D-51 | Ischemic Heart Disease (Ihd) Mortality in the United States Top 6 Metropolitan Cities in Age Group 45+ Years From 1999-2019

Background: Heart disease is the most common cause of death in the United States and kills close to 695,000 people each year.We looked into the long-term mortality trends for ischemic heart disease (IHD) in the United States top 6 metropolitans in age 45 and above.Methods: We analyzed the data from the CDC Wonder database from 1999 to 2019 for Ischemic heart disease (IHD) using ICD-10 codes I20-25 and reported mortality using age adjusted mortality (AAR).All races and places of death were included.Results: In 1999 when compared with US (AAR= 704), all 6 cities had higher AAR with NYC topping the list (AAR= 961) and Dallas being the lowest in the list (AAR= 727) but still higher than the national average.By 2019, all cities and the national numbers saw decreasing pattern and three cities (NYC AAR= 452) (Philadelphia AAR= 378) (Dallas AAR= 371) were still above the national average (US AAR 2019= 371).In 2019 NYC had the highest AAR mortality (AAR= 452) and Chicago had the lowest mortality (AAR= 301) with biggest improvement (62.4%).5 boroughs of NYC showed a decreasing mortality trend.Staten Island had the highest AAR in 1999 (AAR= 1130) & 2019 (AAR= 649) and Manhattan had the lowest AAR in 1999 (AAR= 747) & 2019 (AAR= 319).Highest percentage decrease was seen in Manhattan (57.3%) and lowest in Staten Island (42.5%).Conclusions: In 1999 all of the above metropolitans had higher AAR than national average but in next 2 decades despite an overall decreasing mortality trend NYC, Philadelphia, and Dallas had higher AAR than US.Chicago showed biggest improvement with 60% reduction in mortality.NYC had the highest mortality and Staten Island had the highest mortality of all boroughs.