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Back to the topic: high cardiovascular mortality in Russia
  1. Sergei V Jargin
  1. Department of Public Health, Peoples’ Friendship University of Russia, Moskva, Russian Federation
  1. Correspondence to Sergei V Jargin, Peoples’ Friendship University of Russia, Moscow 117198, Russia; sjargin{at}mail.ru

https://doi.org/10.1136/jech-2020-215683

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    The question ‘Why does Russia have such high cardiovascular (CV) mortality rates?’1 can be answered by a pathologist who practised during the Soviet time.2 Since then, the quality of postmortem examinations has decreased especially during the 1990s: autopsies were sometimes made perfunctorily. The deterioration in anatomic pathology and the healthcare in general during the 1990s coincided with the increase in the registered CV mortality. A tendency to overdiagnose CV diseases is generally known to exist also for people dying at home and not undergoing autopsy. If …

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    Footnotes

    • Contributors Single author.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; internally peer-reviewed.