Prevention & lipids

Epidemiologic trends and risk factors associated with the decline in mortality from coronary heart disease in the United States, 1990-2019

Am Heart JPublished Sequential time-series analysis

Main finding · Age-standardized CHD mortality rate per 100,000, 1990 to 2019Result — go to the resultIncidence rate ratio 0.32 95% CI 0.41–0.43

Authors' conclusion

The decline in CHD mortality is slowing among younger cohorts.

Study context

Population
Females and males aged 25 to 84 years in the US, 1990–2019, with coronary heart disease (CHD) as underlying cause of deathCHD deaths
Comparison
Females vs Males
Outcome
Age-standardized CHD mortality rate trends; preventable fraction of CHD deaths attributable to alcohol, smoking and high body-mass index (BMI)
Follow-up
1990-2019
Methodological detailsUS national mortality data, quantitative bias analysis
  • US national mortality data
  • Quantitative bias analysis

Main finding

As reported in the abstract

Age-standardized CHD mortality rate per 100,000, 1990 to 2019

Incidence rate ratio

0.32

95% CI 0.41–0.43

Further findings

Preventable CHD deaths with elimination of smoking, alcohol and obesity, 1990–2019

Preventable female CHD deaths
1,726,022
Preventable male CHD deaths
2,897,767
Half of all CHD deaths preventable

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Epidemiologic trends and risk factors associated with the decline in mortality from coronary heart disease in the United States, 1990-2019. Am Heart J. Published 11 May 2023. doi:10.1016/j.ahj.2023.05.006

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