Prevention & lipids

Global burden of cardiovascular disease attributable to smoking, 1990–2019: an analysis of the 2019 Global Burden of Disease Study

Eur J Prev CardiolPublished Secondary analysis of the Global Burden of Disease Study 2019

Authors' conclusion

Smoking-attributed CVD morbidity and mortality are declining globally, but significant variation persists

Study context

Population
Global population; Cardiovascular disease (CVD) attributable to smoking (ischaemic heart disease, PAD, stroke, AF and flutter, aortic aneurysm), 1990–2019
Primary endpoint
Age-standardized mortality rate (ASMR) and DALY rate (ASDR) per 100 000 of smoking-attributed CVD, with estimated annual percentage change (EAPC)
Follow-up
1990–2019

Primary result

As reported in the abstract

Global ASMR of smoking-attributed CVD · 1990 to 2019

ASMR in 1990

57.16/100 000

95% UI 54.46–59.97

ASMR in 2019

33.03/100 000

95% UI 30.43–35.51

Estimated annual percentage change (EAPC) in ASMR

−0.42

95% UI −0.47 to −0.38

Further findings

ASDR of smoking-attributed CVD · 1990–2019

ASDR decreased between 1990 and 2019

Death burden of CVD subcategories · 1990–2019

All CVD subcategories showed a decline in death burden

Burden by sex

Burden higher in men than in women

ASMR by region and socio-demographic index (SDI) · 2019

Highest ASMR in Eastern Europe, lowest in Andean Latin America
ASMR lowest in high SDI regions

Original publication

Global burden of cardiovascular disease attributable to smoking, 1990–2019: an analysis of the 2019 Global Burden of Disease Study. Eur J Prev Cardiol. Published 9 April 2024. doi:10.1093/eurjpc/zwae040

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