Hypertension

Burden of cardiovascular disease among elderly: based on the Global Burden of Disease Study 2019

Eur Heart J Qual Care Clin OutcomesPublished Secondary analysis of the Global Burden of Disease Study 2019

Authors' conclusion

The burden of CVD in older people remains severe and generally tends to shift to lower-SDI countries.

Study context

Population
Elderly individuals over 70, global, 1990–2019
Primary endpoint
CVD burden (incidence, prevalence, death and DALY rates)
Follow-up
1990–2019
Methodological detailsjoinpoint model, slope index and concentration index
  • Joinpoint model
  • Slope index and concentration index

Primary result

As reported in the abstract

Elderly CVD burden, 1990–2019
  • Global elderly cardiovascular disease (CVD) incidence, prevalence, death and DALY rates generally decreased; current burden remains high
  • Rapid growth in burden in parts of sub-Saharan Africa and Asia
  • Higher-SDI countries generally saw greater decrease; lower-SDI countries increases or smaller declines
  • Burden gradually concentrating towards low-SDI countries (health inequality analysis)
  • Ischaemic heart disease causes the greatest burden
  • Most CVD burdens increase with age; stroke and peripheral vascular disease show markedly different distribution
  • Hypertensive heart disease burden shows unusual shift towards high-SDI countries
  • High SBP consistently the leading risk factor

Original publication

Burden of cardiovascular disease among elderly: based on the Global Burden of Disease Study 2019. Eur Heart J Qual Care Clin Outcomes. Published 9 June 2023. doi:10.1093/ehjqcco/qcad033

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