Age-standardised cardiovascular disease mortality in the North Africa and Middle East region decreased from 579.6 per 100,000 in 1990 to 358.2 in 2023 (AAPC -1.42%; 95% CI -1.48 to -1.35).
Observational
Yes
The historical decline in cardiovascular disease burden in the North Africa and Middle East region has stalled since 2019, highlighting the need for improved risk factor management to meet global health targets.
Effect estimate: AAPC -1.42% (95% CI -1.48 to -1.35)
Absolute Event Rate: 358.2% vs 579.6%
Background/Objectives: Cardiovascular disease (CVD) burden decreased in the North Africa and Middle East (NAME) region between 1990 and 2019. This study used Global Burden of Disease (GBD) 2023 data to examine whether trends in mortality, disability-adjusted life years (DALYs), incidence, and prevalence continued through 2023 across all 21 NAME countries. Methods: We analysed age-standardised CVD mortality, incidence, prevalence, and DALY rates from 1990 to 2023. Joinpoint regression identified changes in temporal trends and calculated the annual percent change (APC) and average annual percent change (AAPC) with 95% confidence intervals (CIs). Results: Age-standardised CVD mortality decreased from 579.6 per 100,000 in 1990 to 358.2 in 2023 (AAPC: −1.42%; 95% CI: −1.48 to −1.35). However, no significant reduction occurred between 2019 and 2023 (APC: −0.33%; 95% CI: −1.37 to 1.75). DALY, incidence, and prevalence rates followed similar patterns, with no significant decline in the final years of this study. Egypt was the only country with a long-term increase in CVD mortality, which accelerated after 2020 (APC: +5.20%; 95% CI: 1.20 to 12.87). High systolic blood pressure, dietary risks, lead exposure, and air pollution were the leading modifiable risk factors. Conclusions: The earlier decline in CVD burden in the NAME region did not clearly continue after 2019. The region is currently off track to meet Sustainable Development Goal 3.4 by 2030. Future progress may depend on improved blood pressure control, lipid management, dietary habits, and environmental risk reduction.
OUDDOUD et al. (Tue,) conducted a observational in Cardiovascular disease. Calendar year (1990-2023) vs. 1990 baseline was evaluated on Age-standardised CVD mortality per 100,000 (AAPC -1.42%, 95% CI -1.48 to -1.35). Age-standardised cardiovascular disease mortality in the North Africa and Middle East region decreased from 579.6 per 100,000 in 1990 to 358.2 in 2023 (AAPC -1.42%; 95% CI -1.48 to -1.35).