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Demographic and State-Level Trends in Mortality Due to Ischemic Heart Disease in the United States from 1999 to 2019.
Essa, Mohammed; Ghajar, Alireza; Delago, Augustin; Hammond-Haley, Matthew; Shalhoub, Joseph; Marshall, Dominic; Salciccioli, Justin D; Sugeng, Lissa; Philips, Binu; Faridi, Kamil F.
Afiliação
  • Essa M; Harvard Medical School, Boston, Massachusetts.
  • Ghajar A; Harvard Medical School, Boston, Massachusetts.
  • Delago A; Harvard Medical School, Boston, Massachusetts.
  • Hammond-Haley M; National Heart and Lung Institute, Imperial College, London, United Kingdom.
  • Shalhoub J; Imperial Vascular Unit, Imperial College Healthcare NHS Trust, London, United Kingdom; Academic Section of Vascular Surgery, Department of Surgery & Cancer, Imperial College London, London, United Kingdom.
  • Marshall D; British Heart Foundation Centre of Excellence, King's College London, London, United Kingdom.
  • Salciccioli JD; Harvard Medical School, Boston, Massachusetts.
  • Sugeng L; Section of Cardiovascular Medicine, Department of Medicine, Yale School of Medicine, New Haven, Connecticut.
  • Philips B; Harvard Medical School, Boston, Massachusetts.
  • Faridi KF; Section of Cardiovascular Medicine, Department of Medicine, Yale School of Medicine, New Haven, Connecticut. Electronic address: kamil.faridi@yale.edu.
Am J Cardiol ; 172: 1-6, 2022 06 01.
Article em En | MEDLINE | ID: mdl-35317929
Although there have been advances in ischemic heart disease (IHD) care, variation in IHD-related mortality trends across the United States has not been well described. We used the Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research database to evaluate variation in IHD-related mortality for demographic groups in the United States between 1999 and 2019. Age-adjusted mortality rates (AAMRs) were stratified by gender, race, Hispanic ethnicity, and US state. Crude mortality rates were evaluated using 10-year age groups. IHD-related AAMRs decreased from 195 to 88 per 100,000 nationally, with slower a decrease from 2010 to 2019 (average annual percent change [AAPC] -2.6% [95% confidence interval -2.9% to -2.2%]) compared with 2002 to 2010 (AAPC -5.3% [95% confidence interval -5.6% to -4.9%]). All groups had decreases in AAMRs, although Black populations persistently had the highest AAMR, and women had greater relative decreases than men. AAPC was -3.7% for White men, -4.7% for White women, -3.9% for Black men, -4.9% for Black women, -4.1% for Hispanic men, and -5.1% for Hispanic women. Populations ≥65 years had greater relative mortality decreases than populations <65 years. The median AAMR (2019) and AAPC (1999 to 2019) across states was 86 (range 58 to 134) and -3.8% (range -1.7% to -4.8%), respectively. In conclusion, declines in IHD-related mortality have slowed in the United States, with a significant geographic variation. Black populations persistently had the highest AAMRs, and decreases were relatively greater for women and populations ≥65 years. The impact of demographics and geography on IHD should be further explored and addressed as part of public health measures.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hispânico ou Latino / Isquemia Miocárdica Limite: Female / Humans / Male País/Região como assunto: America do norte Idioma: En Revista: Am J Cardiol Ano de publicação: 2022 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hispânico ou Latino / Isquemia Miocárdica Limite: Female / Humans / Male País/Região como assunto: America do norte Idioma: En Revista: Am J Cardiol Ano de publicação: 2022 Tipo de documento: Article País de publicação: Estados Unidos