Karnan Nithin, Abdirahman Abdirahman Hassan, Kilaru Gayathri, Kaur Asis Reet, Majumder Kaustav, Fadel Layla Al Safadi Abou Al
K.A.P. Viswanatham Medical College, Tiruchirapallii, Tamil Nadu, India.
Southern Medical University, Guangzhou, Guangdong, China.
Glob Cardiol Sci Pract. 2025 Feb 28;2025(1):e202514. doi: 10.21542/gcsp.2025.14.
Ischemic heart disease remains a leading global cause of death, impacting healthcare systems worldwide. In 2019, 32% of global deaths were estimated to be due to cardiovascular events, accounting for approximately 17.9 million people worldwide. Despite technological advances improving diagnosis and treatment, disparities persist, especially between urban and rural areas.
We conducted a retrospective study using the CDC WONDER database extracted on 17th March 2024, ICD-10 code: I20-I25 (Ischemic Heart Disease). We selected the years 1999-2020: Underlying Cause of Death by Bridged-Race Categories divided based on rural and urban deaths, based on 2013 urbanization classification, and grouped by age (10-year age range), gender, and race.
Our research indicates a consistent decline in ischemic heart disease mortality across urban and rural regions within all demographic groups from 1999 to 2020. However, a notable exception occurred in 2019 when mortality rates increased in both urban and rural settings. Notably, throughout the entire period under study, rural areas consistently exhibited higher mortality rates compared to their urban counterparts.
This study sheds light on the big disparity in mortality rates due to ischemic heart disease in urban versus rural areas in all groups of age, gender, and race. We hope our findings prompt further research to determine the causes of this discrepancy and public health interventions to address it.
缺血性心脏病仍然是全球主要的死亡原因，对世界各地的医疗系统产生影响。2019年，估计全球32%的死亡是由心血管事件导致的，全球约有1790万人。尽管技术进步改善了诊断和治疗，但差距依然存在，尤其是城乡之间。
我们使用2024年3月17日提取的疾病控制与预防中心（CDC）WONDER数据库进行了一项回顾性研究，国际疾病分类第十版（ICD - 10）编码：I20 - I25（缺血性心脏病）。我们选取了1999 - 2020年的数据：按桥接种族类别划分的死亡根本原因，根据2013年城市化分类，按农村和城市死亡情况划分，并按年龄（10岁年龄范围）、性别和种族分组。
我们的研究表明，1999年至2020年期间，所有人口群体的城乡缺血性心脏病死亡率持续下降。然而，2019年出现了一个显著例外，城乡死亡率均有所上升。值得注意的是，在整个研究期间，农村地区的死亡率始终高于城市地区。
本研究揭示了在年龄、性别和种族的所有群体中，城乡缺血性心脏病死亡率存在巨大差异。我们希望我们的研究结果能促使进一步的研究，以确定这种差异的原因，并采取公共卫生干预措施来解决这一问题。
