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May 21, 2025BMC Cardiovascular DisordersOpen Access

Global age-standardized CVD mortality from high SBP fell ~1.4% annually despite rising absolute deaths.

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Why the study?

CVD remains the leading cause of death and disability globally, with high systolic blood pressure as a critical modifiable risk factor, prompting analysis of temporal trends and future projections to 2045.

Population

Global population across 1990 to 2021

Design

Systematic analysis based on GBD 2021 data using joinpoint and age-period-cohort models

Key result

From 1990 to 2021, the global age-standardized mortality rate for cardiovascular disease attributed to high systolic blood pressure decreased significantly with an average annual percent change of -1.43%, despite an increase in absolute deaths.

Authors

THTenglong HuXYXinyue YangYDYanyan Du

Discussion

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Overview

Alerts clinicians to sustained HSBP-CVD burden; leaves open optimal prevention targets for 2045 projections.

Study Design

Type

Observational

Structured PICO

P
Population
Global population data from the GBD 2021 database across 204 countries and regions, analyzing the burden of cardiovascular disease attributed to high systolic blood pressure from 1990 to 2021.
O
Outcome
Temporal trends of deaths, DALYs, age-standardized mortality rate (ASMR), and age-standardized DALY rate (ASDR) of CVD attributed to high systolic blood pressurehard clinical

Main Result

Effect estimate: AAPC -1.43% (95% CI -1.64 to -1.22)

p-value: p=<0.001

Despite a decline in age-standardized mortality and DALY rates, the absolute global burden of cardiovascular disease attributed to high systolic blood pressure has significantly increased from 1990 to 2021, driven by population growth and aging.

Cite This Study

Hu et al. (2025) conducted an observational in Cardiovascular disease attributed to high systolic blood pressure. High systolic blood pressure vs. 1990 baseline was evaluated on Age-standardized mortality rate (ASMR) for cardiovascular disease attributable to high systolic blood pressure (AAPC -1.43%, 95% CI -1.64 to -1.22, p=<0.001). From 1990 to 2021, the global age-standardized mortality rate for cardiovascular disease attributed to high systolic blood pressure decreased significantly with an average annual percent change of -1.43%, despite an increase in absolute deaths.

synapsesocial.com/papers/6a3b1f8acc8dbc104a21bc1ehttps://doi.org/10.1186/s12872-025-04807-4
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