{"doi":"10.5114/aoms/144631","title":"Implications of the 2021 ESC Cardiovascular Risk Classification among 283,000 European Immigrants Living in a Low-Risk Region: A Population-Based Analysis in Catalonia","abstract":"Introduction The ESC recently classified European countries into 4 cardiovascular risk regions. However, whether Europeans from higher-risk countries living in lower-risk regions may benefit from intensive cardiovascular prevention efforts, is unknown. We described the burden of risk factors and cardiovascular disease (CVD) among European-born immigrants living in Catalonia, a low-risk region. Material and methods Retrospective cohort study of 5.6 million adults of European origin living in Catalonia in 2019, including 282,789 European-born immigrants. We used the regionwide healthcare database and classified participants into 5 groups: low-, moderate-, high-, and very high-risk, and local-born. Age-standardized prevalence was estimated as of December 31st, 2019 and incidence was computed during 2019 among at-risk individuals. Results The very high-risk was the largest immigrant group (N=136,910; 48.4%), while the high-risk group was the smallest (N=15,739; 5.6%). These two had the highest burden of coronary heart disease across all groups evaluated, in both men and women. The very high-risk group also had the highest prevalence of hypertension and obesity at young-to-middle age, and the burden of risk factors newly diagnosed during 2019 was highest in high- and very high-risk participants. The mean age at first diagnosis of risk factors and CVD was lower in these groups. Conclusions In Catalonia, residents born in high- and very-high-risk European countries are at increased risk of coronary heart disease and newly diagnosed risk factors. Low-risk European countries may consider tailored prevention efforts, early screening of risk factors, and adequate healthcare resource planning to better address the health needs of men and women from higher-risk countries.","journal":"Archives of Medical Science","year":2021,"id":210421,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9384,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":693259,"name":"Montse Clèries","orcid":null,"position":1,"is_corresponding":false},{"id":295206,"name":"Usama Bilal","orcid":"0000-0002-9868-7773","position":2,"is_corresponding":false},{"id":38483,"name":"Maciej Banach","orcid":"0000-0001-6690-6874","position":3,"is_corresponding":false},{"id":340496,"name":"John W. McEvoy","orcid":"0000-0001-6530-5479","position":4,"is_corresponding":false},{"id":236227,"name":"Martin Bødtker Mortensen","orcid":"0000-0003-2693-4154","position":5,"is_corresponding":false},{"id":71977,"name":"Michael J. Blaha","orcid":"0000-0001-5138-9683","position":6,"is_corresponding":false},{"id":74982,"name":"Khurram Nasir","orcid":"0000-0001-5376-2269","position":7,"is_corresponding":false},{"id":692626,"name":"Josep Comín‐Colet","orcid":"0000-0001-8780-720X","position":8,"is_corresponding":false},{"id":692627,"name":"Josepa Mauri","orcid":"0000-0002-9638-7558","position":9,"is_corresponding":false},{"id":284562,"name":"Miguel Cainzos‐Achirica","orcid":"0000-0002-8073-2337","position":10,"is_corresponding":false},{"id":692625,"name":"Emili Vela","orcid":"0000-0002-8736-5365","position":0,"is_corresponding":true}],"reference_count":22,"raw_metadata":null,"created_at":"2026-07-18T23:52:12.491146Z","pmid":"36817660","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}