Coronary disease & ACS

Global Burden of Early-Onset Ischemic Heart Disease, 1990 to 2019

JACC AdvPublished Global Burden of Disease analysis

Authors' conclusion

The global incidence rate of early-onset IHD decreased from 1990 to 2019. The incidence rate was highest in low-middle SDI countries, and the burden of DALY was highest in low-middle SDI countries. The DALY and death rate were higher in men. High low-density lipoprotein cholesterol and high systolic blood pressure were the primary attributors.

Study context

Population
Early-onset ischemic heart disease (men <55 years, women <65 years), 204 countries and territories, 1990–2019204 countries and territories
Outcome
Incidence, prevalence and DALY of early-onset ischemic heart disease (IHD)
Follow-up
1990 to 2019
Methodological details204 countries and territories, 1990–2019
  • 204 countries and territories
  • 1990–2019

Main finding

As reported in the abstract

Global burden of early-onset IHD · 2019

Individuals affected globally

5.34 million

95% UI 3.96–6.96

Disability-adjusted life years (DALY)

58.48 million

95% UI 52.65–64.69

Deaths

1.44 million

95% UI 1.29–1.59

Further findings

OutcomeFemaleMale
Incidence cases by sex · 20192.77 million (95% UI 2.04–3.64)2.57 million (95% UI 1.92–3.32)

Burden by sociodemographic index (SDI) · 2019

Middle SDI: highest incidence cases
1.79 million (95% UI 1.32-2.34)
Low-middle SDI: highest age-standardized incidence rate
179.34 per 100,000 (95% UI 134.38-231.94)
Low-middle SDI: highest age-standardized death rate
57.13 per 100,000 (95% UI 48.45-66.53)
Low-middle SDI: highest age-standardized DALY rate
2,309.67 per 100,000 (95% UI 1962.31-2,693.93)

Attributable risk factors

Top 2: high LDL-C and high SBP

Original publication

Global Burden of Early-Onset Ischemic Heart Disease, 1990 to 2019. JACC Adv. Published 20 December 2024. doi:10.1016/j.jacadv.2024.101466

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