Heart failure & cardiomyopathiesResearch article

Global, Regional, and National Burden of Myocarditis and Its Impairment, 1990-2023

J Am Coll CardiolPublished

  • Systematic analysis of the Global Burden of Disease Study 2023
  • age-standardized rates
  • stratified by age, sex and Socio-demographic Index (SDI) quintile

Authors' conclusion

Although age-adjusted DALYs and mortality rates of myocarditis decreased globally from 1990 to 2023, incidence and prevalence remained stable, suggesting potential improvements in outcomes over time. However, absolute burden has grown due to population growth and aging, and important disparities persist across age groups and SDI strata.

Study context

Population
Myocarditis burden in every country, 1990–2023
Outcome
Myocarditis prevalence, incidence, DALYs, mortality and mortality-to-incidence ratio (MIR)
Follow-up
1990–2023

Main finding

As reported in the abstract

Global age-standardized rates of myocarditis per 100,000 population · 2023

Prevalence per 100,000

4.84 (95% UI 3.98-5.80)

Incidence per 100,000

12.46 (95% UI 9.86-15.70)

DALY per 100,000

8.41 (95% UI 5.63-12.59)

Mortality per 100,000

0.21 (95% UI 0.14-0.29)

Further findings

Trends 1990–2023

Absolute incident cases increased
54.28%
Incident cases 1990
0.67 million (95% UI 0.52-0.85 million)
Incident cases 2023
1.04 million (95% UI 0.83-1.32 million)
Age-standardized disability-adjusted life years (DALYs) decreased
62.48%
Age-standardized mortality rates decreased
60.00%
Global age-standardized prevalence and incidence rates stable

MIR by age · 1990–2023

MIR <5 years, 1990
17.82%
MIR <5 years, 2023
6.32%
MIR decreased across all age groups; highest in youngest and oldest

By SDI quintile · 1990–2023

MIR 1990
2.33
MIR 2023
1.30
Prevalence 2023, high SDI per 100,000
6.30 (95% UI 5.15-7.48)
Prevalence 2023, low-middle SDI
4.10 (95% UI 3.38-5.02)
Incidence rates stable; mortality declined in all quintiles, lowest in high SDI

Age-standardized prevalence of HF attributable to myocarditis per 100,000 · 1990–2023

1990
2.33 (95% UI 1.90-2.90)
2023
1.76 (95% UI 1.41-2.29)
U-shaped by age; highest <5 and >75 years in 2023

Original publication

Global, Regional, and National Burden of Myocarditis and Its Impairment, 1990-2023. J Am Coll Cardiol. Published 21 August 2026. doi:10.1016/j.jacc.2026.07.039

Summarised from the published abstract; every number is checked against it