Between 1990 and 2019, the global number of hypertensive heart disease cases increased to 19.60 million, while the age-standardized death rate decreased with an estimated annual percentage change of -0.74.
Observational
While the absolute number of hypertensive heart disease cases has increased globally over the past three decades, age-standardized mortality and DALY rates have declined.
Effect estimate: EAPC -0.74 (95% CI -0.92 to -0.58)
BACKGROUND: Hypertensive heart disease (HHD) is a major public health issue worldwide. We analyzed the global, regional, and national burden of HHD between the years 1990 and 2019 in relation to age, gender, and socioeconomic factors. METHODS: The prevalence and death rates, the disability adjusted life-years (DALY), and the corresponding age-standardized rates of HHD were extracted from the Global Burden of Disease study 2019. The epidemiological trends were evaluated by calculating the estimated annual percentage changes (EAPC) of the above variates. RESULTS: A total of 19.60 million HHD cases were documented in 2019 compared to 7.82 million in 1990, corresponding to an EAPC of 0.17. Contrarily, the global age-standardized death rate (ASDR) and age-standardized DALYs decreased with respective EAPCs of - 0.74 and - 1.02. HHD mostly occurred in people aged over 65. The disease burden of HHD varied considerably between countries, and univariate linear regression indicated that many socioeconomic variables had significantly negative correlations with age-standardized DALY rate. CONCLUSION: HHD cases have increased over the last three decades; however the mortality rate has declined. Multi-faceted improvements in health, education and income could help to alleviate the disease burden of HHD, specially in some regions with lower socio-demographic index and higher ASDR.
Lu et al. (2022) conducted an observational in Hypertensive heart disease. Time period (2019 vs 1990) vs. 1990 baseline was evaluated on Age-standardized death rate (ASDR) (EAPC -0.74, 95% CI -0.92 to -0.58). Between 1990 and 2019, the global number of hypertensive heart disease cases increased to 19.60 million, while the age-standardized death rate decreased with an estimated annual percentage change of -0.74.