Rational Pharmacotherapy in Cardiology

Advanced search

Comparative Analysis of All-cause and Cardiovascular Mortality in Moscow and Irkutsk

Full Text:


Aim. To study standardized all-cause mortality and cardiovascular mortality (or deaths due to diseases of the circulatory system) in Irkutsk and Moscow including assessment in gender and age subgroups.

Material and methods. To compare mortality in the two cities data of Federal State Statistics Service were used with calculation of coefficients of mortality adjusted for European age pattern.

Results: Age-standardized indices of mortality per 100,000 of population were significantly lowerin Moscow as compared to Irkutsk in the entire sample (697.6 vs 1157.8; p<0.00001), in men (904.0 vs 1364.3; p<0.00001) and in women (535.1 vs 822.7; p<0.00001), and also in all age subgroups above 25 years. Cardiovascular diseases were dominated in the mortality patterns of the compared cities: 47% in Irkutsk, 64% in Moscow. Chronic forms of ischemic heart disease (47.9% in Irkutsk and 45.9% in Moscow) and cerebrovascular diseases (15.9% in Irkutsk and 16.7% in Moscow) were prevalent. There were significant distinctions in death rates encoded in such headings as: “Otherforms of acute ischemic heart disease”, “Atherosclerotic heart disease”, “Cerebral atherosclerosis”, “Hypertensive encephalopathy”, and “Unspecified cardiomyopathy”.

Conclusion. Irkutsk had higher standardized coefficients of all-cause and cardiovascular mortality as compared to Moscow in the total population, in men and in women and in majority of age subgroups. This can be explained by economic, social and climatic factors.

About the Authors

F. I. Belyalov
Irkutsk State Medical Academy of Postgraduate Education
Russian Federation

MD, PhD, Professor of Chair of gerontology and geriatrics, 

Mikrorajon Yubilejnyj 100, Irkutsk, 664079

I. V. Samorodskaya
State Research Center for Preventive Medicine
Russian Federation

MD, PhD, Professor, Head of Laboratory of demographic aspects of population health,

Petroverigsky per., 10, Moscow, 101990

S. V. Pogodaeva
Health Ministry of Irkutsk Region
Russian Federation

MD, Deputy Director of Department for Medical and Pharmaceutical Care Organization for Irkutsk city,

Karla Marxa ul. 29, Irkutsk, 664003


1. Roth G.A., Huffman M.D., Moran A.E., et al. Global and Regional Patterns in Cardiovascular Mortality From 1990 to 2013. Circulation 2015;132:1667-78.

2. Cardiovascular Disease Statistics 2015. British Heart Foundation Centre On Population Approaches For Non-communicable Disease Prevention. London: British Heart Foundation; 2015.

3. Deaths: Leading Causes for 2012. National Vital Statistics Reports 2015;64(10):1–93.

4. Belyalov F.I., Pogodaeva S.V., Zaitsev A.P. et al. Medical demography and causes of mortality of Irkutsk population. Irkutsk: RIO IGMAPO; 2016. In Russian (Белялов Ф.И., Погодаева С.В., Зайцев А.П., и др. Медицинская демография и причины смертности населения Иркутска. Иркутск: РИО ИГМАПО; 2016).

5. Pogosova N.V., Oganov R.G., Suvorov S.V. Why Moscow has lower cardiovascular mortality rates than other regions of Russian Federation? Kardiovaskulyarnaya Terapiya i Profilaktika 2015; 14(2):4-12. In Russian (Погосова Н.В., Оганов Р.Г., Суворов С.В. Почему в Москве смертность от сердечно-сосудистых заболеваний ниже, чем в других регионах Российской Федерации? Кардиоваскулярная Терапия и Профилактика 2015;14(2):4–12).

6. Walsh D., McCartney G., McCullough S. Exploring potential reasons for Glasgow’s ‘excess’ mortality: Results of a three-city survey of Glasgow, Liverpool and Manchester. Glasgow: Glasgow Centre for Population Health; 2013. 164 p.

7. McCartney G., Collins C., WalshD.Accounting for Scotland’s excess mortality: towards a synthesis. Glasgow: Glasgow Centre for Population Health; 2013.

8. Ro Y.S., Shin S.D., Kitamura T., et al. Temporal trends in out-of-hospital cardiac arrest survival outcomes between two metropolitan communities: Seoul-Osaka resuscitation study. BMJ Open2015;5(6):e007626.

9. Shalnova S.A., Conradi A.O., Karpov Iu.A. et al. Assessment of cardiovascular mortality in 12 RF regions, participating in the study “Epidemiology of cardiovascular diseases in differentregions of Russia”. Russian Journal of Cardiology 2012;97 (5):6–11. In Russian (Шальнова С.А., Конради А.О., Карпов Ю.А. и др. Анализ смертности от сердечно–сосудистых заболеваний в 12 регионах PФ, участвующих в исследовании «Эпидемиология сердечно–сосудистых заболеваний в различных регионах России». Российский Кардиологический Журнал 2012;97 (5):6–11).

10. Tuppin P., Ricci-Renaud P., de Peretti C., et al. Frequency of cardiovascular diseases and risk factors treated in France according to social deprivation and residence in an overseas territory. Int J Cardiol 2014;173(3):430–5.

11. Yusuf S., Rangarajan S., Teo K., et al. Cardiovascular Risk and Events in 17 Low-, Middle-, and HighIncome Countries. NEJM 2014;371:818–27.

12. Kondo N., Sembajwe G., Kawachi I., et al. Income inequality, mortality, and self-rated health: metaanalysis of multilevel studies. BMJ 2009;339:b4471.

13. Wennerholm C., Grip B., Johansson A., et al. Cardiovascular disease occurrence in two close but different social environments. Int J Health Geogr 2011;10:5.

14. FechtD., Fortunato L., MorleyD., et al. Associations between urban metrics and mortality rates in England. Environ Health. 2016;15 Suppl 1:34.

15. Heart Disease and Stroke Statistics — 2016 Update: A Report From the American Heart Association. Circulation 2016;133:e38–60.

16. Brunekreef B., Beelen R., Hoek G., et al. Effects of long-term exposure to traffic-related air pollution on respiratory and cardiovascular mortality in the Netherlands: the NLCS-AIR study. Res Rep Health Eff Inst 2009;(139):5–71.

17. Lanzinger S., Schneider A., Breitner S., et al. Associations between ultrafine and fine particles and mortality in five central European cities - Results from the UFIREG study. Environ Int 2016;88:44–52.

18. Brook R.D., Rajagopalan S., Pope C.A., et al. Particulate Matter Air Pollution and Cardiovascular Disease. An Update to the Scientific Statement From the American Heart Association. Circulation 2010;121:2331–78.

19. Crimmins A., Balbus J., Gamble J.L. et al., Eds. U.S. Global Change Research Program. Impacts of Climate Change on Human Health in the United States: A Scientific Assessment. Washington, DC: издательство; 2016.

20. Wojtyniak B., Jankowski K., Zdrojewski T., Opolski G. Regional differences in determining cardiovascular diseases as the cause of death in Poland: time for change. Kardiol Pol 2012;70(7):695–701.

For citation:

Belyalov F.I., Samorodskaya I.V., Pogodaeva S.V. Comparative Analysis of All-cause and Cardiovascular Mortality in Moscow and Irkutsk. Rational Pharmacotherapy in Cardiology. 2016;12(4):366-375.

Views: 443

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.

ISSN 1819-6446 (Print)
ISSN 2225-3653 (Online)