are also predicted to cause a decline in mental health. This could pose substantial increase to CVD incidence, particularly with acute pathologies such as stroke, acute coronary syndrome and cardiogenic shock among lower SE status individuals and vulnerable elderly populations. Efforts to tackle SE status and CVD may aid in reducing avoidable deaths. The implementation of 'upstream' interventions and policies demonstrates promise in achieving the greatest population impact, aiming to protect and empower individuals. Specific measures may involve risk factor targeting restrictions on the availability and advertisement of tobacco, alcohol and high-fat and salt content food, and targeting SE disparity with healthy and secure workplaces.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.5
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Cardiac & Cardiovascular Systems

Cardiovascular health after menopause transition, pregnancy disorders, and other gynaecologic conditions: a consensus document from European cardiologists, gynaecologists, and endocrinologists

Angela H. E. M. Maas, Giuseppe Rosano, Renata Cifkova, Alaide Chieffo, Dorenda van Dijken, Haitham Hamoda, Vijay Kunadian, Ellen Laan, Irene Lambrinoudaki, Kate Maclaran, Nick Panay, John C. Stevenson, Mick van Trotsenburg, Peter Collins

Summary: Women undergo significant hormonal changes throughout their lifetime that can impact cardiovascular disease risk. In addition to traditional cardiovascular risk factors in older age, younger and middle-aged women also face female-specific risk factors and inflammatory risk variables.

EUROPEAN HEART JOURNAL (2021)

Article Cardiac & Cardiovascular Systems

Frailty and quality of life after invasive management for non-ST elevation acute coronary syndrome

Benjamin Beska, Daniel Coakley, Guy MacGowan, Jennifer Adams-Hall, Chris Wilkinson, Vijay Kunadian

Summary: Older, frail adults with NSTEACS have poor health-related quality of life. One year after invasive management, there are modest improvements in HRQoL, especially in frail and prefrail patients, compared to robust patients.
Review Cardiac & Cardiovascular Systems

Evidence base for the management of women with non-ST elevation acute coronary syndrome

James Jackson, Mohammad Alkhalil, Hanna Ratcovich, Chris Wilkinson, Roxana Mehran, Vijay Kunadian

Summary: According to the Global Burden of Disease study, the prevalence of cardiovascular disease (CVD) in women has been increasing since 2010, leading to a higher number of deaths. Women with acute myocardial infarction (AMI) receive less guideline-indicated treatments compared to men. There is also a lack of representation of women in clinical cardiovascular trials, limiting the evidence base for the best care of women with acute coronary syndrome (ACS).
Article Medicine, General & Internal

Impact of multimorbidity on long-term outcomes in older adults with non-ST elevation acute coronary syndrome in the North East of England: a multi-centre cohort study of patients undergoing invasive care

Benjamin Beska, Greg B. Mills, Hanna Ratcovich, Chris Wilkinson, Abdulla A. Damluji, Vijay Kunadian

Summary: In older adults with NSTE-ACS referred for coronary angiography, the presence of multimorbidity is associated with an increased risk of long-term adverse cardiovascular events, mainly driven by a higher risk of all-cause mortality.

BMJ OPEN (2022)

Review Cardiac & Cardiovascular Systems

Role and relevance of risk stratification models in the modern-day management of non-ST elevation acute coronary syndromes

R. Navin Balasubramanian, Greg B. Mills, Chris Wilkinson, Roxana Mehran, Vijay Kunadian

Summary: This article summarises the international guidelines on risk stratification and discusses new emerging data for the development of a new risk model in managing patients with NSTE-ACS. Current risk models are insufficient and outdated, leading to inaccurate estimation of patients' baseline risk and subsequent mistreatment. There is a need for risk prediction scores that account for different population demographics, higher sensitivity troponin assays, and contemporary treatment options.
Article Cardiac & Cardiovascular Systems

Cohort profile: the ESC EURObservational Research Programme Non-ST-segment elevation myocardial infraction (NSTEMI) Registry

Ramesh Nadarajah, Peter Ludman, Yolande Appelman, Salvatore Brugaletta, Andrzej Budaj, Hector Bueno, Kurt Huber, Vijay Kunadian, Sergio Leonardi, Maddalena Lettino, Dejan Milasinovic, Chris P. Gale

Summary: The aim of this study is to identify international patterns in the management of NSTEMI and compare them with the 2015 ESC Guidelines. By collecting data from 3620 NSTEMI patients in 287 centers across 59 countries, this study will provide unique insights into the contemporary management of NSTEMI patients.

EUROPEAN HEART JOURNAL-QUALITY OF CARE AND CLINICAL OUTCOMES (2023)

Article Cardiac & Cardiovascular Systems

Presentation, care, and outcomes of patients with NSTEMI according to World Bank country income classification: the ACVC-EAPCI EORP NSTEMI Registry of the European Society of Cardiology

Ramesh Nadarajah, Peter Ludman, Cecile Laroche, Yolande Appelman, Salvatore Brugaletta, Andrzej Budaj, Hector Bueno, Kurt Huber, Vijay Kunadian, Sergio Leonardi, Maddalena Lettino, Dejan Milasinovic, Chris P. Gale

Summary: This study examines the relationship between presentation, care, and outcomes of non-ST-segment elevation myocardial infarction (NSTEMI) and country income classification. The findings suggest that NSTEMI patients in low-income countries are younger, more likely to have diabetes and be current smokers, but have fewer comorbidities. Although the rate of invasive coronary angiography is higher in low-income countries, the overall quality of care is not as high. Low-income countries have higher rates of acute heart failure, stroke/transient ischaemic attack, in-hospital mortality, and 30-day mortality compared to high-income countries.

EUROPEAN HEART JOURNAL-QUALITY OF CARE AND CLINICAL OUTCOMES (2023)

Editorial Material Cardiac & Cardiovascular Systems

Great Debate: Computed tomography coronary angiography should be the initial diagnostic test in suspected angina

Toral R. Y. Patel, Todd Villines, Christopher M. Kramer

EUROPEAN HEART JOURNAL (2023)

Article Cardiac & Cardiovascular Systems

Overcoming professional barriers encountered by women in interventional cardiology: an EAPCI statement

Gill Louise Buchanan, Valeria Paradies, Nicole Karam, Lene Holmvang, Mamas A. Mamas, Julinda Mehilli, Davide Capodanno, Piera Capranzano, Yolande Appelman, Stephane Manzo-Silberman, Vijay Kunadian, Josepa Mauri, Stefanie Shuepke, Anna Sonia Petronio, Marta Kaluzna-Oleksy, Martine Gilard, Marie Claude Morice, Emanuele Barbato, Dariusz Dudek, Alaide Chieffo

Summary: Despite the increasing number of female medical and nursing students, there is still a significant lack of women working in interventional cardiology, especially in senior leadership positions and academic roles. This position paper discusses the current status of women in interventional cardiology in Europe, identifies the determinants of their under-representation at each stage of the career path, and offers practical suggestions for overcoming these challenges.

EUROPEAN HEART JOURNAL (2023)

Review Cardiac & Cardiovascular Systems

Role of percutaneous coronary intervention in the modern-day management of chronic coronary syndrome

Timothy Cartlidge, Mila Kovacevic, Eliano Pio Navarese, Gerald Werner, Vijay Kunadian

Summary: Contemporary randomised trials show no difference in all-cause mortality or myocardial infarction between patients with chronic coronary syndrome treated with conservative or invasive strategy. However, open-label trials consistently demonstrate greater improvement in symptoms and quality of life with PCI. It remains an important option for patients with favorable characteristics. Despite contentious evidence, elective PCI for CCS continues to play a significant role in UK clinical practice.
Editorial Material Cardiac & Cardiovascular Systems

Raising awareness about cardiovascular disease in women

Michael Lawless, Sarah Brown, Vijay Kunadian

EUROPEAN HEART JOURNAL (2023)

Article Cardiac & Cardiovascular Systems

Cognitive impairment and outcomes in older adults with non-ST-elevation acute coronary syndrome

Valerie Josephine Dirjayanto, Mohammad Alkhalil, John Dodson, Gregory Mills, Graziella Pompei, Francesca Rubino, Vijay Kunadian

Summary: Cognitive impairment in older patients with NSTEACS undergoing invasive treatment is associated with long-term all-cause mortality, but not with MACE occurrence.
Review Cardiac & Cardiovascular Systems

The role of physiology in the contemporary management of coronary artery disease

Francesca Rubino, Graziella Pompei, Salvatore Brugaletta, Carlos Collet, Vijay Kunadian

Summary: Coronary physiology assessment is a fundamental tool in the management of patients with coronary artery disease, allowing for the selection of appropriate treatment strategies based on individual disease patterns. Post-PCI physiological assessment aims to optimize treatment outcomes and improve patients' quality of life.
Article Peripheral Vascular Disease

Sex Differences in Ambulatory Blood Pressure Levels and Subtypes in a Large Italian Community Cohort

Stefano Omboni, Nadia A. A. Khan, Vijay Kunadian, Agnieszka Olszanecka, Aletta E. E. Schutte, Anastasia S. S. Mihailidou

Summary: This study systematically investigated sex differences in blood pressure control, including variability, day-night changes, morning surge, and hypertension types. The results showed that males had consistently higher blood pressure values, while females had higher blood pressure variability. Males were more likely to have abnormal morning surge and non-dipping blood pressure, and had a higher prevalence of 24-hour and masked hypertension. Females had higher heart rate mean values, higher daytime heart rate variability, and lower nighttime heart rate variability. These sex differences were observed in all risk groups and support tailored management of hypertension.

HYPERTENSION (2023)

Article Cardiac & Cardiovascular Systems

Sex-specific presentation, care, and clinical events in individuals admitted with NSTEMI: the ACVC-EAPCI EORP NSTEMI registry of the European Society of Cardiology

Ramesh Nadarajah, Peter Ludman, Cecile Laroche, Yolande Appelman, Salvatore Brugaletta, Andrzej Budaj, Hector Bueno, Kurt Huber, Vijay Kunadian, Sergio Leonardi, Maddalena Lettino, Dejan Milasinovic, Chris P. Gale

Summary: In contemporary practice, women with NSTEMI receive fewer antiplatelet prescriptions and smoking cessation advice compared to men, and are less likely to be considered eligible for invasive coronary angiography.

EUROPEAN HEART JOURNAL-ACUTE CARDIOVASCULAR CARE (2023)

暂无数据