A Health Crisis Demands Immediate Action

Professor Susanna Price, leader of the European Society of Cardiology's Advocacy Committee, is issuing a powerful call for urgent improvements in the prevention of cardiovascular diseases (CVDs), which remain the world's leading cause of death.

According to the World Health Organization, a staggering 17.9 million lives were lost to CVDs in 2019 alone, accounting for a third of all global fatalities. Heart attacks and strokes were responsible for 85% of these deaths. In Europe, CVD continues to wreak havoc, claiming 34% of all lives in the European Union (EU), with women disproportionately affected.

The Heart of the Matter: Inequalities in CVD

Currently, 62 million people in the EU live with cardiovascular issues, with about 20% of premature deaths before age 65 linked to CVD. Alarmingly, women suffer higher mortality rates after acute events, with CVD responsible for a shocking 37% of female deaths compared to 31% for males. Yet, misconceptions persist, with many erroneously labeling CVD as a 'men's disease.'

Geographical and socio-economic disparities worsen the crisis, revealing staggering mortality rate differences between countries. For instance, heart disease death rates for women in Lithuania can be up to 13 times higher than in France. Rural and economically disadvantaged communities experience greater risk factors, limited access to preventive measures, and worse health outcomes.

The Key: Early Detection of Risks

Spotting cardiovascular risk factors early can dramatically reduce disease onset and mortality. Implementing structured, evidence-based screenings across different life stages is vital. However, these models must consider social determinants, gender-specific aspects, and genetic factors. Special focus should be given to early identification of at-risk women, particularly those with pregnancy-related complications.

Harnessing Technology for Better Outcomes

Digital innovation holds promise for revolutionizing CVD care and research. It's crucial to align data collection efforts, enhance dataset inclusivity, and combat gender bias in AI tools. Expanding these technological advances will enable faster, more precise diagnoses and personalized interventions—but they must be made accessible to all.

Raising Awareness to Save Lives

Public awareness is a cornerstone of CVD prevention. Despite the significant impact on women, there remains a dire lack of knowledge regarding female-specific symptoms. This ignorance leads to delays in diagnosis and treatment. Health campaigns need to challenge stereotypes, educate the public on early warning signs, and promote regular check-ups to help save lives.

A Comprehensive Approach to Cardiovascular Health

A life-course approach to prevention is essential in tackling the multifaceted nature of CVD. Strategies should address both modifiable factors like diet and exercise, as well as non-modifiable ones such as genetics.

On April 23, 2025, the European Alliance for Cardiovascular Health (EACH) presented a comprehensive roadmap for improving CVD prevention at the European Parliament. This initiative aims to unite organizations across Europe to prioritize cardiovascular health.

EACH’s key proposals include creating a European Cardiovascular Health Knowledge Centre to streamline data and best practices, establishing a European Cardiovascular Health Check initiative for early detection, and urging national strategies tailored to member states.

A Historic Opportunity Awaits

As Europe prepares for a unified Cardiovascular Health Plan, effective political commitment and investment are crucial. By adopting a holistic, inclusive, and data-driven approach, there lies a golden opportunity to combat the leading cause of death. It is imperative to center efforts on reducing disparities in prevention, diagnosis, and treatment, ensuring that everyone, regardless of gender, geography, or socio-economic status, has equal access to care.