Rates of coronary revascularisation and other procedures for CVD vary widely across Europe. In general, Central and Eastern European countries have lower rates than Northern, Southern and Western Countries. Within Northern, Southern and Western European countries there is no consistent geographical pattern but some countries, for example France, have high rates for all procedures.

The differences in procedure rates are difficult to account for. For example, coronary artery bypass graft rates are much higher in Finland, Israel and Sweden than would be expected from comparisons of standardised mortality ratios for CHD. Similarly, rates are much lower than would be expected in Latvia, Estonia and Romania. Analysis of rates for percutaneous coronary interventions shows other anomalies: Germany, Israel and France have rates higher than expected whilst rates in Finland, Ireland and the UK are lower than would be expected, and rates in the Balkan states and Romania are much lower than expected.

While rates of revascularisation vary widely across Europe, all countries have seen rates increase significantly since the 1990s. For example, since 1990 rates of PCI have increased twenty-fold in Hungary, fifteen-fold in Italy and twelve-fold in Finland. Most recently, the biggest increase in rates of PCI have been in Eastern European countries and Baltic States, including, for example, a twelve fold increase in Latvia between 1995 and 2000.