Prevention & lipids

Global Trends in Ischemic Heart Disease-Related Mortality From 2000 to 2019

JACC AdvPublished Analysis of the World Health Organization Mortality Database

Authors' conclusion

While global IHD mortality has declined from 2000 to 2019, disparities by geographic region and sex persist. Implementing targeted health awareness programs and collaborative global health efforts are crucial for addressing these inequalities.

Study context

Population
Ischemic heart disease (IHD) mortality data from 105 countries, 2000 to 2019
Participants
105 countries
Exposure
Regional and sex-specific trends in CMR and ASMR
Outcome
Global CMR
Follow-up
2000 to 2019
Methodological detailsjoinpoint regression, stratified analyses of CMR and ASMR
  • Joinpoint regression
  • Stratified analyses of CMR and ASMR

Main finding

As reported in the abstract

CMR 2000

138 per 100,000

95% CI 131–145

CMR 2019

106 per 100,000

95% CI 102–114

Average annual percentage change (AAPC)

−1.79, 95% CI: −1.93 to −1.66

Observational data: associations, not effects.

Further findings

Global ASMR · 2000 to 2019

ASMR 2000
104 per 100,000 (95% CI: 99-108)
ASMR 2019
65.5 (95% CI: 62-69)
AAPC
−2.16, 95% CI: −2.13 to −2.20

Regional CMR

Crude mortality rates (CMRs) decreased in Oceania, Europe, and North America, while they rose in Asia, Africa, and Central and South America

Regional ASMR

Africa AAPC
1.33, 95% CI: 1.30-1.36
Age-standardized mortality rates (ASMRs) declined worldwide except in Africa

Mortality by sex

Males showed higher mortality than females, but both sexes demonstrated decreasing trends, with males having a steeper decline

Mortality by age group across regions

Africa showed an upward trend, while other regions demonstrated declines

Original publication

Global Trends in Ischemic Heart Disease-Related Mortality From 2000 to 2019. JACC Adv. Published 19 June 2025. doi:10.1016/j.jacadv.2025.101904

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