Trends in Mortality from Ischemic Heart Disease in the Region of the Americas, 2000-2019

Primer Autor
Lanas, Fernando
Co-autores
Soto, Alvaro
Título
Trends in Mortality from Ischemic Heart Disease in the Region of the Americas, 2000-2019
Editorial
UBIQUITY PRESS LTD
Revista
GLOBAL HEART
Lenguaje
en
Resumen
Background: In latest decades, mortality rates from ischemic heart disease (IHD) had declined steadily in most of the world as a consequence of improvements in prevention and therapy. Objective: The aim of this study was to analyze trends in mortality caused by IHD in the region of the Americas from 2000 to 2019. Methods: Estimates of the age-adjusted mortality rate (AAMR) due to IHD were extracted from the Data Portal on Noncommunicable Diseases, Mental Health, and External Causes (ENLACE), Pan American Health Organization. We used Joinpoint regression to analyze significant changes in mortality trends by country, gender, geographical sub-region, and country income, according to the World Bank classification. We also calculated the average annual percent change (AAPC) mortality rate for the overall period in the Americas as a whole and by country and sub-region. Results: In the region of the Americas, the AAMR from IHD decreased from 117.80 (95% uncertainty interval (UI)) 106.64-135.90) in 2000 to 73.64 (62.65-92.66) per 100,000 in 2019. In males, from 149.08 (95% UI 138.23-168.08) to 96.02 (95% UI 83.48-117.19) and in females 92.36 (95% UI 81.35-109.42) to 54.84 (95% UI 45.2871.76). The AAPC mortality rate in the region decreased -2.5% (95% CI: -2.7, -2.3), with joinpoints in 2007 and 2012, -2.3% (95% CI: -2.5, -2.1) in men and -2.7% (95% CI: -3.0, -2.5) in women. According to the sub-region analysis, the highest decrease was recorded in North America, AAPC -3.1% (95% CI: -3.3, -3.0) with one joinpoint in 2011, whereas there was a stagnation of the mortality rate in Central America, Mexico, and Latin Caribbean with an AAPC of 0.1 (-0.2, 0.3) with one joinpoint in 2007. Conclusions: Age-adjusted mortality rate from IHD between 2000 and 2019 has decreased in the region of the Americas. However, different trends were observed, North America had the highest reduction in AAPC, while Central America, Mexico, and Latin Caribbean Region had a stagnation. This trend was highly influenced by country income.
Fecha Publicación
2022
Tipo de Recurso
artículo original
Derecho de Acceso
acceso abierto
doi
10.5334/gh.1144
Formato Recurso
PDF
Palabras Claves
Americas region
Ischemic heart disease
mortality
Joinpoint
Ubicación del archivo
Categoría OCDE
Sistema cardiovascular y cardiología
Materias
Región de las Américas
Enfermedad isquémica del corazón
mortalidad
Punto de unión
Identificador del recurso (Mandatado-único)
artículo original
Versión del recurso (Recomendado-único)
versión publicada
License
CC BY 4.0
Condición de la licencia (Recomendado-repetible)
CC BY 4.0
Derechos de acceso
acceso abierto
Access Rights
acceso abierto
Id de Web of Science
WOS:000974780100001
ISSN
2211-8160
Tipo de ruta
Verde# dorado
Categoría WOS
Sistema cardiovascular y cardiología
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