Shah Nilay S, Tong Xin, Loustalot Fleetwood, Woodruff Rebecca C
Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Chamblee, Georgia.
Ann Epidemiol. 2025 Jun;106:82-87. doi: 10.1016/j.annepidem.2025.05.001. Epub 2025 May 8.
To characterize contemporary mortality for detailed cardiovascular disease (CVD) subtypes in individual Asian populations in the US.
With vital statistics for non-Hispanic Asian decedents aged ≥ 18 years (overall and individual ethnic groups), age-standardized mortality rates (ASMR) were calculated for ischemic heart disease, cerebrovascular disease, heart failure, arrhythmia, hypertensive heart disease, valvular heart disease, and pulmonary heart disease, with rate ratios for subtype ASMR in individual Asian groups relative to the Asian group overall.
During 2018-2022, 123,566 CVD deaths occurred in Asian adults overall (15 % Asian Indian; 24 % Chinese; 20 % Filipino; 12 % Japanese; 8 % Korean; 10 % Vietnamese). Filipino adults had higher ASMR than Asian adults overall for all CVD subtypes. Asian Indian adults had higher ASMR than Asian adults overall for all CVD subtypes except valvular heart disease and cerebrovascular disease. Japanese adults had higher ASMR than Asian adults overall for heart failure and valvular heart disease. Vietnamese adults had a higher cerebrovascular disease ASMR than Asian adults overall. Chinese adults and Korean adults had ASMRs that were similar to or lower than Asian adults overall for all CVD subtypes.
CVD ASMRs for Asian adults in aggregate obscures important variability across individual Asian groups.
描述美国各亚洲人群中详细心血管疾病（CVD）亚型的当代死亡率。
利用≥18岁非西班牙裔亚洲死者（总体及各民族群体）的生命统计数据，计算缺血性心脏病、脑血管疾病、心力衰竭、心律失常、高血压性心脏病、瓣膜性心脏病和肺源性心脏病的年龄标准化死亡率（ASMR），并计算各亚洲群体中CVD亚型ASMR相对于亚洲总体群体的率比。
在2018 - 2022年期间，亚洲成年人中总共发生了123,566例CVD死亡（15%为印度裔亚洲人；24%为华裔；20%为菲律宾裔；12%为日裔；8%为韩裔；10%为越南裔）。对于所有CVD亚型，菲律宾成年人的ASMR高于亚洲成年人总体水平。除瓣膜性心脏病和脑血管疾病外，印度裔亚洲成年人所有CVD亚型的ASMR均高于亚洲成年人总体水平。日裔成年人心力衰竭和瓣膜性心脏病的ASMR高于亚洲成年人总体水平。越南成年人脑血管疾病的ASMR高于亚洲成年人总体水平。华裔成年人和韩裔成年人所有CVD亚型的ASMR与亚洲成年人总体水平相似或更低。
亚洲成年人CVD的ASMR总体掩盖了各亚洲群体间的重要差异。
