Cardiometabolic syndrome, USA News (Mérida): The epidemiological outlook for individuals in Mexico appears grim, according to Dr. José Antonio Magaña Serrano, president of the National Association of Cardiologists of Mexico (Ancam). Speaking during a visit to Mérida for the 22nd Ancam Congress at the International Congress Center, the specialist explained that heart diseases, diabetes, and terminal renal insufficiency together form what is known as cardio-reno-metabolic syndrome, presenting serious challenges for public health.
For the past four decades, heart conditions have remained the leading cause of mortality and disability in Mexico. Dr. Magaña Serrano noted that these conditions claim approximately 200,000 lives annually among both men and women. Diabetes and its complications rank second, followed closely by terminal kidney disease among the top ten causes of death and disability. Because these three disease categories are closely intertwined, damage to the heart impacts the kidneys and metabolism, and vice versa.
Addressing a rapidly aging population with low levels of healthy habits and genetic predispositions, the specialist emphasized that these conditions create a severe burden for patients, families, and both public and private healthcare systems through catastrophic expenses. Major predisposing habits include smoking, obesity associated with sedentary lifestyles, and diets high in calories and ultra-processed foods. Furthermore, poor sleep quality and conditions such as sleep apnea further aggravate cardiac and metabolic health.
Despite advancements in pharmacology, minimally invasive surgical techniques, and organ transplants, adherence to lifelong treatments remains low, with estimates suggesting only about 50 percent of patients follow long-term regimens. Dr. Magaña Serrano highlighted the urgency of improving communication, empowering patients, and utilizing digital tools. Risk factors have also shifted the age of initial heart attacks earlier from 60 down to between 40 and 50 years of age, making events occur during peak professional and family productivity.
The current congress in Mérida serves as a major gathering for more than 4,000 health professionals, including cardiologists, primary care physicians, students, and nurses. Featuring 270 speakers from Mexico and ten other countries, the event aims to improve clinical competencies and address nationwide health statistics that include over 20 million people with hypertension, 14 million with diabetes, widespread high cholesterol, and high rates of overweight and obesity affecting adults and children.
