Proportional Mortality due to Heart Failure and Ischemic Heart Diseases in the Brazilian Regions from 2004 to 2011

Gaui, Eduardo Nagib; Klein, Carlos Henrique; Oliveira, Glaucia Maria Moraes de

doi:10.5935/abc.20160119

Brasil

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Original Articles • Arq. Bras. Cardiol. 107 (3) • Sept 2016 • https://doi.org/10.5935/abc.20160119 linkcopy

Proportional Mortality due to Heart Failure and Ischemic Heart Diseases in the Brazilian Regions from 2004 to 2011

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Background: Heart failure (HF) and ischemic heart diseases (IHD) are important causes of death in Brazil.

Objective: To assess proportional mortality (PM) due to HF and IHD as underlying causes stratified by sex and age groups in the Brazilian geoeconomic regions from 2004 to 2011.

Methods: Data from death certificates were obtained in the DATASUS site under the following International Statistical Classification of Diseases and Related Health Problems codes, 10^th Revision: 1) from chapter IX: I20 to I24 for acute IHD, I25 for chronic IHD, and I50 for HF; and 2) from chapter XVIII, for ill-defined causes (IDC).

Results: Proportional mortality due to HF increased with age in both sexes and all regions, the highest percentages being found among elderly women. Among men, the highest percentages were observed in the West-Central region up to the ninth decade, but, among the eldest individuals, the highest percentages were identified in the Southern region. Among women, the regions did not differ up to the age group of 70-79 years, although the West-Central region took the lead from 50 to 79 years; however, from the age of 80 years on, the Southern region showed the highest PM due to HF. Proportional mortality due to acute IHD in all Brazilian regions and in both sexes increased up to the age group of 60-69 years, from which it decreased. Among men, the Southeastern region had the highest percentages in the age group of 50-59 years, while women had lower PM due to acute IHD than men in all regions. In both sexes, PM due to chronic IHD increased with age in the Southern and Southeastern regions, which did not happen in the others, while the Southern region had the highest rate of all regions for all age groups.

Conclusions: Regional differences were more prominent at more advanced ages, especially when deaths due to IDC were excluded.

Keywords: Heart failure/mortality; Myocardial Ischemia/mortaity; Death Certificates; Epidemiology; Brazil

Cause	Region
Age group	Northen	Northestern	West-Central	Southeastern	Southern	Brazil
HF
0-39	0.4	0.4	0.5	0.3	0.2	0.4
40-49	1.3	1.2	1.4	1.0	0.9	1.1
50-59	1.9	1.9	2.4	1.5	1.4	1.6
60-69	3.0	2.6	3.2	2.2	2.1	2.4
70-79	3.5	3.3	3.7	2.9	3.1	3.1
80-89	4.4	4.1	4.7	3.7	4.5	4.0
90ou+	4.1	4.9	4.9	4.4	5.9	4.8
Total	2.1	2.3	2.5	2.1	2.2	2.2
Acute IHD
0-39	0.8	1.1	1.1	1.3	1.1	1.2
40-49	5.8	6.6	7.0	7.4	7.1	7.0
50-59	9.2	10.3	11.2	11	10.7	10.7
60-69	9.5	11.5	11.3	11.5	11.3	11.3
70-79	8.7	9.9	9.7	9.8	9.8	9.8
80-89	6.5	7.7	7.0	7.8	7.6	7.6
90ou+	5.2	6.2	5.1	5.6	5.8	5.8
Total	5.4	6.9	7.1	8.0	7.9	7.5
Chronic IHD
0-39	0.0	0.1	0.1	0.1	0.1	0.1
40-49	0.3	0.4	0.9	0.9	1.0	0.8
50-59	0.5	0.9	1.7	1.7	1.9	1.5
60-69	0.7	1.2	2.1	2.2	2.5	2.0
70-79	0.8	1.2	2.0	2.3	2.8	2.1
80-89	0.7	1.1	1.8	2.3	2.9	2.0
90ou+	0.6	0.9	1.8	2.3	2.6	1.7
Total	0.4	0.8	1.3	1.6	2.0	1.4
IDC
0-39	8.5	5.5	3.1	5.8	3.3	5.4
40-49	13.0	9.2	5.0	9.4	6.1	8.8
50-59	13.7	9.7	5.2	8.7	5.8	8.5
60-69	14.9	10.4	4.8	8.0	5.3	8.1
70-79	16.7	11.8	4.6	7.2	5.0	8.1
80-89	20.4	14.9	5.3	7.5	5.8	9.7
90ou+	28.9	21.3	8.9	11.1	10.6	15.4
Total	13.6	10.4	4.6	7.7	5.3	8.2
N
0-39	105,308	343,734	86,283	433,740	141,069	1,110.134
40-49	28,015	115,165	34,803	232,483	74,713	485,179
50-59	33,372	141,644	43,708	339,116	111,350	669,190
60-69	39,834	176,257	52,799	398,437	145,124	812,451
70-79	45,588	209,710	57,177	462,905	167,670	943,050
80-89	31,220	185,762	37,783	324,647	111,796	691,208
90ou+	10,272	71,998	11,102	83,886	26,570	203,828
Total	293,609	1,244.270	323,655	2,275.214	778,292	4,915.040

Cause	Region
Age group	Northen	Northestern	West-Central	Southeastern	Southern	Brazil
HF
0-39	0.6	0.7	0.5	0.5	0.4	0.6
40-49	1.2	1.6	1.6	1.2	1.2	1.3
50-59	1.9	2.3	2.5	1.9	1.8	2.0
60-69	2.8	2.8	3.3	2.6	2.8	2.8
70-79	3.4	3.3	4.4	3.4	4.2	3.6
80-89	3.8	4.0	5.1	4.3	5.8	4.5
90 or +	4.3	4.6	5.8	4.9	7.4	5.2
Total	2.4	2.9	3.3	3.0	3.8	3.1
Acute IHD
0-39	0.7	1.1	1.0	1.2	1.0	1.1
40-49	4.7	7.1	6.0	6.3	6.3	6.4
50-59	6.8	9.2	7.8	8.2	8.2	8.4
60-69	7.7	10.1	9.1	9.4	9.4	9.5
70-79	7.1	9.2	8.2	9	9.2	9
80-89	6.0	7.5	6.6	7.3	7.6	7.3
90 or +	4.8	5.9	4.9	5.8	6	5.8
Total	4.9	7.2	6.3	7.3	7.5	7.1
Chronic IHD
0-39	0.0	0.1	0.1	0.1	0.1	0.1
40-49	0.2	0.5	1.0	0.8	0.9	0.7
50-59	0.4	0.8	1.4	1.4	1.6	1.2
60-69	0.6	1.0	1.8	1.9	2.2	1.7
70-79	0.8	1.2	1.8	2.1	2.7	1.9
80-89	0.7	1.1	1.8	2.2	3.0	2.0
90 or +	0.7	1.0	1.9	2.4	3.2	2.0
Total	0.5	0.9	1.4	1.7	2.2	1.5
IDC
0-39	9.8	7.3	3.4	6.1	3.7	6.3
40-49	11.3	8.9	4.3	7.4	4.5	7.3
50-59	11.8	8.8	3.6	7.0	4.4	7.0
60-69	13.4	9.6	3.6	6.8	4.3	7.2
70-79	15.7	11.2	3.7	6.9	4.7	7.7
80-89	20.1	14.5	5.0	7.7	6.1	9.4
90 or +	29.8	21.7	9.5	11.2	11.0	14.8
Total	14.8	11.8	4.3	7.5	5.4	8.4
N
0-39	49,782	146,364	36,437	184,665	59,689	476,937
40-49	14,073	60,516	17,437	119,553	37,702	249,281
50-59	19,309	92,027	25,253	192,631	62,242	391,462
60-69	25,177	134,654	34,437	269,106	92,995	556,369
70-79	32,284	187,067	43,297	400,302	138,749	801,699
80-89	28,163	197,554	36,886	415,142	139,630	817,375
90ou+	14,674	101,902	15,540	174,025	53,005	359,146
Total	183,462	920,084	209,287	1,755,424	584,012	3,652,269

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Sociedade Brasileira de Cardiologia - SBC Avenida Marechal Câmara, 160, sala: 330, Centro, CEP: 20020-907, (21) 3478-2700 - Rio de Janeiro - RJ - Brazil, Fax: +55 21 3478-2770 - São Paulo - SP - Brazil
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[TFN1] ICD-10: International Statistical Classification of Diseasesand Related Health Problems - 10^th revision.

ICD-10: codes: from Chapter IX for HF - 150, for acute IHD - 120-124, and for chronic IHD - 125; and from Chapter XVIII for IDC.

HF: heart failure; IHD: acute or chronic ischemic heart diseases; IDC: ill-defined causes.