Imperial College London
Alternate

MrJosephShalhoub

Faculty of Medicine, Department of Surgery & Cancer

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

j.shalhoub Website

 
 
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Location

 

Charing Cross HospitalCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Essa:2022:10.1016/j.amjcard.2022.02.016,
author = {Essa, M and Ghajar, A and Delago, A and Hammond-Haley, M and Shalhoub, J and Marshall, D and Salciccioli, J and Sugeng, L and Philips, B and Faridi, K},
doi = {10.1016/j.amjcard.2022.02.016},
journal = {American Journal of Cardiology},
title = {Demographic and state-level trends in mortality due to ischemic heart disease in the United States frmo 1999-2019},
url = {http://dx.doi.org/10.1016/j.amjcard.2022.02.016},
volume = {144},
year = {2022}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Although there have been advances in ischemic heart disease (IHD) care, variation in IHD-related mortality trends across the United States has not been well described. We used the CDC-WONDER database to evaluate variation in IHD-related mortality for demographic groups in the U.S. between 1999 and 2019. Age-adjusted mortality rates (AAMR) were stratified by sex, race, Hispanic ethnicity, and U.S. state. Crude mortality rates were evaluated using 10-year age groups. IHD-related AAMR decreased from 195 to 88 per 100,000 nationally, with slower decline from 2010-2019 (average annual percent change [AAPC] -2.6% [95% CI -2.9% to -2.2%) compared to 2002-2010 (AAPC -5.3% [95% CI -5.6% to -4.9%]). All groups had decreases in AAMR, though black populations persistently had the highest AAMR, and women had greater relative decreases than men. AAPC was -3.7% for white men; -4.7% for white women; -3.9% for black men; -4.9% for black women; -4.1% for Hispanic men, and -5.1% for Hispanic women. Populations ≥65 years old had greater relative mortality declines compared to populations <65 years. The median AAMR (2019) and AAPC (1999-2019) across states was 86.3 (range 58 – 134) and -3.8% (range -1.7% to -4.8%), respectively. In conclusion, mortality declines due to IHD have slowed in the U.S., with significant geographic variation. Black populations persistently had the highest AAMR, and declines were relatively greater for women and populations ≥65 years. The impact of demographics and geography on IHD should be further explored and addressed as part of public health measures.
AU  - Essa,M
AU  - Ghajar,A
AU  - Delago,A
AU  - Hammond-Haley,M
AU  - Shalhoub,J
AU  - Marshall,D
AU  - Salciccioli,J
AU  - Sugeng,L
AU  - Philips,B
AU  - Faridi,K
DO  - 10.1016/j.amjcard.2022.02.016
PY  - 2022///
SN  - 0002-9149
TI  - Demographic and state-level trends in mortality due to ischemic heart disease in the United States frmo 1999-2019
T2  - American Journal of Cardiology
UR  - http://dx.doi.org/10.1016/j.amjcard.2022.02.016
UR  - https://www.sciencedirect.com/science/article/pii/S0002914922001655?via%3Dihub
UR  - http://hdl.handle.net/10044/1/95462
VL  - 144
ER  -
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