Table 5-1. – Age-standardized prevalence rates of valvular heart disease per 100 000, in 1990 and 2019, and percent change of rates, in Brazil and its Federative Units.
| Cause of death and Location | 1990 | 2019 | Percent Change (95% UI) | ||
|---|---|---|---|---|---|
| Number (95% UI) | Rate (95% UI) | Number (95% UI) | Rate (95% UI) | ||
| B.2.1-Rheumatic heart disease | (;) | ||||
| Acre | 3450.4 (2590.5;4467.5) | 871.3 (675.4;1091.9) | 8765.8 (6801.6;11017.2) | 889.9 (698.1;1114.6) | 2.1(-4.3;8.5) |
| Alagoas | 21422.5 (16168.7;27275.5) | 870.4 (671.7;1095.4) | 34480.6 (26684.6;43431.6) | 911.8 (708.5;1147.6) | 4.8(-1.4;12.1) |
| Amapá | 2291.4 (1738.2;2949.2) | 877.6 (686.6;1102) | 8204.3 (6320.1;10401.1) | 893.7 (695.8;1127.2) | 1.8(-3.6;8.2) |
| Amazonas | 17173.8 (12858.6;21944.2) | 859.3 (662.8;1072.3) | 39188.9 (30084;49139) | 877.9 (681.7;1093.7) | 2.2(-4.5;8.7) |
| Bahia | 102924.7 (78855.6;131748.4) | 883.1 (691.6;1106.3) | 153263.4 (118427;190547.8) | 923.2 (714.7;1146.6) | 4.5(-1.6;10.7) |
| Brazil | 1352613.2 (1040490.6;1695888.8) | 899.6 (699.8;1119.1) | 2102091.3 (1639303.8;2606302.5) | 918.5 (716;1142.5) | 2.1(0.2;4) |
| Ceará | 54893.6 (41770.6;69929.9) | 879.9 (684.7;1108.8) | 94345.5 (73759;117854.4) | 907.6 (712.2;1133.8) | 3.1(-3;9.6) |
| Distrito Federal | 14943.3 (11322.7;18780.2) | 882.4 (685.5;1098.2) | 29679.7 (23036.6;37007.4) | 884.6 (683;1107.7) | 0.3(-5.5;6) |
| Espírito Santo | 23622.8 (18038;29882.3) | 883.7 (685.2;1105.3) | 37781 (29560.4;47163.4) | 895.2 (696.3;1123.7) | 1.3(-4.7;8) |
| Goiás | 38342.4 (29158;48881.8) | 894.2 (695;1119.9) | 68040.7 (52578.2;84812.4) | 911.1 (703.6;1137.2) | 1.9(-3.8;9.3) |
| Maranhão | 40195 (30705.5;51338.9) | 862.1 (667.6;1078.8) | 74568.2 (57721.4;93956.1) | 894 (691.7;1118.2) | 3.7(-2.4;11) |
| Mato Grosso | 17655.9 (13403.8;22630.5) | 866.2 (670.9;1092.4) | 34380.9 (26531.8;42865.4) | 881.9 (679;1099.6) | 1.8(-4.1;7.9) |
| Mato Grosso do Sul | 16461.5 (12566.8;20841.5) | 900.8 (701.7;1128.6) | 27971.6 (21773.1;34975) | 923.4 (716.7;1154.5) | 2.5(-3.6;9.2) |
| Minas Gerais | 145136.4 (111832;182475) | 893.7 (700.5;1114) | 210129.5 (164841.3;261917.1) | 917.3 (715.3;1146) | 2.6(-3.5;8.1) |
| Pará | 41348.9 (31068.7;52497.1) | 871.9 (674.1;1090.2) | 87391.4 (67117.7;110404) | 890.7 (690.9;1115.6) | 2.2(-3.4;8.6) |
| Paraíba | 27841.4 (21209.4;35301.7) | 888.2 (685.4;1106.3) | 40854.4 (31738.7;51294) | 912.9 (708.4;1149.3) | 2.8(-3.3;8.8) |
| Paraná | 81156 (62014.8;102568.9) | 919.2 (710.1;1145.5) | 113818.3 (88747.4;140998) | 939.4 (730.5;1177.7) | 2.2(-3.3;7.8) |
| Pernambuco | 63259.3 (48155.2;80253) | 886 (681.7;1107.1) | 96588.1 (74881.1;120052) | 913.6 (707.8;1139.5) | 3.1(-2.5;10.4) |
| Piauí | 22494.3 (16958.5;28886.4) | 890.4 (687.3;1117.5) | 34073.1 (26412.8;42807.5) | 906.3 (700.6;1139.5) | 1.8(-4.7;8.5) |
| Rio de Janeiro | 124439.1 (95279.2;157326.7) | 902.8 (694.5;1137.9) | 172188.9 (135252.5;212372.6) | 920.6 (712.8;1140.7) | 2(-4.1;7.9) |
| Rio Grande do Norte | 21271.9 (16243;26755.5) | 895.1 (696.6;1119.8) | 35469.3 (27439.4;44530.2) | 910 (704;1144.4) | 1.7(-4.1;8.4) |
| Rio Grande do Sul | 89482.7 (68907.8;113899.5) | 930.3 (722.5;1165.4) | 111269 (87372;139471) | 937.4 (724.5;1173) | 0.8(-5.2;6.6) |
| Rondônia | 9709.1 (7330.4;12319.3) | 862 (671.8;1077.8) | 16995.1 (13142.4;21253.2) | 879.4 (681;1097.4) | 2(-4;8.1) |
| Roraima | 1816.1 (1377.7;2311.1) | 854.8 (666.6;1069.7) | 5547.7 (4230.2;6961.8) | 878.9 (678.9;1101.6) | 2.8(-3.3;8.7) |
| Santa Catarina | 44246.8 (34096.9;55614.1) | 936.1 (728;1169.1) | 72819.1 (57156.6;90488.1) | 942.9 (735.4;1169.9) | 0.7(-5.1;6.9) |
| São Paulo | 306459.4 (235629.4;380385.5) | 917.2 (710.2;1138) | 455434.6 (356653.1;565502.4) | 934.7 (731.5;1171.7) | 1.9(-3.4;7.7) |
| Sergipe | 12997.3 (9939.7;16567.3) | 889.4 (692.3;1115.1) | 23773.4 (18367.2;29453.9) | 925.7 (715.4;1147.8) | 4.1(-2.9;11.1) |
| Tocantins | 7577.3 (5704.2;9694.6) | 859.4 (660.2;1078.4) | 15068.9 (11720.2;18871.1) | 868.5 (675.1;1087.3) | 1.1(-4.9;8) |
| B.2.5-Non-rheumatic valvular heart disease | (;) | ||||
| Acre | 45.9 (37.3;55) | 21.8 (18.2;25.8) | 237.7 (200.3;276.7) | 33.6 (28.4;39) | 53.9(29.2;85.5) |
| Alagoas | 317.7 (260.6;374.9) | 20.8 (17.1;24.3) | 1007.7 (843.5;1167.9) | 29.5 (24.7;33.9) | 41.6(15.4;74.6) |
| Amapá | 31.6 (26.1;37.8) | 24.8 (20.8;29) | 236.1 (197;275.5) | 38.4 (32.5;44.8) | 54.7(27.4;87.3) |
| Amazonas | 247.3 (204;295.5) | 24.3 (20.5;28.5) | 1237.1 (1037.9;1449.9) | 37.7 (31.7;43.8) | 55.2(30.6;84.6) |
| Bahia | 1717.8 (1432.8;2026.8) | 23 (19.5;27.1) | 4952.1 (4171.7;5747.9) | 29.8 (25.1;34.6) | 29.2(6.4;55.7) |
| Brazil | 26255.7 (23385;28824.5) | 25.3 (22.4;27.8) | 95300.5 (82828.7;108921.1) | 39 (33.9;44.6) | 54.3(41.1;68.3) |
| Ceará | 938.5 (780.3;1092.3) | 21.5 (18;25) | 3319.7 (2799.3;3846.7) | 32.5 (27.4;37.8) | 51(25;84) |
| Distrito Federal | 277.5 (231.5;328.5) | 30.8 (26.2;35.6) | 3271.6 (2650.9;3935.7) | 110 (89.2;132) | 256.6(194.9;333.7) |
| Espírito Santo | 421.7 (344.2;499.2) | 24.1 (20.2;28.2) | 1776.4 (1477;2076.8) | 38.5 (32.2;44.9) | 59.9(32.5;91.1) |
| Goiás | 626.9 (524.7;740.6) | 23.6 (20.1;27.7) | 2652.7 (2242.2;3112.3) | 35 (29.6;40.9) | 47.9(23.9;78.7) |
| Maranhão | 583.9 (482.4;690.1) | 20.1 (16.8;23.5) | 1807.7 (1525;2100.4) | 26.1 (22;30.2) | 29.9(4.9;59.3) |
| Mato Grosso | 252.7 (209.6;298.6) | 23 (19.5;26.7) | 1498.6 (1253.1;1755.6) | 40.7 (34.2;47.7) | 77.2(48.5;112) |
| Mato Grosso do Sul | 288.6 (237.7;341.2) | 25.5 (21.3;29.8) | 1356.1 (1126;1592) | 43.4 (36;51) | 70.2(40.9;104.5) |
| Minas Gerais | 2731.8 (2280;3218.2) | 23.9 (20.2;28) | 8965.3 (7605.9;10440.9) | 33.4 (28.3;38.9) | 39.9(17.1;69.5) |
| Pará | 577.7 (476.5;682.4) | 22 (18.4;25.6) | 2437.5 (2051.8;2854.5) | 31.4 (26.6;36.5) | 42.9(19.1;71.9) |
| Paraíba | 505.8 (426.6;591) | 21.8 (18.4;25.4) | 1401.1 (1193;1612.9) | 29.8 (25.4;34.3) | 36.7(13.3;66.1) |
| Paraná | 1569.6 (1320.1;1846.9) | 26.2 (22.3;30.5) | 5786.1 (4865.1;6888.9) | 41.5 (34.8;49.4) | 58.4(32.8;87.6) |
| Pernambuco | 1120.9 (946.9;1304.1) | 22.4 (19.1;26) | 3402.5 (2879.5;3968.3) | 32.3 (27.2;37.6) | 44(17.7;72.8) |
| Piauí | 333.2 (271.4;393.2) | 20.7 (17.2;24.2) | 1013.3 (857.1;1175.3) | 26.7 (22.6;31) | 29.3(6.9;57.3) |
| Rio de Janeiro | 2932 (2439;3452.2) | 26.4 (22.3;31) | 8945.1 (7447;10466.6) | 39.3 (32.8;46) | 48.6(23.7;76.8) |
| Rio Grande do Norte | 384.4 (318.7;451.3) | 23.2 (19.4;27.1) | 1382.3 (1144.1;1600.7) | 35 (29;40.5) | 50.8(25.6;82.7) |
| Rio Grande do Sul | 2261.2 (1899.8;2643.1) | 29.7 (25.1;34.4) | 6749.2 (5633.2;7857.4) | 43.5 (36.4;50.6) | 46.3(23.8;72.5) |
| Rondônia | 130 (107.2;154.2) | 23.1 (19.2;26.7) | 648.6 (544.5;759.1) | 37.4 (31.3;43.7) | 61.6(34.5;95.9) |
| Roraima | 21.3 (17;25.7) | 22.2 (18.6;25.9) | 162.4 (134.6;189.9) | 35.6 (29.9;41.3) | 60.2(30.6;93.9) |
| Santa Catarina | 841.9 (702.4;975.8) | 26.9 (22.6;31.1) | 3775.8 (3163.4;4442.1) | 43.5 (36.6;51) | 61.7(36.3;93.4) |
| São Paulo | 6786.6 (5675;7889) | 28.1 (23.7;32.6) | 26025.6 (21778.6;30883.2) | 46.2 (38.8;54.9) | 64.2(38.6;94.8) |
| Sergipe | 196.5 (162.9;230.2) | 21.7 (18.1;25.3) | 738.2 (628.7;864.3) | 30.6 (26;35.7) | 41.2(16.6;72.3) |
| Tocantins | 112.9 (93.1;134.4) | 21.3 (18;25.1) | 514 (434;596.7) | 33.4 (28.2;38.7) | 56.3(29.1;89.9) |
| B.2.5.1-Non-rheumatic calcific aortic valve disease | (;) | ||||
| Acre | 10.1 (8;12.6) | 5 (4;6.2) | 123.4 (98;151.9) | 18.5 (14.6;22.9) | 266.7(224.6;314.6) |
| Alagoas | 56.9 (45.1;70.2) | 3.8 (3.1;4.7) | 444.1 (354.3;546.4) | 13.4 (10.7;16.5) | 249.8(212;294.5) |
| Amapá | 9.2 (7.3;11.3) | 7.6 (6;9.4) | 133.4 (106.8;163.6) | 23.2 (18.7;28.5) | 204.1(173.5;241.7) |
| Amazonas | 70.2 (55.6;86.4) | 7.3 (5.8;9) | 705.8 (562.7;866.4) | 22.6 (18;28) | 210.8(179.8;251.5) |
| Bahia | 404.7 (324.5;495.1) | 5.5 (4.4;6.8) | 2294.2 (1832.8;2814.7) | 14.1 (11.2;17.3) | 154.2(129.8;184.4) |
| Brazil | 7905.4 (6333;9659.2) | 7.9 (6.3;9.6) | 57152.9 (45926.6;70348.4) | 23.7 (19.1;29) | 201.8(177.5;231.8) |
| Ceará | 196.4 (154.7;244.3) | 4.6 (3.6;5.6) | 1730 (1381.8;2137) | 17.2 (13.7;21.3) | 276.5(231.9;332) |
| Distrito Federal | 108.8 (85.4;132.8) | 13.2 (10.5;16.3) | 2764 (2173.3;3401.8) | 94.8 (75;117.1) | 618.3(520.2;732.3) |
| Espírito Santo | 111.5 (88.6;136.7) | 6.6 (5.3;8.2) | 1049.8 (835.9;1303.9) | 23.2 (18.5;28.6) | 251.4(211.7;295) |
| Goiás | 164.1 (130.9;201.4) | 6.5 (5.2;8) | 1421.1 (1139.4;1754.3) | 19.4 (15.6;23.8) | 198.4(168;237.7) |
| Maranhão | 95.1 (74.8;119.1) | 3.3 (2.6;4.1) | 695.4 (554.8;852.2) | 10.3 (8.2;12.6) | 209.2(176.7;247.1) |
| Mato Grosso | 63.4 (49.8;78.4) | 6.2 (4.9;7.6) | 919.2 (726;1132.8) | 26 (20.7;32) | 321(274.6;376.5) |
| Mato Grosso do Sul | 86.4 (68.8;106) | 8.1 (6.4;10) | 867.8 (687.5;1078.8) | 28.3 (22.6;34.8) | 249.9(214.5;294) |
| Minas Gerais | 727.1 (568.6;898.5) | 6.5 (5.1;8) | 4835 (3834.5;5958.1) | 18.1 (14.4;22.2) | 177.8(150.7;214.2) |
| Pará | 129.4 (102.4;159.9) | 5.2 (4.1;6.3) | 1199.8 (951.4;1476.5) | 16.2 (12.8;20) | 214.6(179.7;254.2) |
| Paraíba | 106 (83.3;131.7) | 4.5 (3.6;5.7) | 669.2 (532.7;821.2) | 14.3 (11.4;17.6) | 215(182.9;255.2) |
| Paraná | 500.8 (399;618.4) | 8.8 (7;10.8) | 3677.2 (2950.2;4581.6) | 26.7 (21.5;33.1) | 204.3(171.8;239.2) |
| Pernambuco | 243.8 (191.2;302.7) | 5 (3.9;6.2) | 1696 (1349.5;2086.2) | 16.5 (13.1;20.2) | 230.5(196;271.1) |
| Piauí | 61.4 (48.4;75.5) | 3.9 (3.1;4.8) | 410.2 (324.2;499.1) | 10.9 (8.6;13.3) | 180(152.3;219.4) |
| Rio de Janeiro | 907.3 (714.4;1122.4) | 8.5 (6.8;10.5) | 5421.6 (4290.2;6733.4) | 23.8 (18.9;29.4) | 181(153.8;214.6) |
| Rio Grande do Norte | 95.8 (76.2;118.1) | 5.8 (4.6;7.2) | 762.9 (606.7;931.8) | 19.6 (15.6;24) | 238.6(204.2;283.4) |
| Rio Grande do Sul | 894.7 (716.2;1105) | 12.2 (9.7;15) | 4459.5 (3551.3;5500.3) | 28.5 (22.9;34.9) | 133.9(112.6;159.4) |
| Rondônia | 32.2 (25.2;39.9) | 6.3 (5;7.8) | 369.3 (291;456.9) | 22.4 (17.7;27.6) | 252.9(213.9;300.7) |
| Roraima | 5.4 (4.2;6.8) | 6.1 (4.8;7.5) | 88.3 (69.6;109.8) | 20.8 (16.6;25.8) | 242(206.2;283.6) |
| Santa Catarina | 288.2 (232.8;354) | 9.6 (7.7;11.8) | 2440.1 (1939.3;3004.9) | 28.6 (22.9;35) | 198(167.5;231) |
| São Paulo | 2472.7 (1981.2;3024.5) | 10.6 (8.5;13) | 17366.6 (13732.1;21578.8) | 31.1 (24.7;38.6) | 193(162;227.9) |
| Sergipe | 39.7 (31.1;49.7) | 4.5 (3.6;5.6) | 346.4 (275.9;428.6) | 14.9 (11.8;18.5) | 232(196.5;272.4) |
| Tocantins | 24.3 (19.1;30.2) | 4.8 (3.8;6) | 262.7 (209.8;323.3) | 17.7 (14.1;21.7) | 265.3(224.9;313.9) |
| B.2.5.2-Non-rheumatic degenerative mitral valve disease | (;) | ||||
| Acre | 47.4 (43.9;50.9) | 21.7 (20.2;23.3) | 163.5 (151.5;176.9) | 21.6 (20;23.2) | -0.5(-4.7;4.2) |
| Alagoas | 346 (320;372.4) | 22.2 (20.6;23.9) | 761.9 (707.8;817.9) | 21.9 (20.3;23.5) | -1.6(-6;2.8) |
| Amapá | 30.3 (28;32.5) | 22.2 (20.6;23.8) | 147.5 (135.3;160) | 21.8 (20.1;23.6) | -1.8(-5.6;2.1) |
| Amazonas | 239.6 (222.1;258.5) | 22.1 (20.5;23.8) | 760.6 (700.6;827) | 21.6 (20;23.4) | -2.4(-6.9;2.3) |
| Bahia | 1701.1 (1585.3;1824.1) | 22.3 (20.7;23.9) | 3654.4 (3395.5;3938.8) | 21.8 (20.2;23.4) | -2.3(-6.1;1.9) |
| Brazil | 24034.9 (22437.7;25715.6) | 22.5 (21;24) | 53918.2 (50205.1;57756.5) | 22 (20.5;23.5) | -2.3(-4;-0.4) |
| Ceará | 979.8 (914;1051.6) | 22.1 (20.6;23.7) | 2248.8 (2085.5;2425.1) | 21.8 (20.2;23.4) | -1.6(-6.1;2.6) |
| Distrito Federal | 224.3 (207.5;242.2) | 23.1 (21.5;24.7) | 731.7 (675.1;789.5) | 22.5 (20.9;24.2) | -2.4(-7.1;2) |
| Espírito Santo | 409.4 (381;439.6) | 22.6 (21.1;24.2) | 1025 (949;1104.5) | 22.2 (20.6;23.9) | -1.7(-5.8;2.5) |
| Goiás | 608.1 (564.3;652.9) | 22.1 (20.5;23.7) | 1678.8 (1548.4;1815.2) | 21.8 (20.1;23.5) | -1.3(-5.6;3) |
| Maranhão | 641.7 (595.4;691.4) | 21.7 (20.2;23.4) | 1520.8 (1402.1;1649.9) | 21.4 (19.8;23.2) | -1.5(-6.6;2.8) |
| Mato Grosso | 251.2 (232.1;271.5) | 21.6 (20.1;23.1) | 828.9 (766.4;894.9) | 21.7 (20.1;23.3) | 0.4(-4;4.9) |
| Mato Grosso do Sul | 261.3 (241.6;281.7) | 22.1 (20.5;23.7) | 692.5 (640.2;746.3) | 21.9 (20.3;23.5) | -1.1(-5.7;3.5) |
| Minas Gerais | 2629.8 (2444.6;2826.8) | 22.5 (21;24.1) | 5799.3 (5351.7;6249.1) | 21.9 (20.3;23.6) | -2.6(-7;1.7) |
| Pará | 599.1 (557;645.2) | 22 (20.4;23.5) | 1752.1 (1625.8;1905.2) | 21.5 (20;23.3) | -1.9(-6.1;2.7) |
| Paraíba | 519.3 (482.7;555.7) | 22.2 (20.6;23.7) | 1015.4 (940.1;1094.2) | 21.6 (20;23.3) | -2.6(-6.7;1.8) |
| Paraná | 1395.4 (1296.6;1498.3) | 22.6 (21;24.2) | 3058.4 (2831.7;3304.5) | 22.1 (20.5;23.9) | -1.9(-6.4;2.6) |
| Pernambuco | 1150 (1065.2;1234.1) | 22.6 (20.9;24.3) | 2351 (2177.2;2534.8) | 22.1 (20.5;23.7) | -2.5(-6.6;2.2) |
| Piauí | 357.2 (330.8;383.5) | 21.9 (20.2;23.4) | 819.1 (761.2;882.8) | 21.5 (20;23.2) | -1.4(-6.2;3.2) |
| Rio de Janeiro | 2586.9 (2403.3;2775) | 22.9 (21.3;24.6) | 4954.2 (4572.2;5335.5) | 22.2 (20.5;23.9) | -3.2(-7.4;1.5) |
| Rio Grande do Norte | 376.6 (350.1;404) | 22.2 (20.7;23.9) | 869 (804.6;936.1) | 21.7 (20.1;23.4) | -2.3(-6.4;1.7) |
| Rio Grande do Sul | 1774.1 (1650.6;1908.7) | 22.8 (21.3;24.5) | 3317.6 (3070.6;3580.6) | 22.2 (20.5;23.9) | -2.9(-7;1.2) |
| Rondônia | 128.5 (118.7;139.3) | 21.5 (20;23) | 389.8 (359.5;421.6) | 21.5 (19.9;23.3) | 0.2(-3.9;5.1) |
| Roraima | 21.8 (20.1;23.6) | 20.9 (19.4;22.5) | 104.3 (96;112.7) | 21.2 (19.5;22.8) | 1.5(-2.6;5.8) |
| Santa Catarina | 740.9 (687.2;794.5) | 22.7 (21.1;24.3) | 1915.3 (1772.8;2077.6) | 22.1 (20.5;23.9) | -2.9(-6.9;1.5) |
| São Paulo | 5691.2 (5272.3;6125.5) | 22.8 (21.2;24.5) | 12477.6 (11520.7;13408) | 22.3 (20.6;23.9) | -2.4(-6.8;2) |
| Sergipe | 207.1 (192.7;221.7) | 22.4 (20.9;23.9) | 536.6 (497.6;577.2) | 21.8 (20.3;23.5) | -2.4(-6.4;1.9) |
| Tocantins | 117 (108.8;126.2) | 21.6 (20.2;23.3) | 344.2 (318.6;371.1) | 21.7 (20.1;23.4) | 0.4(-4;4.5) |
Source: Data derived from Global Burden of Disease Study 2019, Institute for Health Metrics and Evaluation, University of Washington. 46