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Cardiovascular disease burden in Europe is similar by sex but differs in composition

In 2023 women had 55% of cardiovascular cases and 50% of deaths, but less ischaemic heart disease.

Cardiovascular estimates from Global Burden of Disease 2023 were compared by sex across 55 European Society of Cardiology countries. In 2023 women had 55% of cases and 50% of deaths, but less ischaemic heart disease (21% vs 38%). Tobacco and alcohol exposure was 10–20 points higher in men; high body mass index and low activity higher in women. Between-country gaps were wider in women: about three-fold in incidence versus two-fold in men, and up to 25-fold in mortality. Maternal hypertensive disorders made up 25% of incident disease in women, with up to 18-fold incidence differences across countries. The supplied abstract is truncated and states no limitation.

Why it is interesting: Similar totals by sex hide different disease mixes and risk exposures. Maternal hypertensive disorders alone account for a quarter of incident cardiovascular disease in women across the region.

Source
European Heart Journal, 23 October 2026
Paper
Sex differences in cardiovascular disease burden, risk factors, and disease spectrum in Europe: a global burden of disease 2023 analysis within the ESC Atlas framework
Authors
Conrad N, Torbica A, Wood AM, Townsend N, Van Belle E, Kaplon-Cieslicka A et al.
DOI
10.1093/eurheartj/ehag782
Type
Peer-reviewed article
Design
Cross-national descriptive analysis of GBD 2023 modelled estimates, 55 ESC member countries, age-sex-standardized rates, 1990-2023
Verdict
Refines prior evidence
Driver
Heart and stroke
Driver
Revisions and new sources
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