Trends of Hypertensive Heart Disease Prevalence and Mortality in the United States Between the Period 1990-2019, Global Burden of Disease Database

Division

North Florida

Hospital

North Florida Regional Medical Center

Document Type

Manuscript

Publication Date

7-1-2024

Keywords

Humans, Prevalence, United States, Male, Female, Hypertension, Middle Aged, Global Burden of Disease, Aged, Adult, Databases, Factual, Sex Distribution, Heart Diseases, Age Distribution, Risk Factors, Young Adult

Disciplines

Cardiovascular Diseases | Internal Medicine | Medicine and Health Sciences

Abstract

Hypertension presents a substantial cardiovascular risk, with poorly managed cases increasing the likelihood of hypertensive heart disease (HHD). This study examines individual-level trends and burdens of HHD in the US from 1990 to 2019, using the Global Burden of Disease (GBD) 2019 database. In 2019, HHD prevalence in the US reached 1,487,975 cases, with stable changes observed since 1990. Sex stratification reveals a notable increase in prevalence among females (AAPC 0.3, 95 % CI: 0.2 to 0.4), while males showed relative constancy (AAPC 0.0, 95 % CI: -0.1 to 0.1). Mortality rates totaled 51,253 cases in 2019, significantly higher than in 1990, particularly among males (AAPC 1.0, 95 % CI: 0.8 to 1.3). Younger adults experienced a surge in HHD-related mortality compared to older adults (AAPC 2.6 versus 2.0). These findings highlight the need for tailored healthcare strategies to address sex and age-specific disparities in managing HHD.

Publisher or Conference

Current Problems in Cardiology

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