"Changing Mortality Trends in Cardiovascular Diseases: A Comparative An" by Yong Hao Yeo, Xuan Ci Mee et al.
 

Changing Mortality Trends in Cardiovascular Diseases: A Comparative Analysis Before, During, and After the Pandemic

Document Type

Conference Proceeding

Publication Date

4-1-2025

Publication Title

Journal of the American College of Cardiology

Abstract

Background: The COVID-19 pandemic potentially worsened cardiovascular disease (CVD) outcomes due to social isolation and pandemic protocols. However, comprehensive analyses of CVD mortality trends before, during, and after the pandemic are limited. Methods: We used CDC WONDER to analyze deaths primarily from CVD (2019-2023). Time periods were divided into pre- (2019), intra- (2020-2022) and post-pandemic (2023). We calculated age-adjusted mortality rates (AAMR) per 100,000 individuals, comparing peak pandemic AAMR to pre- and post-pandemic rates. Results: There were 4,592,405 CVD deaths. AAMR peaked in 2021 (AAMR 233.25, Percent change +8.7%). During the pandemic, stroke had the highest increase (+11.3%). Heart failure (HF) was the only subtype that increased post-pandemic (+1.5%). Females had greater changes in AAMR during (+8.9%) and after (-7.6%) the pandemic than males. Non-Hispanic Blacks (NHB) and American Indians had the largest changes in AAMR during (+10.8%, +10.6%) and post-pandemic (-7.8%, -10.0%). Young adults (25-44) had the highest change (+17.2% during and -10.2% post-pandemic). Conclusion: Stroke had the highest increase in AAMR, while HF AAMR stayed increased post-pandemic. AAMR changed most in females, NHB, American Indians, and young adults, highlighting increased vulnerability to pandemic stressors. Strategies to reduce the impact of public health crises and aid recovery post-crisis are crucial for protecting these populations and addressing cardiovascular risks.

Volume

85

Issue

12 Suppl

First Page

2697

Comments

American College of Cardiology Meeting, March 29-31, 2025, Chicago, IL

Last Page

2697

DOI

10.1016/S0735-1097(25)03181-X

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