Has the first year of the COVID-19 pandemic reversed the trends in cardiovascular (CV) mortality between 1999 and 2019 in the United States?
Authors' conclusion
The first year of the COVID pandemic in the United States was associated with a reversal in prior trends of improved CV mortality. Increases in CV mortality were most pronounced among Black and Hispanic adults.
Study context
- Population
- US adults aged 18 and older, CDC WONDER database, 1999–2020
- Exposure
- CV mortality in 2020 vs 2019
- Outcome
- Age-adjusted CV mortality
Main finding
As reported in the abstract
Excess CV mortality, 2020 vs 2019
Excess CV mortality in 2020 vs 2019
4.6%
Absolute excess CV deaths
62 802
Observational data: associations, not effects.
Further findings
Relative CV mortality increase by age
- Age <55 years
- 11.9%
- Age 55-74
- 7.9%
- Age ≥75
- 2.2%
CV mortality increase by ethnicity
- Hispanic (7400 excess deaths)
- 9.4%
- Non-Hispanic (56 760 excess deaths)
- 4.3%
CV mortality increase by race
- Black (15 477 excess deaths)
- 10.6%
- White (42 907 excess deaths)
- 3.5%
Change in mortality by cause of CV death
- Ischaemic heart disease (32 293 excess deaths)
- 4.3%
- Hypertensive disease (13 800 excess deaths)
- 15.9%
- Cerebrovascular disease (11 218 excess deaths)
- 4.9%
- HF (decline)
- 1.4%
Original publication
Has the first year of the COVID-19 pandemic reversed the trends in CV mortality between 1999 and 2019 in the United States? Eur Heart J Qual Care Clin Outcomes. Published 28 November 2022. doi:10.
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