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1.
Curr Probl Cardiol ; 49(6): 102527, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38492618

RESUMEN

This comprehensive study delves into the epidemiological landscape of Pulmonary Heart Disease (PHD) mortality in the United States from 1999 to 2020, leveraging the extensive CDC WONDER database. PHD encompasses conditions affecting the right side of the heart due to lung disorders or elevated pressure in the pulmonary arteries, including pulmonary hypertension, pulmonary embolism, and chronic thromboembolic pulmonary hypertension (CTEPH). Analyzing data from death certificates, demographic characteristics, and geographical segmentation, significant trends emerge. The age-adjusted mortality rates (AAMRs) for PHD-related deaths show a fluctuating pattern, initially decreasing from 1999 to 2006, followed by a steady increase until 2020. Male patients consistently exhibit higher AAMRs than females, with notable disparities observed among racial/ethnic groups and geographic regions. Non-hispanic (NH) Black or African American individuals, residents of specific states like Colorado and the District of Columbia, and those in the Midwest region demonstrate elevated AAMRs. Furthermore, nonmetropolitan areas consistently manifest higher AAMRs than metropolitan areas. These findings underscore the urgent need for intensified prevention and treatment strategies to address the rising mortality associated with PHD, particularly among vulnerable populations. Insights from this study offer valuable guidance for public health initiatives aimed at reducing PHD-related mortality and improving outcomes nationwide.


Asunto(s)
Disparidades en el Estado de Salud , Enfermedad Cardiopulmonar , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Centers for Disease Control and Prevention, U.S. , Etnicidad/estadística & datos numéricos , Estudios Longitudinales , Enfermedad Cardiopulmonar/epidemiología , Enfermedad Cardiopulmonar/mortalidad , Grupos Raciales/estadística & datos numéricos , Distribución por Sexo , Factores Sexuales , Tasa de Supervivencia/tendencias , Estados Unidos/epidemiología , Negro o Afroamericano , Hispánicos o Latinos
2.
Curr Probl Cardiol ; 49(4): 102435, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38301913

RESUMEN

This investigation meticulously explores the evolving landscape of Covid-19-related mortality in the United States from 2020 to 2023. Leveraging the comprehensive CDC WONDER database, the study conducts a detailed analysis of age-adjusted mortality rates (AAMRs), considering various demographic and regional parameters. The identified pattern illustrates an initial surge in AAMRs from 2020 to 2021, followed by a subsequent decline until 2023. Notably, there is a discernible reduction in AAMRs for both the elderly (85 years and older) and infants (below one year). Within specific demographic segments, heightened AAMRs are observed among NH American Indian or Alaska Native individuals, men, and residents in particular states and regions. Emphasizing the significant impact of Covid-19 on cardiovascular health, the study underscores increased mortality rates associated with the cardiovascular and respiratory systems. AAMR rates were standardized per 100,000 population, providing a comparative metric. Noteworthy states with elevated AAMRs include Mississippi, Oklahoma, Kentucky, New Mexico, and Alabama, with the Southern region exhibiting the highest AAMR. The research sheds light on demographic and regional disparities in Covid-19-related mortality, calling for intensified efforts in prevention and treatment strategies. These findings, offering nuanced insights, serve as a guide for strategic public health initiatives to mitigate the multifaceted repercussions of the pandemic, especially among vulnerable populations.


Asunto(s)
COVID-19 , Humanos , Lactante , Masculino , COVID-19/epidemiología , COVID-19/mortalidad , Geografía , Estados Unidos/epidemiología , Anciano de 80 o más Años , Grupos Raciales
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