Table 5-4. – Number of DALY, age-standardized DALY rates (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 | 478.6 (384.9;587.3) | 134.1 (109.9;161.8) | 753.3 (566.2;993.1) | 82.6 (62.9;106.6) | -38.4(-49.7;-27.2) |
| Alagoas | 3473.1 (2746.4;4365.8) | 149.5 (120;186) | 3192.6 (2447.9;4092.5) | 86.5 (66.7;110.6) | -42.1(-56;-27.5) |
| Amapá | 197.9 (146.9;261.3) | 83.6 (64.4;107) | 573.8 (413;795.1) | 66.6 (49.3;90.8) | -20.4(-31.2;-9.4) |
| Amazonas | 1696.9 (1318.6;2188.4) | 95.4 (77.2;119.6) | 2745.7 (1929.8;3783.2) | 64.7 (46.3;87.8) | -32.1(-43.3;-21.6) |
| Bahia | 16674.5 (13969;19833.8) | 148 (124.8;175.3) | 14372 (11188.8;18390.2) | 86.4 (67.4;111) | -41.6(-52.4;-30.7) |
| Brazil | 197716.1 (170430.6;232611.3) | 144.6 (126.8;167.3) | 184224.8 (143687.3;238145.9) | 79.3 (61.6;102.6) | -45.1(-52.1;-38.2) |
| Ceará | 6153.3 (4892.5;7694.2) | 101.7 (81.3;125.6) | 7192 (5239.3;9577.4) | 69.5 (50.6;92.6) | -31.6(-43.4;-20.6) |
| Distrito Federal | 2733 (2325.3;3194.9) | 202.3 (175.2;232.6) | 2748.9 (2101.9;3590.4) | 85.6 (65.8;109.5) | -57.7(-65.7;-49.1) |
| Espírito Santo | 3228.8 (2710.2;3880.5) | 133.5 (113.7;157.1) | 3625.4 (2794.7;4689.5) | 84.1 (64.7;109) | -37(-47.1;-27.4) |
| Goiás | 6941.8 (5867.3;8245.7) | 186.2 (158.6;219.8) | 6955 (5375.9;8927.3) | 92.7 (71.8;118.7) | -50.2(-59.9;-39.7) |
| Maranhão | 5793.2 (4511.6;7327) | 128.3 (100.7;161.8) | 5937.4 (4413.8;8026.1) | 74 (55.7;99.1) | -42.3(-55.9;-27.7) |
| Mato Grosso | 2061.6 (1608.5;2580.3) | 117.3 (95.7;140.7) | 2777.9 (2060.8;3705.6) | 72.4 (53.8;96.2) | -38.3(-49.5;-26.2) |
| Mato Grosso do Sul | 2052.3 (1689.3;2521.1) | 126.6 (106.3;152) | 2259.9 (1708.7;2978.9) | 74.2 (56.2;98.2) | -41.4(-51.5;-32.2) |
| Minas Gerais | 25212.5 (21921.1;29506.4) | 170.8 (149.3;197.7) | 19945.3 (15436.6;25464.7) | 83 (63.9;107.9) | -51.4(-59.8;-42.7) |
| Pará | 4685.7 (3688.2;5883) | 110.3 (89.1;134.6) | 6570.4 (4804.8;8902.7) | 70.1 (52;93.5) | -36.5(-46.9;-26.3) |
| Paraíba | 3869.2 (3097.1;4891.2) | 130.2 (104.2;163.2) | 3595.1 (2709.1;4709.2) | 79.5 (59.9;104.8) | -39(-51.9;-25.6) |
| Paraná | 12144.3 (10386.1;14396.5) | 156.5 (135.8;181.9) | 11030.6 (8623;14136.8) | 87.1 (67.7;113.1) | -44.3(-53;-35.7) |
| Pernambuco | 9944.8 (8279.9;11968.4) | 144.5 (121.6;173.2) | 9819.1 (7641.7;12313.8) | 92.9 (72.5;116.8) | -35.7(-47.6;-24.6) |
| Piauí | 2500.4 (1977.2;3115.3) | 105.7 (85.2;129.1) | 2580.9 (1896.6;3474.4) | 68.7 (50.3;92.8) | -35(-46.1;-23.5) |
| Rio de Janeiro | 18562 (15876.8;22061.5) | 142.9 (123.1;167.2) | 15385.3 (11850;19928.5) | 78.6 (59.8;103.2) | -45(-53.8;-35.9) |
| Rio Grande do Norte | 2723.6 (2217.2;3328.6) | 120.4 (99.1;146.3) | 3111.1 (2330.5;4079) | 79.7 (59.7;104.4) | -33.8(-45.4;-23.4) |
| Rio Grande do Sul | 10128.1 (8278.3;12485.4) | 113.1 (93.9;138.1) | 8733.1 (6508.8;11731.9) | 69.5 (50.3;94.7) | -38.5(-48.3;-29.6) |
| Rondônia | 1122.1 (847.6;1419.2) | 124.4 (99.6;149.5) | 1430.6 (1081.9;1885.8) | 76.1 (58;99.1) | -38.8(-49.7;-26.2) |
| Roraima | 165.6 (124.9;220.2) | 95.7 (76.1;120.8) | 398 (288.9;538.5) | 67.2 (50.1;89.6) | -29.7(-41;-18.6) |
| Santa Catarina | 5344.1 (4385.8;6550.2) | 128.9 (108.3;153.5) | 5883.4 (4408.2;7698.3) | 74.6 (55.6;98.4) | -42.1(-51.6;-33.2) |
| São Paulo | 47070.4 (40270.9;55070.9) | 159.3 (138.6;182.7) | 39172.3 (30110.2;51125.7) | 77.3 (58.5;101.5) | -51.5(-59.2;-43) |
| Sergipe | 1807.3 (1481.5;2208.5) | 135.6 (111.5;164.9) | 2176.7 (1655.5;2835) | 86.2 (66;111.8) | -36.4(-48.6;-23.1) |
| Tocantins | 950.7 (747.3;1192.2) | 120.7 (97.2;147.6) | 1258.9 (933;1679.4) | 74.7 (55.7;98.9) | -38.1(-49.6;-24.9) |
| B.2.5-Non-rheumatic valvular heart disease | (;) | ||||
| Acre | 85 (73.5;98.7) | 40 (34.9;45.5) | 260.4 (229.9;292.8) | 37.9 (33.4;42.6) | -5.4(-22.2;15) |
| Alagoas | 663.4 (578.5;772.7) | 42.2 (36.8;49.3) | 1538.5 (1313.5;1768.2) | 45.8 (39.1;52.5) | 8.5(-12.8;33.5) |
| Amapá | 64.3 (55.6;72) | 47.3 (42;52.1) | 262.1 (234.9;291.7) | 43.2 (38.4;47.9) | -8.7(-20.5;5.9) |
| Amazonas | 542.6 (482.1;605.8) | 52.2 (47.2;57.7) | 1191.1 (1029.4;1356.5) | 36.9 (31.9;42.1) | -29.2(-38.9;-17.1) |
| Bahia | 4048.8 (3511.8;4582) | 51.8 (45.1;58.6) | 6278.5 (5226.1;7459.1) | 38.3 (31.9;45.4) | -26.1(-41;-8.1) |
| Brazil | 66419.8 (64127.5;68749.3) | 62.8 (60.3;65.2) | 103773.8 (96149.3;110720) | 44 (40.7;47) | -30(-34.5;-25) |
| Ceará | 1261.9 (1037.7;1575.1) | 28 (23;34.8) | 3539.9 (2933.6;4257.3) | 35 (29;42) | 25.3(-5.1;65.1) |
| Distrito Federal | 704 (622.6;794.5) | 84.4 (74.9;94.3) | 1148.6 (990.1;1325.1) | 44.2 (38.2;50.5) | -47.7(-55.2;-38.2) |
| Espírito Santo | 1268.1 (1174.9;1371.7) | 70.7 (65.4;75.9) | 2457.5 (2119.5;2803.4) | 56.2 (48.5;64) | -20.5(-31.2;-8.9) |
| Goiás | 2042 (1745.9;2416.1) | 76 (65.4;90.2) | 3337.7 (2797;3975.1) | 46.2 (38.6;54.9) | -39.2(-50.8;-25.1) |
| Maranhão | 893.7 (677.8;1170.3) | 30.1 (22.7;39.8) | 2260.7 (1897.2;2699.7) | 32.7 (27.5;39.1) | 8.6(-22.6;51.1) |
| Mato Grosso | 619 (510.5;721.6) | 55.9 (47.8;63.7) | 1407.6 (1228.7;1606.9) | 40.1 (35.1;45.8) | -28.1(-40.1;-12.5) |
| Mato Grosso do Sul | 755 (693.1;822.6) | 66.2 (60.9;72.1) | 1317.8 (1132.8;1518.3) | 43.9 (37.7;50.6) | -33.8(-43.3;-23) |
| Minas Gerais | 8073.1 (7457.7;8872) | 68.9 (63.6;75.5) | 10888.8 (9597;12210.7) | 41.6 (36.7;46.7) | -39.5(-47.1;-31.2) |
| Pará | 1375.1 (1191.3;1561) | 51 (44.7;57.4) | 2787.7 (2449.2;3195.9) | 36.5 (32;41.7) | -28.4(-40.7;-14.4) |
| Paraíba | 643.9 (553.1;788.6) | 26.7 (22.9;32.7) | 1264.3 (1090.6;1484.8) | 26.9 (23.2;31.5) | 0.9(-22.1;27) |
| Paraná | 4629.9 (4386.7;4909.4) | 79.1 (75;83.9) | 7300 (6383.8;8258.8) | 55.3 (48.3;62.5) | -30(-39;-20.5) |
| Pernambuco | 2816.5 (2575.4;3061.6) | 54.9 (50.3;59.6) | 5002 (4359.4;5687.4) | 49.1 (42.7;55.6) | -10.6(-24.1;5.1) |
| Piauí | 503.5 (441.6;578) | 31.9 (27.9;36.9) | 1047.2 (909.9;1190.8) | 27.7 (24.1;31.5) | -13.2(-28.9;6) |
| Rio de Janeiro | 6715.9 (6311.1;7069.2) | 60.6 (57;63.8) | 8742.8 (7701.7;9962.7) | 39.9 (35.2;45.2) | -34.2(-42.3;-24.9) |
| Rio Grande do Norte | 596.3 (510.5;694.2) | 34.2 (29.3;39.8) | 1331.5 (1102.2;1581.2) | 33.9 (28.1;40.3) | -0.8(-23;25.9) |
| Rio Grande do Sul | 5430.1 (5055.9;5757.8) | 73.2 (68.5;77.5) | 8355.5 (7203.2;9441.7) | 55.1 (47.6;62.2) | -24.7(-33.8;-14.7) |
| Rondônia | 307.5 (249.9;356.2) | 61.6 (53.6;69.4) | 627.6 (533.9;731.3) | 38.1 (32.6;44.2) | -38.1(-48.8;-24.8) |
| Roraima | 42.8 (36;48.6) | 48.3 (43.2;53.2) | 139.9 (122.9;158.7) | 33.9 (29.9;38.5) | -29.8(-39.2;-18.5) |
| Santa Catarina | 2458.1 (2272.3;2657.3) | 81.9 (75.9;88.1) | 4423.2 (3874.6;5006.2) | 55.2 (48.5;62.4) | -32.5(-41.1;-22.9) |
| São Paulo | 19362.4 (18240;20529.6) | 79.7 (74.8;84.5) | 25466.7 (22329.9;28597.2) | 47.4 (41.5;53.1) | -40.6(-47.7;-33.3) |
| Sergipe | 305.9 (269.7;348.4) | 34.1 (30.1;38.4) | 705.3 (592.8;831.7) | 30 (25.3;35.2) | -12(-28.6;7.7) |
| Tocantins | 211.1 (176.1;249.7) | 44.4 (37.2;52.3) | 691 (578.1;805.1) | 46.1 (38.7;53.5) | 3.8(-17.6;31) |
| B.2.5.1-Non-rheumatic calcific aortic valve disease | (;) | ||||
| Acre | 51.9 (39;62) | 26.5 (20.1;30.9) | 163.7 (139;188.2) | 25 (21.3;28.7) | -5.7(-24.3;23.4) |
| Alagoas | 363.6 (285.3;425.5) | 24.4 (19.2;28.7) | 917.3 (762.5;1134.3) | 27.8 (23.2;34.4) | 14.3(-9.7;53.2) |
| Amapá | 39.3 (32.3;44.9) | 31.5 (26.4;35.4) | 158.8 (137.4;187.6) | 27.7 (24;32.5) | -11.9(-25.8;6.8) |
| Amazonas | 359.5 (291.9;408.9) | 36.9 (29.8;41.7) | 795.3 (671.5;926.9) | 25.5 (21.5;29.8) | -30.7(-41.3;-15.5) |
| Bahia | 2641.7 (2109.8;3085.6) | 35.1 (28.2;40.9) | 3989.3 (3247;4860.7) | 24.5 (19.9;29.9) | -30.3(-45.8;-6.7) |
| Brazil | 42579 (37870.3;47363.9) | 41.9 (37;45.9) | 68342.2 (61550;78453.3) | 29.2 (26.3;33.4) | -30.3(-36.3;-21.3) |
| Ceará | 681.1 (502.2;869.2) | 15.6 (11.6;20.1) | 2097.8 (1692.1;2650.6) | 20.9 (16.9;26.5) | 33.7(-1.7;94.9) |
| Distrito Federal | 427.6 (364;525.3) | 57 (49.2;67.7) | 727.9 (616;894.4) | 29.6 (25;36.1) | -48(-55.7;-37.2) |
| Espírito Santo | 751.9 (666.4;894.9) | 44.4 (39.5;51.6) | 1547.9 (1278.5;1956.8) | 35.8 (29.6;45.1) | -19.5(-31.6;-6.3) |
| Goiás | 1300.3 (1084.7;1633.2) | 51.4 (43.6;63.1) | 2186.1 (1774;2711.5) | 30.8 (25.2;38.2) | -40.1(-51.9;-26) |
| Maranhão | 537.9 (372.1;749.1) | 18.8 (13.1;26.1) | 1430.7 (1131.3;1752.5) | 21.1 (16.7;25.8) | 12.2(-22.4;60.8) |
| Mato Grosso | 389.5 (311.5;457.7) | 37.9 (31.6;43.6) | 886.3 (752;1040.4) | 26 (22.2;30.6) | -31.6(-44;-14.5) |
| Mato Grosso do Sul | 480 (417.5;547.4) | 44.8 (39.3;50.6) | 861 (731.5;1024) | 29 (24.7;34.5) | -35.2(-45;-22.5) |
| Minas Gerais | 5239 (4676.4;5973.4) | 46.4 (41.5;52.2) | 7257.9 (6282.1;8566.6) | 27.7 (24;32.7) | -40.3(-48.2;-31.3) |
| Pará | 799.5 (667.7;934.9) | 32 (26.8;37.2) | 1621.9 (1376.2;1975) | 22 (18.6;26.6) | -31.3(-44.2;-14.2) |
| Paraíba | 374.9 (262.1;468.5) | 15.8 (11.2;19.7) | 796.6 (649.7;956) | 16.9 (13.8;20.3) | 6.6(-17.4;43) |
| Paraná | 2959.8 (2640.8;3386.2) | 53.3 (46.9;60.2) | 5001.5 (4227.4;5984.7) | 38.2 (32.3;45.7) | -28.2(-38.2;-17.4) |
| Pernambuco | 1574.6 (1396;1798.1) | 31.9 (28.2;36.2) | 3016.7 (2526.4;3737.7) | 30 (25.1;37.2) | -6.1(-22.4;14.8) |
| Piauí | 280.7 (223.7;336.3) | 18.8 (15.2;22.5) | 616.2 (516.4;769.6) | 16.3 (13.6;20.3) | -13.3(-31.2;9.6) |
| Rio de Janeiro | 4090.8 (3468;4549.8) | 38.3 (32.4;42.2) | 5758.8 (4921.1;6639.2) | 26.2 (22.4;30.2) | -31.6(-40.4;-20.5) |
| Rio Grande do Norte | 375 (285.6;450.5) | 22.1 (16.9;26.5) | 853.2 (693.3;1040.7) | 21.8 (17.7;26.7) | -1.2(-24.8;32.9) |
| Rio Grande do Sul | 3619.1 (3136.5;4083.7) | 50.4 (43.6;56.2) | 5938 (4979.2;7063.4) | 38.9 (32.7;46.1) | -22.8(-33.1;-10.4) |
| Rondônia | 195.6 (154.3;229.2) | 43.3 (36.2;49.3) | 403.1 (335.6;477.7) | 25.2 (21.1;29.8) | -41.8(-52.8;-26.8) |
| Roraima | 29.8 (21.7;35.6) | 36.3 (27.8;41.9) | 95.9 (77;112.8) | 24.5 (20.4;28.5) | -32.5(-42.3;-18.5) |
| Santa Catarina | 1638.4 (1417.6;1889.5) | 57.6 (50.3;65.5) | 3162.9 (2677;3733.4) | 40 (34;47.1) | -30.5(-40;-19.9) |
| São Paulo | 13095.7 (11482.2;14641.3) | 55.8 (48.6;62.1) | 17256.1 (14768.7;20498.9) | 32.3 (27.6;38.3) | -42.1(-49.8;-30.8) |
| Sergipe | 167.8 (127.4;201.3) | 19.8 (15.2;23.5) | 398.4 (324.4;492.7) | 17.3 (14.1;21.3) | -12.8(-31.7;13.9) |
| Tocantins | 113.9 (91.9;138.5) | 26.4 (21.3;31.6) | 402.9 (317;537.4) | 27.5 (21.8;36.7) | 4.2(-20.2;39) |
| B.2.5.2-Non-rheumatic degenerative mitral valve disease | (;) | ||||
| Acre | 30.8 (24.8;40.5) | 12.7 (10.2;17.1) | 87.5 (70.5;117.6) | 11.7 (9.4;15.7) | -7.5(-26.1;15.3) |
| Alagoas | 289 (228.4;353.5) | 17.2 (13.4;21.2) | 594.5 (467.7;729.3) | 17.2 (13.4;21) | -0.4(-23.6;32.1) |
| Amapá | 23.9 (18.7;29.1) | 15.1 (12;18.8) | 95.5 (74.7;115.9) | 14.3 (10.9;17.4) | -5.1(-20.3;12.4) |
| Amazonas | 176.4 (144.8;232.6) | 14.8 (12.2;20.3) | 370.2 (300.2;480.1) | 10.7 (8.7;13.8) | -27.5(-40.3;-11.6) |
| Bahia | 1363.3 (1095.7;1693.3) | 16.2 (13;20.5) | 2193.7 (1725.5;2681.5) | 13.2 (10.3;16.2) | -18.4(-36.8;5.3) |
| Brazil | 23163.9 (18446.7;27428.1) | 20.4 (16.3;24.6) | 33793.5 (25861.5;39014.6) | 14.1 (10.8;16.3) | -30.7(-41.6;-22.6) |
| Ceará | 545 (408.1;692.2) | 11.6 (8.6;14.9) | 1346.8 (1010.7;1698.5) | 13.2 (9.9;16.6) | 13.7(-17.1;54) |
| Distrito Federal | 268.7 (201.2;319.7) | 26.6 (19.4;32.9) | 398.9 (287.1;482.7) | 13.8 (9.8;16.7) | -48.3(-61.4;-37.1) |
| Espírito Santo | 502.3 (340.2;588.9) | 25.5 (17.4;29.8) | 867.1 (599.1;1068.3) | 19.4 (13.3;23.9) | -23.9(-36.2;-9.6) |
| Goiás | 720.9 (530.3;979.3) | 24 (17.8;33.5) | 1095.9 (824.4;1416.4) | 14.7 (11;18.9) | -38.8(-53.3;-21.5) |
| Maranhão | 326.5 (222.8;439) | 10.5 (7.2;13.9) | 762.9 (582.9;1040.8) | 10.7 (8.2;14.7) | 2.2(-30.8;47.5) |
| Mato Grosso | 222.5 (166.6;275.9) | 17.4 (13.4;21.6) | 495.7 (391.1;597.1) | 13.5 (10.5;16.3) | -22.4(-37.3;-4.2) |
| Mato Grosso do Sul | 269.3 (203.6;315.4) | 21 (16.1;25) | 443.9 (337.5;538.1) | 14.4 (10.9;17.5) | -31.4(-43.9;-17.7) |
| Minas Gerais | 2759.7 (2198.7;3466.3) | 21.9 (17.7;28) | 3473.5 (2676;4153.8) | 13.3 (10.3;15.9) | -39.1(-53.7;-27.4) |
| Pará | 547.6 (420.2;655.9) | 18.1 (14.1;21.9) | 1063.7 (825.2;1291.4) | 13.2 (10;16.1) | -26.7(-40.6;-9.5) |
| Paraíba | 248.7 (184.3;329) | 10.1 (7.4;13.2) | 427.3 (334.8;609.2) | 9.2 (7.1;13) | -9(-35.2;22.2) |
| Paraná | 1622.1 (1205.7;1926.7) | 25.1 (18.5;30.1) | 2183.5 (1520.6;2709.5) | 16.2 (11.3;20) | -35.3(-47.5;-22.5) |
| Pernambuco | 1209.1 (901.4;1393.7) | 22.4 (16.7;25.8) | 1901.1 (1367.5;2278.3) | 18.3 (13.1;21.9) | -18.3(-32.7;-1) |
| Piauí | 211.4 (164.6;250.5) | 12.5 (9.6;14.9) | 404 (321.8;497.4) | 10.7 (8.5;13.2) | -14.5(-31.4;4.9) |
| Rio de Janeiro | 2576.8 (2159.7;3166.9) | 21.9 (18.4;27.3) | 2889.1 (2339.7;3691.9) | 13.2 (10.7;16.8) | -39.6(-49.2;-29.6) |
| Rio Grande do Norte | 207.9 (165.8;270.9) | 11.4 (9.1;15) | 439.4 (341.2;567.7) | 11.1 (8.7;14.4) | -2.5(-27.6;27.6) |
| Rio Grande do Sul | 1762.1 (1287.4;2066.8) | 22.2 (16.4;26.5) | 2310.3 (1546.4;2837.7) | 15.4 (10.5;18.9) | -30.5(-42.4;-17) |
| Rondônia | 108.1 (81.9;139.1) | 17.6 (14;23.7) | 210.4 (169.3;274.4) | 12.1 (9.7;15.7) | -31.4(-47.3;-13.3) |
| Roraima | 11.7 (7.8;20.6) | 10.8 (7.4;19.5) | 36.3 (24;64.6) | 7.8 (5.2;14) | -28.4(-41.2;-12.2) |
| Santa Catarina | 801.5 (548.8;987.9) | 23.8 (16.2;29.7) | 1215.4 (818.2;1494.1) | 14.7 (9.8;18.1) | -38.3(-49.6;-26.3) |
| São Paulo | 6133.9 (4630.3;7686.7) | 23.4 (17.9;29.9) | 7925.7 (5513.9;9414) | 14.5 (10.2;17.2) | -37.9(-52.3;-26.2) |
| Sergipe | 132.8 (103.6;165.3) | 13.7 (10.8;17.5) | 290.8 (222.2;361.9) | 12 (9.2;15) | -12.3(-30.2;13.9) |
| Tocantins | 91.9 (63.5;114.4) | 17.1 (11.4;21.3) | 270.5 (184.9;338) | 17.4 (11.8;21.9) | 2.1(-20.4;32.7) |
Source: Data derived from Global Burden of Disease Study 2019, Institute for Health Metrics and Evaluation, University of Washington. 46