New Delhi (PTI): Regions of Asia, Europe, Africa and the Middle East are estimated to have the highest burden of deaths due to heart-related diseases, with high blood pressure, raised cholesterol, dietary risks and air pollution being the leading causes, a study has found.

Globally, heart-disease related deaths increased from 12.4 million in 1990 to 19.8 million in 2022, signifying high rates of such illnesses, the researchers found after analysing data from across 21 regions. They further found these deaths to have increased from 2015-2022 in 27 out of the 204 locations studied.

The researchers, including those from the National Institutes of Health and Institute for Health Metrics and Evaluation (IHME), University of Washington, US, said that these numbers also reflected global population growth and ageing and the contributions from preventable metabolic, environmental, and behavioural risks.

"The 2023 Almanac represents an important resource for using locally relevant data to inform local-level actions for heart-healthy and thriving communities," said study author George A. Mensah, director at the National Heart, Lung, and Blood Institute (NHLBI), US.

The research team found that ischemic heart disease remained the leading cause of global cardiovascular disease (CVD) mortality with an age-standardised rate of about 110 deaths per 1,00,000 population, followed by brain hemorrhage and ischemic stroke. They have published their findings in the Journal of the American College of Cardiology.

Ischemia refers to the development of local anaemia in a given body part sometimes resulting from malfunction in blood vessels, such as enlargement or clotting.

The researchers also said that the highest mortality rates per 1,00,000 people attributable to high systolic blood pressure were found in the regions of Central Asia, Eastern Europe, North Africa and the Middle East.

Further, the highest rates of heart-disease burden attributable to dietary risk were in Central Asia, Oceania, and parts of North Africa and the Middle East, they said.

"Cardiovascular diseases are a persistent challenge that lead to an enormous number of premature and preventable deaths," said Gregory A. Roth, senior author of the paper and associate professor at IHME.

At 553 deaths per 1,00,000 population, Eastern Europe had the highest total CVD death rates, while countries in Australasia were found to have the lowest of these rates at 122.5 deaths per 1,00,000 people.

"There are many inexpensive, effective treatments. We know what risk factors we need to identify and treat. There are simple healthy choices that people can make to improve their health. This atlas provides detailed information on where countries stand in their efforts to prevent and treat cardiovascular diseases," said Roth.

The researchers form a part of the Global Burden of Cardiovascular Diseases Collaboration, an alliance between the Journal, IHME and NHLBI launched in 2020.

Serving as an update to 2022's Global Burden of Diseases (GBD) Study, the 2023 publication includes data from 204 countries and territories, highlighting the leading global modifiable cardiovascular risk factors, their contribution to disease burden and recent prevention advancements, the researchers said.

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New Delhi (PTI): The India-Russia collaboration is not directed against any country and it is solely aimed at safeguarding the national interests of the two sides, Russian President Vladimir Putin has said against the backdrop of Washington's aggressive approach towards New Delhi and Moscow.

In the context of India's energy ties with Russia, Putin said certain "actors" dislike New Delhi's growing role in international markets in view of its close relations with Moscow and these elements are aiming to constrain India's influence for political reasons by imposing "artificial obstacles".

In an interview to India Today news channel that was released on Thursday evening, the Russian president, referring to Western sanctions against Moscow, said his country's energy cooperation with New Delhi largely "remains unaffected".

Putin landed in New Delhi this evening on a two-day visit to hold summit talks with Prime Minister Narendra Modi.

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His trip comes at a time India-US relations are going through possibly the worst phase in the last two decades after Washington imposed a whopping 50 per cent tariff on Indian goods, including 25 per cent levies for New Delhi's procurement of Russian crude oil.

"Neither me nor Prime Minister Modi, despite certain external pressure we face, have never approached our collaboration to work against someone," the Russian president said in response to a question on Washington's aggressive approach.

"President Trump has his own agenda, his own goals, whereas we focus on ours -- not against anyone, but rather aimed at safeguarding our respective interests, India's and Russia's interests," he said.

Rejecting Washington's objection to India procuring crude oil from Russia, Putin said if the US has the right to buy Russian fuel, why "shouldn't India have the same privilege".

"As for India's purchase of energy resources from Russia, I would like to note and have already mentioned this once, the US itself still buys nuclear fuel from us for its own nuclear power plants," Putin said.

The Russian president also responded to a question on India lowering procurement of crude oil from Russia in view of Western sanctions on Moscow.

ALSO READ: Russian president Putin arrives in Delhi on 2-day visit

"Well, there is a certain decline in overall trade turnover during the first nine months of this year. This is just a minor adjustment. Overall, our trade turnover stands almost at the same level as before," he said.

"I can't give you exact monthly figures right now, but trade in petroleum products and crude oil, as well as the production of petroleum products for consumers of oil, Russian oil, is running smoothly in India," he said.

Putin also said that India cannot be treated the way it was several decades back.

"Prime Minister Modi is not someone who succumbs to pressure easily. The Indian people can certainly take pride in their leader. This is absolutely obvious," he said.

"His stance is unwavering and straightforward, without being confrontational. Our goal is not to provoke conflict; rather, we aim to protect our lawful rights. India does the same," he said.

On the Ukraine conflict, Putin said he believed the US is actively seeking a solution to this problem. "I am absolutely certain, with no doubt at all, he (Trump) sincerely aims for a peaceful resolution."

Putin said Trump genuinely wants to end the hostilities and prevent further loss of lives. "But there could also be political interests tied to ending the confrontation between Russia and Ukraine, or economic motives too."

On bilateral trade, Putin said over 90 per cent of "our transactions are already conducted in national currencies".

"While some complications arise due to the presence of numerous intermediaries, there are also solutions," he said.

The Russian president also complimented PM Modi's leadership.

"Our collaborative endeavours with Prime Minister Modi carry significant weight because they transcend our mutual ties," he said.

"Given its direct relevance to both nations, ensuring stability in key areas of engagement is crucial, as it helps secure the fulfilment of our objectives. Prime Minister Modi sets very challenging tasks for the country --and for himself in the first place, then for the administration, and eventually for the nation," he said.

The Russian president did not give a direct reply to a question on if India was looking at procuring additional batches of S-400 missile systems.

"India stands out as one of our reliable and privileged partners in this area. We are not merely selling something to India and India isn't merely buying something from us in the sphere of defence and security.

"It is a different level, a different quality of relations we have with India, and we value this. We see how India values this relationship too," he said.

Putin said Russia is not simply selling defence technology to India but it is sharing it with the country.

"It is a very rare thing to see in the sphere of military-technical cooperation. It speaks to the level of trust between the two countries and the level of trust between the two peoples.

"We have a broad portfolio indeed, including naval construction, rocket and missile engineering, and aircraft engineering," he added.