During a recent press event, experts highlighted the widespread but often overlooked issue of atherosclerosis, plaque buildup in arteries. Dr. Mariann Harangi, a specialist from the University of Debrecen, explained that even young adults can show signs of arterial aging, particularly men, who are prone to earlier onset compared to women. Lifestyle factors, genetics, and comorbidities like diabetes accelerate this process.
In Hungary, cardiovascular diseases claim more than 60,000 lives annually, a figure comparable to depopulating entire cities the size of Sopron or Veszprém each year. This troubling statistic underscores the urgent need for regular cholesterol screening and lifestyle interventions.
While technological advancements in cardiovascular care have significantly improved survival rates, challenges remain. Dr. Dániel Aradi, head cardiologist at Balatonfüred State Heart Hospital, pointed out that timely treatment is critical.
“Patients must reach a [specialist] catheterization lab within an hour of a heart attack symptom onset. In Hungary, this window often exceeds six hours, drastically reducing chances of recovery,” he explained.
Public misconceptions about cholesterol also hinder prevention efforts. Experts at the event clarified the difference between “good” (HDL) cholesterol, which helps remove arterial buildup, and “bad” (LDL) cholesterol, a key contributor to atherosclerosis. They stressed that lowering LDL levels is essential, even for young, healthy individuals. Contrary to popular belief, reducing cholesterol levels does not negatively impact hormone production.
Harangi emphasized, that the atherosclerotic process can be reversed if LDL cholesterol is sufficiently reduced. Modern guidelines recommend LDL levels below 3 mmol/L for healthy individuals.
Another underreported factor is Lipoprotein (a), a genetically determined cholesterol subtype that exacerbates arterial damage. Unfortunately, routine lab tests in Hungary often overlook this marker, leaving a gap in comprehensive cardiovascular risk assessments.
Despite the availability of advanced treatments, prevention remains Hungary’s Achilles’ heel. A 2023 Novartis screening program found that 65% of participants required further evaluation due to high cholesterol levels. However, participation in regular screening remains low, particularly among working-age adults, where only 15% seek preventive care compared to 36% of seniors.
Experts emphasized the role of lifestyle in cardiovascular health. While diet, exercise, and smoking cessation are critical, modern urban life introduces new risks, such as pollution and even noise, that also contribute to arterial damage. Therefore, managing cholesterol remains a cornerstone of prevention.
Over the past three decades, Hungary has made strides in reducing cardiovascular mortality rates. Advances in acute care, such as catheter-based interventions, have extended average life expectancy by two years. However, as Aradi noted, “There’s still room for improvement, particularly in medication adherence and early intervention.”
This article was first published in the Budapest Business Journal print issue of December 13, 2024.
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