Global burden of cardiovascular diseases and risk factors, 1990-2019 : Update from the GBD 2019 Study
Journal article
Roth, Gregory A., Mensah, George A., Johnson, Catherine O., Addolorato, Giovanni, Ammirati, Enrico, Baddour, Larry M., Barengo, Noël C., Beaton, Andrea Z., Benjamin, Emelia J., Benziger, Catherine P., Bonny, Aimé, Brauer, Michael, Brodmann, Marianne, Cahill, Thomas J., Carapetis, Jonathan, Catapano, Alberico L., Chugh, Sumeet S., Cooper, Leslie T., Coresh, Josef, ... Fuster, Valentin. (2020). Global burden of cardiovascular diseases and risk factors, 1990-2019 : Update from the GBD 2019 Study. Journal of the American College of Cardiology. 76(25), pp. 2982-3021. https://doi.org/10.1016/j.jacc.2020.11.010
| Authors | Roth, Gregory A., Mensah, George A., Johnson, Catherine O., Addolorato, Giovanni, Ammirati, Enrico, Baddour, Larry M., Barengo, Noël C., Beaton, Andrea Z., Benjamin, Emelia J., Benziger, Catherine P., Bonny, Aimé, Brauer, Michael, Brodmann, Marianne, Cahill, Thomas J., Carapetis, Jonathan, Catapano, Alberico L., Chugh, Sumeet S., Cooper, Leslie T., Coresh, Josef, Criqui, Michael, DeCleene, Nicole, Eagle, Kim A., Emmons-Bell, Sophia, Feigin, Valery L., Fernández-Solà, Joaquim, Fowkes, Gerry, Gakidou, Emmanuela, Grundy, Scott M., He, Feng J., Howard, George, Hu, Frank, Inker, Lesley, Karthikeyan, Ganesan, Kassebaum, Nicholas, Koroshetz, Walter, Lavie, Carl, Lloyd-Jones, Donald, Lu, Hong S., Mirijello, Antonio, Temesgen, Awoke Misganaw, Mokdad, Ali, Moran, Andrew E., Muntner, Paul, Narula, Jagat, Neal, Bruce, Ntsekhe, Mpiko, Moraes de Oliveira, Glaucia, Otto, Catherine, Owolabi, Mayowa, Pratt, Michael, Rajagopalan, Sanjay, Reitsma, Marissa, Ribeiro, Antonio Luiz P., Rigotti, Nancy, Rodgers, Anthony, Sable, Craig, Shakil, Saate, Sliwa-Hahnle, Karen, Stark, Benjamin, Sundström, Johan, Timpel, Patrick, Tleyjeh, Imad M., Valgimigli, Marco, Vos, Theo, Whelton, Paul K., Yacoub, Magdi, Zuhlke, Liesl, Murray, Christopher, Fuster, Valentin, Roth, Gregory A., Mensah, George A., Johnson, Catherine O., Addolorato, Giovanni, Ammirati, Enrico, Baddour, Larry M., Barengo, Noel C., Beaton, Andrea, Benjamin, Emelia J., Benziger, Catherine P., Bonny, Aime, Brauer, Michael, Brodmann, Marianne, Cahill, Thomas J., Carapetis, Jonathan R., Catapano, Alberico L., Chugh, Sumeet, Cooper, Leslie T., Coresh, Josef, Criqui, Michael H., DeCleene, Nicole K., Eagle, Kim A., Emmons-Bell, Sophia, Feigin, Valery L., Fernández-Sola, Joaquim, Fowkes, F. Gerry R., Gakidou, Emmanuela, Grundy, Scott M., He, Feng J., Howard, George, Hu, Frank, Inker, Lesley, Karthikeyan, Ganesan, Kassebaum, Nicholas J., Koroshetz, Walter J., Lavie, Carl, Lloyd-Jones, Donald, Lu, Hong S., Mirijello, Antonio, Misganaw, Awoke T., Mokdad, Ali H., Moran, Andrew E., Muntner, Paul, Narula, Jagat, Neal, Bruce, Ntsekhe, Mpiko, Oliveira, Gláucia M. M., Otto, Catherine M., Owolabi, Mayowa O., Pratt, Michael, Rajagopalan, Sanjay, Reitsma, Marissa B., Ribeiro, Antonio Luiz P., Rigotti, Nancy A., Rodgers, Anthony, Sable, Craig A., Shakil, Saate S., Sliwa, Karen, Stark, Benjamin A., Sundström, Johan, Timpel, Patrick, Tleyjeh, Imad I., Valgimigli, Marco, Vos, Theo, Whelton, Paul K., Yacoub, Magdi, Zuhlke, Liesl J., Abbasi-Kangevari, Mohsen, Abdi, Alireza, Abedi, Aidin, Aboyans, Victor, Abrha, Woldu A., Abu-Gharbieh, Eman, Abushouk, Abdelrahman I., Acharya, Dilaram, Adair, Tim, Adebayo, Oladimeji M., Ademi, Zanfina, Advani, Shailesh M., Afshari, Khashayar, Afshin, Ashkan, Agarwal, Gina, Agasthi, Pradyumna, Ahmad, Sohail, Ahmadi, Sepideh, Ahmed, Muktar B., Aji, Budi, Akalu, Yonas, Akande-Sholabi, Wuraola, Aklilu, Addis, Akunna, Chisom J., Alahdab, Fares, Al-Eyadhy, Ayman, Alhabib, Khalid F., Alif, Sheikh M., Alipour, Vahid, Aljunid, Syed M., Alla, François, Almasi-Hashiani, Amir, Almustanyir, Sami, Al-Raddadi, Rajaa M., Amegah, Adeladza K., Amini, Saeed, Aminorroaya, Arya, Amu, Hubert, Amugsi, Dickson A., Ancuceanu, Robert, Anderlini, Deanna, Andrei, Tudorel, Andrei, Catalina Liliana, Ansari-Moghaddam, Alireza, Anteneh, Zelalem A., Antonazzo, Ippazio Cosimo, Antony, Benny, Anwer, Razique, Appiah, Lambert T., Arabloo, Jalal, Ärnlöv, Johan, Artanti, Kurnia D., Ataro, Zerihun, Ausloos, Marcel, Avila-Burgos, Leticia, Awan, Asma T., Awoke, Mamaru A., Ayele, Henok T., Ayza, Muluken A., Azari, Samad, B, Darshan B., Baheiraei, Nafiseh, Baig, Atif A., Bakhtiari, Ahad, Banach, Maciej, Banik, Palash C., Baptista, Emerson A., Barboza, Miguel A., Barua, Lingkan, Basu, Sanjay, Bedi, Neeraj, Béjot, Yannick, Bennett, Derrick A., Bensenor, Isabela M., Berman, Adam E., Bezabih, Yihienew M., Bhagavathula, Akshaya S., Bhaskar, Sonu, Bhattacharyya, Krittika, Bijani, Ali, Bikbov, Boris, Birhanu, Mulugeta M., Boloor, Archith, Brant, Luisa C., Brenner, Hermann, Briko, Nikolay I., Butt, Zahid A., Caetano dos Santos, Florentino Luciano, Cahill, Leah E., Cahuana-Hurtado, Lucero, Cámera, Luis A., Campos-Nonato, Ismael R., Cantu-Brito, Carlos, Car, Josip, Carrero, Juan J., Carvalho, Felix, Castañeda-Orjuela, Carlos A., Catalá-López, Ferrán, Cerin, Ester, Charan, Jaykaran, Chattu, Vijay Kumar, Chen, Simiao, Chin, Ken L., Choi, Jee-Young J., Chu, Dinh-Toi, Chung, Sheng-Chia, Cirillo, Massimo, Coffey, Sean, Conti, Sara, Costa, Vera M., Cundiff, David K., Dadras, Omid, Dagnew, Baye, Dai, Xiaochen, Damasceno, Albertino A. M., Dandona, Lalit, Dandona, Rakhi, Davletov, Kairat, De la Cruz-Góngora, Vanessa, De la Hoz, Fernando P., De Neve, Jan-Walter, Denova-Gutiérrez, Edgar, Derbew Molla, Meseret, Derseh, Behailu T., Desai, Rupak, Deuschl, Günther, Dharmaratne, Samath D., Dhimal, Meghnath, Dhungana, Raja Ram, Dianatinasab, Mostafa, Diaz, Daniel, Djalalinia, Shirin, Dokova, Klara, Douiri, Abdel, Duncan, Bruce B., Duraes, Andre R., Eagan, Arielle W., Ebtehaj, Sanam, Eftekhari, Aziz, Eftekharzadeh, Sahar, Ekholuenetale, Michael, El Nahas, Nevine, Elgendy, Islam Y., Elhadi, Muhammed, El-Jaafary, Shaimaa I., Esteghamati, Sadaf, Etisso, Atkilt E., Eyawo, Oghenowede, Fadhil, Ibtihal, Faraon, Emerito Jose A., Faris, Pawan S., Farwati, Medhat, Farzadfar, Farshad, Fernandes, Eduarda, Fernandez Prendes, Carlota, Ferrara, Pietro, Filip, Irina, Fischer, Florian, Flood, David, Fukumoto, Takeshi, Gad, Mohamed M., Gaidhane, Shilpa, Ganji, Morsaleh, Garg, Jalaj, Gebre, Abadi K., Gebregiorgis, Birhan G., Gebregzabiher, Kidane Z., Gebremeskel, Gebreamlak G., Getacher, Lemma, Obsa, Abera Getachew, Ghajar, Alireza, Ghashghaee, Ahmad, Ghith, Nermin, Giampaoli, Simona, Gilani, Syed Amir, Gill, Paramjit S., Gillum, Richard F., Glushkova, Ekaterina V., Gnedovskaya, Elena V., Golechha, Mahaveer, Gonfa, Kebebe B., Goudarzian, Amir Hossein, Goulart, Alessandra C., Guadamuz, Jenny S., Guha, Avirup, Guo, Yuming, Gupta, Rajeev, Hachinski, Vladimir, Hafezi-Nejad, Nima, Haile, Teklehaimanot G., Hamadeh, Randah R., Hamidi, Samer, Hankey, Graeme J., Hargono, Arief, Hartono, Risky K., Hashemian, Maryam, Hashi, Abdiwahab, Hassan, Shoaib, Hassen, Hamid Y., Havmoeller, Rasmus J., Hay, Simon I., Hayat, Khezar, Heidari, Golnaz, Herteliu, Claudiu, Holla, Ramesh, Hosseini, Mostafa, Hosseinzadeh, Mehdi, Hostiuc, Mihaela, Hostiuc, Sorin, Househ, Mowafa, Huang, Junjie, Humayun, Ayesha, Iavicoli, Ivo, Ibeneme, Charles U., Ibitoye, Segun E., Ilesanmi, Olayinka S., Ilic, Irena M., Ilic, Milena D., Iqbal, Usman, Irvani, Seyed Sina N., Islam, Sheikh Mohammed Shariful, Islam, Rakibul M., Iso, Hiroyasu, Iwagami, Masao, Jain, Vardhmaan, Javaheri, Tahereh, Jayapal, Sathish Kumar, Jayaram, Shubha, Jayawardena, Ranil, Jeemon, Panniyammakal, Jha, Ravi P., Jonas, Jost B., Jonnagaddala, Jitendra, Joukar, Farahnaz, Jozwiak, Jacek J., Jürisson, Mikk, Kabir, Ali, Kahlon, Tanvir, Kalani, Rizwan, Kalhor, Rohollah, Kamath, Ashwin, Kamel, Ibrahim, Kandel, Himal, Kandel, Amit, Karch, André, Kasa, Ayele Semachew, Katoto, Patrick D. M. C., Kayode, Gbenga A., Khader, Yousef S., Khammarnia, Mohammad, Khan, Muhammad S., Khan, Md Nuruzzaman, Khan, Maseer, Khan, Ejaz A., Khatab, Khaled, Kibria, Gulam M. A., Kim, Yun Jin, Kim, Gyu Ri, Kimokoti, Ruth W., Kisa, Sezer, Kisa, Adnan, Kivimäki, Mika, Kolte, Dhaval, Koolivand, Ali, Korshunov, Vladimir A., Koulmane Laxminarayana, Sindhura Lakshmi, Koyanagi, Ai, Krishan, Kewal, Krishnamoorthy, Vijay, Kuate Defo, Barthelemy, Kucuk Bicer, Burcu, Kulkarni, Vaman, Kumar, G. Anil, Kumar, Nithin, Kurmi, Om P., Kusuma, Dian, Kwan, Gene F., La Vecchia, Carlo, Lacey, Ben, Lallukka, Tea, Lan, Qing, Lasrado, Savita, Lassi, Zohra S., Lauriola, Paolo, Lawrence, Wayne R., Laxmaiah, Avula, LeGrand, Kate E., Li, Ming-Chieh, Li, Bingyu, Li, Shanshan, Lim, Stephen S., Lim, Lee-Ling, Lin, Hualiang, Lin, Ziqiang, Lin, Ro-Ting, Liu, Xuefeng, Lopez, Alan D., Lorkowski, Stefan, Lotufo, Paulo A., Lugo, Alessandra, M, Nirmal K., Madotto, Fabiana, Mahmoudi, Morteza, Majeed, Azeem, Malekzadeh, Reza, Malik, Ahmad A., Mamun, Abdullah A., Manafi, Navid, Mansournia, Mohammad Ali, Mantovani, Lorenzo G., Martini, Santi, Mathur, Manu R., Mazzaglia, Giampiero, Mehata, Suresh, Mehndiratta, Man Mohan, Meier, Toni, Menezes, Ritesh G., Meretoja, Atte, Mestrovic, Tomislav, Miazgowski, Bartosz, Miazgowski, Tomasz, Michalek, Irmina Maria, Miller, Ted R., Mirrakhimov, Erkin M., Mirzaei, Hamed, Moazen, Babak, Moghadaszadeh, Masoud, Mohammad, Yousef, Mohammad, Dara K., Mohammed, Shafiu, Mohammed, Mohammed A., Mokhayeri, Yaser, Molokhia, Mariam, Montasir, Ahmed A., Moradi, Ghobad, Moradzadeh, Rahmatollah, Moraga, Paula, Morawska, Lidia, Moreno Velásquez, Ilais, Morze, Jakub, Mubarik, Sumaira, Muruet, Walter, Musa, Kamarul Imran, Nagarajan, Ahamarshan J., Nalini, Mahdi, Nangia, Vinay, Naqvi, Atta Abbas, Narasimha Swamy, Sreenivas, Nascimento, Bruno R., Nayak, Vinod C., Nazari, Javad, Nazarzadeh, Milad, Negoi, Ruxandra I., Neupane Kandel, Sandhya, Nguyen, Huong L. T., Nixon, Molly R., Norrving, Bo, Noubiap, Jean Jacques, Nouthe, Brice E., Nowak, Christoph, Odukoya, Oluwakemi O., Ogbo, Felix A., Olagunju, Andrew T., Orru, Hans, Ortiz, Alberto, Ostroff, Samuel M., Padubidri, Jagadish Rao, Palladino, Raffaele, Pana, Adrian, Panda-Jonas, Songhomitra, Parekh, Utsav, Park, Eun-Cheol, Parvizi, Mojtaba, Pashazadeh Kan, Fatemeh, Patel, Urvish K., Pathak, Mona, Paudel, Rajan, Pepito, Veincent Christian F., Perianayagam, Arokiasamy, Perico, Norberto, Pham, Hai Q., Pilgrim, Thomas, Piradov, Michael A., Pishgar, Farhad, Podder, Vivek, Polibin, Roman V., Pourshams, Akram, Pribadi, Dimas R. A., Rabiee, Navid, Rabiee, Mohammad, Radfar, Amir, Rafiei, Alireza, Rahim, Fakher, Rahimi-Movaghar, Vafa, Ur Rahman, Mohammad Hifz, Rahman, Muhammad Aziz, Rahmani, Amir Masoud, Rakovac, Ivo, Ram, Pradhum, Ramalingam, Sudha, Rana, Juwel, Ranasinghe, Priyanga, Rao, Sowmya J., Rathi, Priya, Rawal, Lal, Rawasia, Wasiq F., Rawassizadeh, Reza, Remuzzi, Giuseppe, Renzaho, Andre M. N., Rezapour, Aziz, Riahi, Seyed Mohammad, Roberts-Thomson, Ross L., Roever, Leonardo, Rohloff, Peter, Romoli, Michele, Roshandel, Gholamreza, Rwegerera, Godfrey M., Saadatagah, Seyedmohammad, Saber-Ayad, Maha M., Sabour, Siamak, Sacco, Simona, Sadeghi, Masoumeh, Saeedi Moghaddam, Sahar, Safari, Saeed, Sahebkar, Amirhossein, Salehi, Sana, Salimzadeh, Hamideh, Samaei, Mehrnoosh, Samy, Abdallah M., Santos, Itamar S., Santric-Milicevic, Milena M., Sarrafzadegan, Nizal, Sarveazad, Arash, Sathish, Thirunavukkarasu, Sawhney, Monika, Saylan, Mete, Schmidt, Maria I., Schutte, Aletta E., Senthilkumaran, Subramanian, Sepanlou, Sadaf G., Sha, Feng, Shahabi, Saeed, Shahid, Izza, Shaikh, Masood A., Shamali, Mahdi, Shamsizadeh, Morteza, Shawon, Md Shajedur Rahman, Sheikh, Aziz, Shigematsu, Mika, Shin, Min-Jeong, Shin, Jae Il, Shiri, Rahman, Shiue, Ivy, Shuval, Kerem, Siabani, Soraya, Siddiqi, Tariq J., Silva, Diego A. S., Singh, Jasvinder A., Mtech, Ambrish Singh, Skryabin, Valentin Y., Skryabina, Anna A., Soheili, Amin, Spurlock, Emma E., Stockfelt, Leo, Stortecky, Stefan, Stranges, Saverio, Suliankatchi Abdulkader, Rizwan, Tadbiri, Hooman, Tadesse, Eyayou G., Tadesse, Degena B., Tajdini, Masih, Tariqujjaman, Md, Teklehaimanot, Berhane F., Temsah, Mohamad-Hani, Tesema, Ayenew K., Thakur, Bhaskar, Thankappan, Kavumpurathu R., Thapar, Rekha, Thrift, Amanda G., Timalsina, Binod, Tonelli, Marcello, Touvier, Mathilde, Tovani-Palone, Marcos R., Tripathi, Avnish, Tripathy, Jaya P., Truelsen, Thomas C., Tsegay, Guesh M., Tsegaye, Gebiyaw W., Tsilimparis, Nikolaos, Tusa, Biruk S., Tyrovolas, Stefanos, Umapathi, Krishna Kishore, Unim, Brigid, Unnikrishnan, Bhaskaran, Usman, Muhammad S., Vaduganathan, Muthiah, Valdez, Pascual R., Vasankari, Tommi J., Velazquez, Diana Z., Venketasubramanian, Narayanaswamy, Vu, Giang T., Vujcic, Isidora S., Waheed, Yasir, Wang, Yanzhong, Wang, Fang, Wei, Jingkai, Weintraub, Robert G., Weldemariam, Abrha H., Westerman, Ronny, Winkler, Andrea S., Wiysonge, Charles S., Wolfe, Charles D. A., Wubishet, Befikadu Legesse, Xu, Gelin, Yadollahpour, Ali, Yamagishi, Kazumasa, Yan, Lijing L., Yandrapalli, Srikanth, Yano, Yuichiro, Yatsuya, Hiroshi, Yeheyis, Tomas Y., Yeshaw, Yigizie, Yilgwan, Christopher S., Yonemoto, Naohiro, Yu, Chuanhua, Yusefzadeh, Hasan, Zachariah, Geevar, Zaman, Sojib Bin, Zaman, Muhammed S., Zamanian, Maryam, Zand, Ramin, Zandifar, Alireza, Zarghi, Afshin, Zastrozhin, Mikhail S., Zastrozhina, Anasthasia, Zhang, Zhi-Jiang, Zhang, Yunquan, Zhang, Wangjian, Zhong, Chenwen, Zou, Zhiyong, Zuniga, Yves Miel H., Murray, Christopher J. L. and Fuster, Valentin |
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| Abstract | Cardiovascular diseases (CVDs), principally ischemic heart disease (IHD) and stroke, are the leading cause of global mortality and a major contributor to disability. This paper reviews the magnitude of total CVD burden, including 13 underlying causes of cardiovascular death and 9 related risk factors, using estimates from the Global Burden of Disease (GBD) Study 2019. GBD, an ongoing multinational collaboration to provide comparable and consistent estimates of population health over time, used all available population-level data sources on incidence, prevalence, case fatality, mortality, and health risks to produce estimates for 204 countries and territories from 1990 to 2019. Prevalent cases of total CVD nearly doubled from 271 million (95% uncertainty interval [UI]: 257 to 285 million) in 1990 to 523 million (95% UI: 497 to 550 million) in 2019, and the number of CVD deaths steadily increased from 12.1 million (95% UI:11.4 to 12.6 million) in 1990, reaching 18.6 million (95% UI: 17.1 to 19.7 million) in 2019. The global trends for disability-adjusted life years (DALYs) and years of life lost also increased significantly, and years lived with disability doubled from 17.7 million (95% UI: 12.9 to 22.5 million) to 34.4 million (95% UI:24.9 to 43.6 million) over that period. The total number of DALYs due to IHD has risen steadily since 1990, reaching 182 million (95% UI: 170 to 194 million) DALYs, 9.14 million (95% UI: 8.40 to 9.74 million) deaths in the year 2019, and 197 million (95% UI: 178 to 220 million) prevalent cases of IHD in 2019. The total number of DALYs due to stroke has risen steadily since 1990, reaching 143 million (95% UI: 133 to 153 million) DALYs, 6.55 million (95% UI: 6.00 to 7.02 million) deaths in the year 2019, and 101 million (95% UI: 93.2 to 111 million) prevalent cases of stroke in 2019. Cardiovascular diseases remain the leading cause of disease burden in the world. CVD burden continues its decades-long rise for almost all countries outside high-income countries, and alarmingly, the age-standardized rate of CVD has begun to rise in some locations where it was previously declining in high-income countries. There is an urgent need to focus on implementing existing cost-effective policies and interventions if the world is to meet the targets for Sustainable Development Goal 3 and achieve a 30% reduction in premature mortality due to noncommunicable diseases. |
| Keywords | cardiovascular diseases; global health; health policy; population health |
| Year | 2020 |
| Journal | Journal of the American College of Cardiology |
| Journal citation | 76 (25), pp. 2982-3021 |
| Publisher | Elsevier |
| ISSN | 0735-1097 |
| Digital Object Identifier (DOI) | https://doi.org/10.1016/j.jacc.2020.11.010 |
| PubMed ID | 33309175 |
| Scopus EID | 2-s2.0-85098835749 |
| PubMed Central ID | PMC7755038 |
| Open access | Published as ‘gold’ (paid) open access |
| Page range | 2982-3021 |
| Funder | Bill & Melinda Gates Foundation |
| Publisher's version | License File Access Level Open |
| Output status | Published |
| Publication dates | |
| Online | 14 Dec 2020 |
| Publication process dates | |
| Accepted | 06 Nov 2020 |
| Deposited | 26 May 2025 |
| Supplemental file | License File Access Level Open |
| Additional information | © 2020 The authors. Published by Elsever on behalf of the American College of Cardiology Foundation. This is an open access article under the CC BY license (https://creativecommons.org/licenses/by/4.0/). |
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