HealthDay News — The proportion of deaths from heart disease attributed to heart failure and hypertensive heart disease is increasing, according to a study published online Aug. 13 in The BMJ.

Nilay S. Shah, M.D., M.P.H., from the Northwestern University Feinberg School of Medicine in Chicago, and colleagues present trends in the burden of mortality due to subtypes of heart disease from 1999 to 2018 using national death certificate data for the United States. Participants included 12.9 million decedents from total heart disease.

The researchers observed a decrease in deaths from total heart disease from 752,192 to 596,577 from 1999 to 2011, followed by an increase to 655,381 in 2018. The proportion of total deaths from heart disease attributed to ischemic heart disease decreased from 73 to 56 percent from 1999 to 2018, while there were increases in the proportion attributed to heart failure (from 8 to 13 percent) and to hypertensive heart disease (from 4 to 9 percent). Among heart disease subtypes, in all race-sex, age, and region subgroups, age-adjusted mortality rates (AAMRs) were consistently highest for ischemic heart disease. The increases in AAMRs for heart failure and hypertensive heart disease increased at a faster rate than for other subtypes after 2011. Black men had the fastest increases in heart failure mortality.

“Despite medical and surgical advances in heart disease management and public policy initiatives around blood pressure awareness, we are losing ground in the battle against heart failure and hypertension,” a coauthor said in a statement.


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