Table 5-3. – Number of deaths, age-standardized mortality rate (per 100 000) in 1990 and 2019, and percent change of rates, by cardiovascular groups of causes of death, in Brazil and its Federative Units.
| Cause of death and Location | 1990 | 2019 | Percent Change for rate (95% UI) | ||||
|---|---|---|---|---|---|---|---|
| Number (95% UI) | Rate (95% UI) | Number (95% UI) | Rate (95% UI) | ||||
| B.2.1-Rheumatic heart disease | (;) | ||||||
| Acre | 6.4 (5.3;7.6) | 2.7 (2.3;3.1) | 9 (7.3;10.8) | 1.3 (1;1.5) | -52.1(-63.3;-39.3) | ||
| Alagoas | 50.6 (40.4;65.3) | 2.8 (2.2;3.6) | 43.4 (35.3;53.2) | 1.3 (1;1.6) | -54.9(-68.5;-37) | ||
| Amapá | 1.9 (1.5;2.2) | 1.3 (1.1;1.4) | 4.7 (3.8;5.7) | 0.7 (0.6;0.9) | -41.1(-53.3;-24.9) | ||
| Amazonas | 18.5 (15.8;21.2) | 1.6 (1.4;1.9) | 23.6 (19.4;28.7) | 0.7 (0.6;0.9) | -56.2(-65.2;-44.6) | ||
| Bahia | 243.8 (210.7;286.5) | 2.7 (2.3;3.2) | 208.7 (169.5;258.2) | 1.3 (1;1.6) | -53.5(-65.1;-39.3) | ||
| Brazil | 3088.2 (2938.9;3256) | 2.8 (2.7;3) | 2715.2 (2505.1;2913.1) | 1.2 (1.1;1.2) | -59.4(-63.1;-55.4) | ||
| Ceará | 78.8 (64.9;94.7) | 1.6 (1.3;1.9) | 81.7 (67.6;98.7) | 0.8 (0.7;1) | -49(-60;-35.2) | ||
| Distrito Federal | 43.1 (37.3;50.1) | 5.1 (4.4;5.9) | 40.7 (32.8;49.6) | 1.6 (1.3;1.9) | -68.5(-75.1;-60.2) | ||
| Espírito Santo | 47.6 (42.9;52.4) | 2.6 (2.3;2.9) | 56.1 (45.2;68.8) | 1.3 (1;1.6) | -50.4(-60.3;-38.2) | ||
| Goiás | 112.9 (95.8;136.2) | 4.1 (3.4;4.9) | 114.7 (92.7;139.8) | 1.6 (1.3;1.9) | -60.6(-69.3;-50.6) | ||
| Maranhão | 78.1 (60.4;101.6) | 2.2 (1.7;2.9) | 69.1 (55.6;84.5) | 1 (0.8;1.2) | -56(-69.1;-37) | ||
| Mato Grosso | 25.9 (20.9;31.2) | 2.2 (1.9;2.6) | 33 (26.5;39.8) | 0.9 (0.8;1.1) | -57.5(-66.7;-45) | ||
| Mato Grosso do Sul | 28.5 (25.2;32.3) | 2.4 (2.1;2.7) | 29 (23.8;34.8) | 1 (0.8;1.2) | -59.7(-67.5;-50.6) | ||
| Minas Gerais | 419.6 (379.7;465.1) | 3.5 (3.2;3.9) | 336.6 (280.4;394.5) | 1.3 (1.1;1.5) | -63.1(-69.9;-55.1) | ||
| Pará | 58 (49.7;68) | 2 (1.7;2.3) | 65.4 (55.3;77) | 0.8 (0.7;1) | -57.8(-66;-47.2) | ||
| Paraíba | 60.7 (49.1;76.6) | 2.4 (1.9;3) | 50.3 (40.1;62) | 1.1 (0.8;1.3) | -54.9(-68.1;-37.8) | ||
| Paraná | 197.9 (178.1;217.7) | 3.3 (3;3.7) | 192.9 (161.2;227.3) | 1.5 (1.2;1.7) | -56.2(-63.6;-47.6) | ||
| Pernambuco | 149.6 (128.8;175.6) | 2.7 (2.3;3.2) | 148.4 (122.5;179.2) | 1.4 (1.2;1.7) | -46.4(-58.4;-33.3) | ||
| Piauí | 31.3 (26.1;36.7) | 1.8 (1.5;2.1) | 28.4 (23.5;33.8) | 0.8 (0.6;0.9) | -58.3(-67;-47.1) | ||
| Rio de Janeiro | 295.5 (273.1;320.9) | 2.7 (2.5;2.9) | 232.3 (193.1;276.8) | 1.1 (0.9;1.3) | -59.6(-66.7;-50.8) | ||
| Rio Grande do Norte | 40.1 (34;46.9) | 2.1 (1.8;2.5) | 42.3 (33.7;52.1) | 1.1 (0.9;1.3) | -49.9(-61.8;-36.2) | ||
| Rio Grande do Sul | 149.9 (135.7;165.7) | 2 (1.8;2.2) | 126 (104.6;150) | 0.9 (0.7;1) | -58.3(-65.3;-49.8) | ||
| Rondônia | 13.9 (10.7;16.9) | 2.7 (2.3;3.2) | 17.7 (14.6;21.1) | 1.1 (0.9;1.3) | -60.7(-68.6;-50.3) | ||
| Roraima | 1.7 (1.3;2) | 1.8 (1.6;2.1) | 3.5 (2.9;4.3) | 0.8 (0.7;1) | -53.1(-62;-41.8) | ||
| Santa Catarina | 79.4 (70.8;89.1) | 2.6 (2.3;2.9) | 82.7 (67.8;99.3) | 1 (0.9;1.2) | -60.5(-67.8;-51.4) | ||
| São Paulo | 815.4 (739.4;897.2) | 3.5 (3.1;3.9) | 629.3 (531.7;737.8) | 1.2 (1;1.4) | -65.9(-71.7;-59) | ||
| Sergipe | 26.5 (22.1;31.4) | 2.7 (2.2;3.2) | 30.1 (24.1;37.3) | 1.3 (1;1.6) | -53(-64.1;-38.5) | ||
| Tocantins | 12.6 (10.1;15.4) | 2.4 (2;2.9) | 15.9 (12.6;19.7) | 1.1 (0.8;1.3) | -56.4(-67.1;-41.3) | ||
| B.2.5-Non-rheumatic valvular heart disease | (;) | ||||||
| Acre | 2.7 (2.4;3.1) | 1.8 (1.6;2.1) | 10.2 (8.9;11.6) | 1.8 (1.6;2.1) | -1.6(-17.9;18.5) | ||
| Alagoas | 23 (20;26.8) | 1.8 (1.5;2.1) | 61.5 (52.3;70.5) | 2 (1.7;2.2) | 9.3(-12.2;33.3) | ||
| Amapá | 2 (1.8;2.2) | 2.1 (1.9;2.4) | 9.7 (8.6;10.8) | 2 (1.7;2.2) | -7.2(-18.6;6.7) | ||
| Amazonas | 17.1 (15.5;19) | 2.3 (2.1;2.6) | 46.7 (40.1;53.4) | 1.7 (1.4;1.9) | -27.7(-37.5;-16.4) | ||
| Bahia | 143.8 (124.5;162.7) | 2.2 (1.9;2.5) | 275.3 (228.2;324.4) | 1.7 (1.4;2) | -22(-37.2;-4) | ||
| Brazil | 2189.8 (2092.3;2275.8) | 2.5 (2.4;2.7) | 4842.8 (4326;5225.5) | 2.1 (1.9;2.3) | -16.2(-22.5;-10.3) | ||
| Ceará | 48.5 (39.4;59.8) | 1.2 (1;1.5) | 158 (130.5;188.1) | 1.6 (1.3;1.9) | 33.8(1.7;75.5) | ||
| Distrito Federal | 19.6 (17.5;22) | 4 (3.5;4.5) | 47.9 (41.1;54.8) | 2.5 (2.1;2.9) | -38.1(-47.5;-27.5) | ||
| Espírito Santo | 41.1 (38;44.3) | 3 (2.8;3.2) | 109.3 (92.8;124.7) | 2.7 (2.2;3) | -11.7(-23.5;0.9) | ||
| Goiás | 62.7 (54.1;74.3) | 3.2 (2.8;3.7) | 138.3 (114.9;164.7) | 2.1 (1.7;2.5) | -34.2(-45.8;-20.5) | ||
| Maranhão | 29.8 (22.6;39.3) | 1.2 (0.9;1.6) | 97.4 (82.5;114.8) | 1.5 (1.3;1.8) | 24.4(-11.1;71.3) | ||
| Mato Grosso | 18.4 (15.6;21) | 2.4 (2.1;2.7) | 56.2 (48.7;64) | 1.8 (1.6;2.1) | -24.3(-36.1;-9.3) | ||
| Mato Grosso do Sul | 23.7 (21.7;25.8) | 2.8 (2.6;3.1) | 56.5 (48.7;65.2) | 2 (1.7;2.3) | -28.4(-38.2;-16.9) | ||
| Minas Gerais | 256.2 (235.7;280.3) | 2.7 (2.5;3) | 511.4 (442.8;577.5) | 2 (1.7;2.2) | -28.2(-37.5;-18.6) | ||
| Pará | 44.3 (39;50) | 2.2 (2;2.5) | 110 (95.1;124.9) | 1.6 (1.4;1.8) | -27.9(-39.5;-14.1) | ||
| Paraíba | 25.9 (21.9;31.3) | 1.2 (1;1.4) | 57 (48.1;66.6) | 1.2 (1;1.4) | 1.2(-21.4;26.7) | ||
| Paraná | 152 (143.6;161.2) | 3.4 (3.1;3.6) | 350.6 (301.7;397.4) | 2.8 (2.4;3.2) | -16.2(-27.2;-5.2) | ||
| Pernambuco | 97.7 (89.1;106.5) | 2.3 (2;2.5) | 217.6 (189.9;246.3) | 2.3 (2;2.6) | -0.4(-14.9;16) | ||
| Piauí | 18.3 (16;21.3) | 1.5 (1.2;1.7) | 46.5 (38.9;53.4) | 1.2 (1;1.4) | -17.1(-32.8;1.3) | ||
| Rio de Janeiro | 218.6 (205.1;230.2) | 2.4 (2.2;2.5) | 418.7 (367;475.5) | 1.9 (1.7;2.2) | -19.8(-29.3;-8.9) | ||
| Rio Grande do Norte | 23.2 (19.7;27) | 1.5 (1.2;1.7) | 59.8 (49.2;71.6) | 1.5 (1.2;1.8) | 2.1(-19.5;28.7) | ||
| Rio Grande do Sul | 189.2 (176.5;200.4) | 3.1 (2.8;3.3) | 447 (383.4;510.1) | 2.9 (2.5;3.3) | -5.1(-17.6;8.1) | ||
| Rondônia | 8.4 (7;9.6) | 2.9 (2.6;3.3) | 25.1 (21.4;29.2) | 1.8 (1.5;2) | -39.9(-49.5;-28.5) | ||
| Roraima | 1.2 (1;1.3) | 2.3 (2.1;2.6) | 5.3 (4.7;6) | 1.8 (1.5;2) | -24.8(-34.5;-13.2) | ||
| Santa Catarina | 84.9 (78.8;91.3) | 3.7 (3.4;4) | 216.9 (187.3;247.6) | 3 (2.5;3.4) | -20.8(-31.6;-9.4) | ||
| São Paulo | 619.5 (580.7;656.9) | 3.2 (3;3.4) | 1251.4 (1078.1;1408.6) | 2.4 (2.1;2.8) | -23.4(-33.1;-14.5) | ||
| Sergipe | 11.2 (9.9;12.6) | 1.6 (1.4;1.8) | 29.3 (24.8;34.2) | 1.3 (1.1;1.6) | -15.7(-29.9;2.7) | ||
| Tocantins | 6.9 (5.8;8.2) | 2.2 (1.8;2.6) | 29.4 (24.7;34.1) | 2.2 (1.8;2.5) | -2.8(-22.3;22) | ||
| B.2.5.1-Non-rheumatic calcific aortic valve disease | (;) | ||||||
| Acre | 1.8 (1.4;2.1) | 1.3 (1;1.6) | 7 (6;8.1) | 1.3 (1.1;1.5) | -2.1(-20.8;27) | ||
| Alagoas | 14 (11;16.6) | 1.1 (0.9;1.4) | 40.3 (33.9;49.1) | 1.3 (1.1;1.6) | 13.9(-9.6;53.2) | ||
| Amapá | 1.4 (1.2;1.5) | 1.6 (1.3;1.8) | 6.4 (5.6;7.6) | 1.4 (1.2;1.6) | -11(-24.5;7.9) | ||
| Amazonas | 12.2 (9.9;13.8) | 1.8 (1.4;2) | 33.7 (28.5;39.4) | 1.2 (1;1.5) | -29.2(-40.3;-14.3) | ||
| Bahia | 102.5 (82;119.3) | 1.6 (1.3;1.9) | 190.6 (155.8;234) | 1.2 (1;1.4) | -26.6(-42.6;-2.3) | ||
| Brazil | 1507.5 (1326;1636.7) | 1.8 (1.6;2) | 3467.3 (3000.8;4002.6) | 1.5 (1.3;1.8) | -15.6(-24;-4) | ||
| Ceará | 29.4 (21.7;37.7) | 0.7 (0.6;1) | 103.9 (84.3;130.5) | 1.1 (0.9;1.3) | 42.1(5.4;107) | ||
| Distrito Federal | 12.7 (11;15.4) | 3 (2.5;3.4) | 32.7 (27.3;40) | 1.8 (1.5;2.2) | -38.4(-48.2;-26.4) | ||
| Espírito Santo | 26.7 (23.8;30.6) | 2.1 (1.8;2.4) | 75.4 (62.3;92.7) | 1.9 (1.5;2.3) | -10.8(-24.5;4.8) | ||
| Goiás | 42.8 (36.5;52.2) | 2.3 (2;2.8) | 97.5 (79.5;121.2) | 1.5 (1.2;1.9) | -35.4(-46.9;-21.7) | ||
| Maranhão | 19.2 (13.4;26.8) | 0.8 (0.6;1.1) | 67.3 (53.9;81.9) | 1 (0.8;1.3) | 30.3(-9.6;85.7) | ||
| Mato Grosso | 12.5 (10.3;14.3) | 1.8 (1.5;2) | 38.3 (32.6;45.5) | 1.3 (1.1;1.5) | -27.6(-40.7;-10.1) | ||
| Mato Grosso do Sul | 16.3 (14.2;18.4) | 2.1 (1.8;2.3) | 39.7 (33.7;47.3) | 1.5 (1.2;1.7) | -30.3(-40.8;-17.4) | ||
| Minas Gerais | 177.8 (159.3;198.2) | 2 (1.7;2.2) | 370.4 (313;436.4) | 1.4 (1.2;1.7) | -28.2(-38.2;-17.2) | ||
| Pará | 28.5 (23.9;33.1) | 1.5 (1.3;1.8) | 70.5 (58.8;85.4) | 1.1 (0.9;1.3) | -31.4(-44;-14.3) | ||
| Paraíba | 16.8 (12.2;20.8) | 0.8 (0.6;0.9) | 39.5 (32.4;46.8) | 0.8 (0.7;0.9) | 5.5(-18.6;41.8) | ||
| Paraná | 104.6 (91.7;117.3) | 2.5 (2.1;2.7) | 257.8 (215.7;308.6) | 2.1 (1.8;2.5) | -14.4(-26.4;-1.4) | ||
| Pernambuco | 60.3 (52.8;68.1) | 1.5 (1.3;1.6) | 143.8 (120;178.2) | 1.5 (1.3;1.9) | 3.4(-14.6;27.3) | ||
| Piauí | 11.3 (9.1;13.6) | 1 (0.8;1.2) | 30.3 (24.7;37.8) | 0.8 (0.6;1) | -17.5(-35.8;4.5) | ||
| Rio de Janeiro | 143.6 (120.7;157.7) | 1.7 (1.4;1.8) | 301.5 (259.8;349) | 1.4 (1.2;1.6) | -15.9(-27.3;-1.2) | ||
| Rio Grande do Norte | 16.1 (12.4;19.2) | 1 (0.8;1.3) | 42.1 (34;51.4) | 1.1 (0.9;1.3) | 1.6(-21.9;37) | ||
| Rio Grande do Sul | 134.9 (116.1;149.5) | 2.3 (1.9;2.5) | 343 (283.6;408) | 2.3 (1.9;2.7) | -1.7(-15.5;15.7) | ||
| Rondônia | 5.6 (4.6;6.5) | 2.2 (1.9;2.5) | 17.5 (14.7;20.6) | 1.3 (1.1;1.5) | -42.8(-52.4;-29.8) | ||
| Roraima | 0.9 (0.6;1) | 1.9 (1.5;2.1) | 3.9 (3.3;4.5) | 1.4 (1.2;1.6) | -25.9(-36.6;-11.7) | ||
| Santa Catarina | 61 (53.1;69) | 2.8 (2.4;3.2) | 166.5 (137;196.3) | 2.3 (1.9;2.7) | -18.6(-30.6;-6.3) | ||
| São Paulo | 443.5 (387.3;491.7) | 2.4 (2.1;2.6) | 910.2 (757.6;1083.5) | 1.8 (1.5;2.1) | -24.2(-35.1;-10.3) | ||
| Sergipe | 6.8 (5.2;8) | 1 (0.8;1.2) | 18.4 (15.1;22.4) | 0.8 (0.7;1) | -16.9(-33.6;7.9) | ||
| Tocantins | 4.1 (3.3;4.9) | 1.5 (1.2;1.8) | 18.9 (14.9;24.7) | 1.4 (1.1;1.8) | -3.8(-25.5;25.5) | ||
| B.2.5.2-Non-rheumatic degenerative mitral valve disease | (;) | ||||||
| Acre | 0.8 (0.7;1.1) | 0.5 (0.4;0.7) | 2.9 (2.3;3.9) | 0.5 (0.4;0.6) | -2.8(-22.4;27.2) | ||
| Alagoas | 8.7 (6.7;10.9) | 0.6 (0.5;0.8) | 20.2 (15.5;25) | 0.6 (0.5;0.8) | 0.3(-25.3;38) | ||
| Amapá | 0.6 (0.5;0.8) | 0.6 (0.5;0.7) | 3 (2.2;3.6) | 0.6 (0.4;0.7) | 0.4(-18.2;21.6) | ||
| Amazonas | 4.8 (3.9;6.6) | 0.5 (0.4;0.8) | 12.2 (9.8;16) | 0.4 (0.3;0.5) | -24.5(-40.7;-5.6) | ||
| Bahia | 40 (31.9;52.4) | 0.6 (0.4;0.7) | 81.1 (61.1;101.9) | 0.5 (0.4;0.6) | -10(-33.1;20.8) | ||
| Brazil | 663.1 (535.3;818.9) | 0.7 (0.6;0.9) | 1315.1 (943.8;1507) | 0.6 (0.4;0.7) | -19(-34.8;-5.8) | ||
| Ceará | 17.9 (12.6;23.3) | 0.4 (0.3;0.6) | 50.6 (36.3;63.9) | 0.5 (0.4;0.6) | 19.3(-13.5;64.8) | ||
| Distrito Federal | 6.7 (5;8.1) | 1 (0.7;1.4) | 14.4 (9.8;17.7) | 0.6 (0.4;0.8) | -39(-57.4;-24) | ||
| Espírito Santo | 14 (9.6;16.4) | 0.9 (0.6;1) | 32.3 (20.7;40.6) | 0.8 (0.5;1) | -15.2(-30;2.6) | ||
| Goiás | 19.3 (14.4;27.3) | 0.8 (0.6;1.2) | 38.9 (28.3;50.8) | 0.6 (0.4;0.7) | -32.3(-50.2;-13.3) | ||
| Maranhão | 9.8 (6.6;12.9) | 0.4 (0.2;0.5) | 27.6 (21.3;39.4) | 0.4 (0.3;0.6) | 11.3(-23.4;59.6) | ||
| Mato Grosso | 5.7 (4.4;7.2) | 0.6 (0.5;0.8) | 17 (12.9;20.5) | 0.5 (0.4;0.6) | -16.6(-33.9;4.6) | ||
| Mato Grosso do Sul | 7.3 (5.6;8.8) | 0.7 (0.6;0.9) | 16.3 (11.7;19.9) | 0.6 (0.4;0.7) | -23.9(-39.7;-6.4) | ||
| Minas Gerais | 76.3 (63;100.7) | 0.7 (0.6;1) | 135 (99.2;162.8) | 0.5 (0.4;0.6) | -29.4(-48.9;-13) | ||
| Pará | 15.1 (11.8;18.4) | 0.7 (0.5;0.8) | 36.2 (26.8;44.4) | 0.5 (0.4;0.6) | -22.9(-39;-3.7) | ||
| Paraíba | 8.5 (6.1;11.5) | 0.4 (0.3;0.5) | 16 (12.3;23) | 0.3 (0.3;0.5) | -8.3(-33.3;25.8) | ||
| Paraná | 46.1 (33.9;56.6) | 0.9 (0.6;1.1) | 88.4 (56.8;110.5) | 0.7 (0.4;0.9) | -22.7(-40.5;-4.3) | ||
| Pernambuco | 36.4 (27.1;41.8) | 0.8 (0.6;0.9) | 70.7 (47.2;85.4) | 0.7 (0.5;0.9) | -8.6(-27;13.4) | ||
| Piauí | 6.7 (5.1;8) | 0.5 (0.4;0.6) | 15.1 (11.2;19) | 0.4 (0.3;0.5) | -17.5(-34.4;3.1) | ||
| Rio de Janeiro | 73.5 (62.9;94.3) | 0.7 (0.6;1) | 113.6 (88.7;145.7) | 0.5 (0.4;0.7) | -29.3(-42.5;-16.2) | ||
| Rio Grande do Norte | 6.7 (5.2;9.2) | 0.4 (0.3;0.6) | 16.2 (12.3;21) | 0.4 (0.3;0.5) | 1.1(-24.9;35.4) | ||
| Rio Grande do Sul | 52.8 (39;64.3) | 0.8 (0.6;1) | 99.5 (60.4;126.5) | 0.6 (0.4;0.8) | -16.5(-35.5;3.2) | ||
| Rondônia | 2.7 (2.1;3.5) | 0.7 (0.6;1) | 7.2 (5.7;9.4) | 0.5 (0.4;0.6) | -32.7(-51;-16) | ||
| Roraima | 0.3 (0.2;0.5) | 0.4 (0.3;0.8) | 1.1 (0.8;2.1) | 0.3 (0.2;0.6) | -27(-39.1;-11.7) | ||
| Santa Catarina | 23.4 (16;30.1) | 0.9 (0.6;1.2) | 48.7 (30.4;61.4) | 0.6 (0.4;0.8) | -28.5(-44.4;-12) | ||
| São Paulo | 172.3 (133.2;223.6) | 0.8 (0.6;1.1) | 330.3 (211.8;399.1) | 0.6 (0.4;0.8) | -21.7(-44.6;-2.1) | ||
| Sergipe | 4.2 (3.3;5.4) | 0.5 (0.4;0.7) | 10.4 (7.6;13.1) | 0.5 (0.3;0.6) | -14.7(-33.1;13) | ||
| Tocantins | 2.7 (1.8;3.4) | 0.7 (0.5;0.9) | 9.9 (6.4;12.5) | 0.7 (0.4;0.9) | -1.6(-23.1;29.2) | ||
Source: Data derived from Global Burden of Disease Study 2019, Institute for Health Metrics and Evaluation, University of Washington. 46