O217 Assessment of clinical value of standardized, questionnaire-based history evaluation in the diagnosis of syncope

R A L A B ST R A C T S Results: There is a positive correlation between SFA and CHD mortality in both HIC (Figure 1) and LMIC (Figure 2). With the exception of Russia, CHD mortality trends in HIC are decreasing. Patterns of SFA in HIC is divergent with Southern Europe and East Asia (excluding China) showing increasing trends (but from a low base), compared to Australia/New Zealand, Northern and Western Europe and North America where trends are falling (from high levels). Eastern Europe and Russian SFA increases to around 1990, from when consumption falls. CHD mortality trends in LMIC have increased, particularly in Central Asia. SFA intake in LMIC has changed little, except China where SFA intake has increased significantly (from a low base). Conclusion: Changes in SFA consumption and CHD mortality patterns are generally similar. SFA patterns reflect changes in global food production that have occurred over the past half century. A 2008 FAO publication reported per capita/per day supply of vegetable oils increased 112% in HIC and 191% in LMIC between 1961 and 2003. Per capita/per day supply of animal fats decreased 26% in HIC and increased 109% in LMIC. However, consumption of vegetable oils was still 1.9 times higher and animal fats 3.4 times higher in HIC than LMIC, reflected in the higher (x2) CHD mortality and SFA consumption in HIC than LMIC. Despite reductions in HIC SFA consumption, it is still a significant population determinant for CHD. Increasing SFA consumption in LMIC will likely correspond with increasing CHD. Research is currently underway to examine time lag relationships between population changes in dietary fat intake and CHD mortality. Disclosure of Interest: None Declared