Table 5-4. – Number of DALY, age-standardized DALY rates (per 100 000), and percent change of rates by cardiovascular groups of causes of death, in Brazil and its Federative Units, 1990 and 2017.
| Cause of death and Location | 1990 | Percent change (95% UI) | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Number (95% UI) | Rate (95% UI) | Rate (95% UI) | ||||||||
| B.2.1- Rheumatic heart disease | ||||||||||
| Acre | 460.8 (410.3;524.6) | 127.1 (114.1;144.3) | 671 (557.8;816.4) | 79.5 (67.1;95.5) | -37.5 (-43.8;-30.7) | |||||
| Alagoas | 3143.3 (2600.7;3851.6) | 125 (105.1;149.3) | 2632.8 (2168.9;3233.3) | 73.8 (61.1;90.1) | -40.9 (-50;-30.9) | |||||
| Amapá | 204.8 (173.1;242.1) | 91.4 (78.4;106.6) | 551.5 (440.6;687.6) | 71.1 (57.7;87.5) | -22.2 (-29.7;-14.4) | |||||
| Amazonas | 1528 (1267.3;1848.2) | 85.2 (71.4;102.2) | 2460.5 (1938.2;3170.4) | 62.1 (49.5;78.9) | -27.1 (-33.3;-20.8) | |||||
| Bahia | 12095.4 (10485.4;13973.7) | 103.7 (90.3;120.3) | 11460 (9428.5;14129.4) | 70.5 (58.1;86.8) | -32.1 (-38.7;-24.8) | |||||
| Brazil | 163388 (144922.3;186177.2) | 118.9 (106.1;134.7) | 162013.6 (134153.5;198443.9) | 71.2 (59;87.2) | -40.1 (-45.4;-34.6) | |||||
| Ceará | 5090.4 (4101.6;6158.3) | 81.2 (65.9;98.4) | 5664.1 (4357.1;7338.2) | 56.4 (43.5;72.8) | -30.6 (-39.8;-20.8) | |||||
| Distrito Federal | 2073.5 (1853.8;2341.2) | 151.6 (137.6;168.9) | 2439.1 (2023.3;2978.4) | 78.8 (65.8;94.9) | -48 (-53.7;-42) | |||||
| Espírito Santo | 2628.8 (2295.3;3051.6) | 109.2 (96.1;125.8) | 2974.6 (2426.3;3661.6) | 70.1 (57.1;86.3) | -35.8 (-42;-29.9) | |||||
| Goiás | 4735.6 (4205.1;5429.8) | 128 (114.7;145.2) | 5840.8 (4903.6;7144.8) | 79.8 (67.3;97.3) | -37.7 (-43.5;-31.5) | |||||
| Maranhão | 7473 (5921.2;9327.9) | 142.1 (116.4;171.6) | 4842.9 (3887.8;6116.6) | 63.2 (51;79.3) | -55.6 (-64.4;-46.3) | |||||
| Mato Grosso | 1828.6 (1579.2;2132.2) | 101.6 (88.5;117.3) | 2466 (1996.8;3072) | 66.9 (54.5;82.8) | -34.2 (-40.9;-27.8) | |||||
| Mato Grosso do Sul | 1669 (1402.1;1974.2) | 104.5 (90.1;121.8) | 2109.8 (1733.1;2612.1) | 71.2 (58.6;87.9) | -31.8 (-38.6;-24.4) | |||||
| Minas Gerais | 19249.1 (17181.8;21938.6) | 130.8 (117.6;148) | 18154.8 (15183.7;21952.5) | 76.5 (63.5;92.8) | -41.5 (-47.4;-35.5) | |||||
| Pará | 3950.3 (3349.3;4663.4) | 91.5 (78.6;107.5) | 5808.4 (4645;7300.4) | 65.9 (53.3;82) | -27.9 (-34.8;-20.8) | |||||
| Paraíba | 3916.4 (3288.8;4699.1) | 125.1 (106.1;147.5) | 3123.4 (2541.7;3837.2) | 70.6 (57.5;86.9) | -43.5 (-52;-34.8) | |||||
| Paraná | 10399.6 (9331.5;11680) | 136.1 (123.1;152.3) | 10256.3 (8682.8;12479.2) | 81.7 (68.6;99.4) | -40 (-45.5;-33.8) | |||||
| Pernambuco | 7748.4 (6752.1;8887.8) | 110.2 (95.9;126.4) | 8150.9 (6836.5;9867.3) | 78.7 (66.2;95.3) | -28.5 (-34.6;-22.1) | |||||
| Piauí | 2106.2 (1603.1;2601.3) | 83.8 (66;103.3) | 2139 (1699.7;2745.7) | 58.6 (46.7;75.1) | -30.1 (-40.3;-17.3) | |||||
| Rio de Janeiro | 14806.5 (13066.6;16943.4) | 113.9 (100.9;129.8) | 13785.8 (11373.1;17049.6) | 70.7 (58;88) | -37.9 (-43.9;-31.8) | |||||
| Rio Grande do Norte | 2163 (1817.4;2559.8) | 94.3 (79.8;111.1) | 2852.8 (2365.9;3507.2) | 75.4 (62.7;92.4) | -20.1 (-28.4;-10.9) | |||||
| Rio Grande do Sul | 8371.7 (7163.3;9922.7) | 94.4 (81.5;110.9) | 7857.9 (6265.8;9956.8) | 62 (48.9;78.6) | -34.4 (-40.8;-27.9) | |||||
| Rondônia | 1066 (924.3;1232.7) | 113.4 (100;129.4) | 1317 (1055;1625.9) | 73 (58.9;89.6) | -35.7 (-43.4;-28.3) | |||||
| Roraima | 153.9 (127.6;187.4) | 88.8 (75.3;105.5) | 335.3 (262.1;430.8) | 61.7 (48.9;77.9) | -30.5 (-38.5;-22.8) | |||||
| Santa Catarina | 4413.5 (3816.7;5148.1) | 108.6 (95.7;125) | 5283.7 (4296.7;6556.9) | 68.4 (55.6;85) | -37 (-43.4;-30.6) | |||||
| São Paulo | 39592.8 (35476.3;45103.4) | 134.5 (121.5;151.7) | 35783 (29557.6;44123.8) | 70.9 (58.2;87.7) | -47.3 (-53.3;-41.3) | |||||
| Sergipe | 1627.5 (1401.2;1913.6) | 114.8 (100.3;133) | 1870.6 (1561.8;2277.1) | 77 (64.6;93.1) | -33 (-40.2;-26.3) | |||||
| Tocantins | 891.8 (595.4;1118.1) | 109.4 (80.7;133.7) | 1181.6 (973.8;1459.3) | 72.9 (60.4;89.7) | -33.3 (-44.6;-15.9) | |||||
| B.2.5- Non-rheumatic valvular heart disease | ||||||||||
| Acre | 76.6 (68.6;89.8) | 34.6 (31.1;41) | 231.2 (202.9;258.1) | 34.9 (30.4;39) | 1.1 (-16.5;14.5) | |||||
| Alagoas | 435.5 (385.3;565.4) | 27.1 (24;35.1) | 1122.2 (1002.4;1359.9) | 34.4 (30.7;41.5) | 26.9 (7.9;43.8) | |||||
| Amapá | 60 (41.1;66.2) | 43.9 (31;48.5) | 276 (187.7;307.7) | 48.3 (32.6;53.9) | 10 (-7.8;24.5) | |||||
| Amazonas | 383.1 (320.1;430.5) | 35.8 (30.9;40.2) | 1120.8 (942.5;1248.8) | 36.4 (30.5;40.4) | 1.7 (-10.3;14) | |||||
| Bahia | 2839.9 (2502.2;3279.7) | 35.1 (31.1;40.7) | 4949.5 (4486.8;6140.9) | 30.8 (28;38.3) | -12.2 (-22.2;12) | |||||
| Brazil | 45589.2 (38652.3;48617.4) | 42.9 (36.6;45.8) | 89684.3 (75761.8;95891.8) | 39.4 (33.2;42.2) | -8 (-15.6;-4) | |||||
| Ceará | 979.5 (757.8;1644.8) | 21.4 (16.6;36) | 2601.6 (2333.2;3343) | 26.2 (23.5;33.6) | 22.2 (-13.9;51.7) | |||||
| Distrito Federal | 475.3 (369.5;517.4) | 53 (41.8;57.3) | 1026.2 (904.4;1164.8) | 40.2 (35.3;45.4) | -24.1 (-32.1;-7.6) | |||||
| Espírito Santo | 954.5 (637.9;1049.7) | 53.2 (36.8;58.2) | 1994.2 (1441.6;2200) | 46.7 (33.9;51.6) | -12.2 (-19.7;-3.4) | |||||
| Goiás | 1044.4 (870.5;1136.7) | 40.3 (34;43.8) | 2513.9 (2156.8;2780.7) | 36.3 (31.4;40.2) | -10 (-17;-1) | |||||
| Maranhão | 841.7 (638.4;1353.6) | 27.4 (21;44.5) | 1646 (1410.8;2450.2) | 24.5 (21;36.5) | -10.4 (-24;7.8) | |||||
| Mato Grosso | 448.3 (391.9;502.9) | 39.1 (34.6;43.8) | 1235 (1068.3;1378.4) | 37.4 (32.3;41.7) | -4.3 (-15.6;7.1) | |||||
| Mato Grosso do Sul | 518 (401.4;571.5) | 45.4 (35.9;49.7) | 1237.3 (960.8;1368.1) | 43.2 (33.7;47.7) | -4.9 (-15.2;6.1) | |||||
| Minas Gerais | 4805.1 (4079.6;5198.5) | 41.1 (35.6;44.6) | 9545.6 (7991.5;10392.3) | 38 (31.9;41.5) | -7.7 (-17.5;-0.1) | |||||
| Pará | 871.1 (775.6;1053.9) | 31.3 (28.2;38.5) | 2471.2 (2222.8;2874.6) | 33.9 (30.5;39.6) | 8.3 (-6.6;20.6) | |||||
| Paraíba | 485 (382.9;858.3) | 19.9 (15.8;34.8) | 978.9 (818.3;1667.4) | 21.5 (17.9;36.6) | 8.1 (-11.5;28.3) | |||||
| Paraná | 3211.1 (2218.8;3517.2) | 54.6 (38.2;59.6) | 6327.7 (4281.6;6982.9) | 49.8 (33.6;55) | -8.8 (-18.1;-1.4) | |||||
| Pernambuco | 2014.5 (1698.1;2212.9) | 38.6 (33.3;42.7) | 4112.2 (3493.4;4518.3) | 41 (34.7;44.9) | 6.1 (-4.3;16.3) | |||||
| Piauí | 381.9 (291.7;687.1) | 23.2 (18.1;41) | 879.2 (770.3;1289.3) | 24.2 (21.2;35.5) | 4.3 (-18.9;27.5) | |||||
| Rio de Janeiro | 4639.3 (4053.3;5965.9) | 41.8 (37.1;54.1) | 7855.6 (7028.2;9622.4) | 37.1 (33.3;45.6) | -11.2 (-18.7;-3.6) | |||||
| Rio Grande do Norte | 446.7 (374.6;658.4) | 25.3 (21.2;37) | 1205.9 (1082.5;1495.1) | 31.9 (28.6;39.6) | 26.3 (-7.3;51.8) | |||||
| Rio Grande do Sul | 4017.2 (2844.8;4352.4) | 53.9 (38.7;58.5) | 7588.9 (4941.1;8430.1) | 51.9 (34.2;57.5) | -3.7 (-19.7;5.2) | |||||
| Rondônia | 221.1 (193.3;264.1) | 39.1 (34.9;46.8) | 524.4 (452.9;662.3) | 33.5 (29;41.7) | -14.5 (-25.9;-1.6) | |||||
| Roraima | 32 (27.8;41.7) | 35.3 (30.8;48.9) | 120.3 (104;161.8) | 31.5 (27.3;41) | -10.9 (-28.3;7.3) | |||||
| Santa Catarina | 1766.7 (1153.7;1937.8) | 58.3 (37.4;63.9) | 3758.7 (2515;4171.6) | 49.2 (32.4;54.7) | -15.6 (-22.8;-7.7) | |||||
| São Paulo | 13252 (9281.2;14232.8) | 54.6 (39;58.4) | 23226.5 (18142.4;25116.5) | 44.9 (35.1;48.6) | -17.7 (-24.1;-10.8) | |||||
| Sergipe | 218.2 (184.3;330.5) | 22.6 (19.1;34.2) | 615.9 (541.8;879.7) | 27.4 (24.2;39.1) | 21.2 (1.3;39) | |||||
| Tocantins | 170.7 (124.4;233.6) | 33.3 (26.2;46.2) | 519.5 (455.3;586.8) | 35.4 (31.1;40) | 6.4 (-24;35.7) | |||||
| B.2.5.1- Non-rheumatic calcific aortic valve disease | ||||||||||
| Acre | 40.5 (30;46.2) | 19.1 (14.6;21.7) | 133.9 (112.7;168.1) | 20.8 (17.7;25.7) | 9 (-10.8;51.7) | |||||
| Alagoas | 189.8 (160.5;241.4) | 12.2 (10.4;15.3) | 625.7 (549.3;827.4) | 19.4 (17.1;25.3) | 58.6 (33.4;93.9) | |||||
| Amapá | 32.1 (18.2;37) | 24.9 (14.5;28.3) | 161.6 (122.6;192) | 29.4 (21.7;34.5) | 17.8 (-0.4;68.2) | |||||
| Amazonas | 231.6 (136.2;266.9) | 22.4 (13.8;25.4) | 739.3 (617.9;840) | 24.4 (20.1;27.5) | 9.1 (-6.7;58.5) | |||||
| Bahia | 1658.3 (1011.9;1940.1) | 20.9 (13.1;24.3) | 3000.9 (2707.6;3816.1) | 18.8 (16.9;23.9) | -10.4 (-27;61.2) | |||||
| Brazil | 26502.4 (19395.6;28697.2) | 25.4 (19.1;27.4) | 56930.9 (50545.9;65681.9) | 25.1 (22.1;28.7) | -1.2 (-9.1;24.2) | |||||
| Ceará | 429.8 (315.7;695.5) | 9.6 (7.1;15.5) | 1451.9 (1234;2158.8) | 14.7 (12.5;21.7) | 52.5 (18.4;95) | |||||
| Distrito Federal | 271.8 (234.1;332.2) | 32.1 (27.4;38.2) | 655.9 (552.3;920.4) | 26.3 (22.3;36.6) | -18.1 (-30.1;8.5) | |||||
| Espírito Santo | 488.7 (313.1;557) | 28.5 (18.8;32.2) | 1182.1 (959.5;1371.1) | 27.8 (22.4;32) | -2.4 (-15.2;28.3) | |||||
| Goiás | 589.3 (415.1;674) | 23.7 (17;26.7) | 1582.9 (1418.5;1838.7) | 23 (20.6;26.6) | -3 (-15.7;29.8) | |||||
| Maranhão | 377.9 (295.1;491.2) | 12.6 (10;16.7) | 951.9 (812.4;1361.8) | 14.3 (12.2;20.4) | 13.4 (-5.9;44.1) | |||||
| Mato Grosso | 243.7 (182.5;280.4) | 22.4 (17.3;25.6) | 749.8 (666.3;912.9) | 23 (20.5;27.7) | 2.6 (-12.2;37) | |||||
| Mato Grosso do Sul | 302.3 (199.2;348.4) | 27.5 (18.3;31.2) | 806 (658.2;903.3) | 28.3 (23;31.6) | 2.8 (-12;39) | |||||
| Minas Gerais | 2808.8 (1974.5;3167.3) | 24.5 (17.8;27.4) | 6005.2 (5096.3;6815.2) | 23.9 (20.4;27.2) | -2.5 (-13.6;22.8) | |||||
| Pará | 423.2 (333.3;485.2) | 16 (13;18.4) | 1351.8 (1171.1;1746.7) | 19 (16.5;24.4) | 18.6 (1.6;53.1) | |||||
| Paraíba | 206.3 (155.1;396.3) | 8.6 (6.5;16.2) | 547.1 (426.1;1049) | 12 (9.3;23.1) | 40.1 (11.5;73.1) | |||||
| Paraná | 1874.7 (1154.1;2123.9) | 32.9 (20.9;36.9) | 4232.1 (3003.5;4719) | 33.4 (23.7;37.2) | 1.4 (-9;23.8) | |||||
| Pernambuco | 965.9 (746.3;1081.1) | 19 (15.1;21.3) | 2374.9 (2111.6;2875.8) | 23.8 (21.2;28.7) | 25.5 (9.4;53.7) | |||||
| Piauí | 152.4 (113.5;255.6) | 9.6 (7.3;16.1) | 449.8 (369.5;734.1) | 12.4 (10.2;20.3) | 29.1 (2.6;69.1) | |||||
| Rio de Janeiro | 2651.5 (2230.2;3550.9) | 24.2 (20.8;33) | 5140.9 (4615.8;7109.1) | 24.2 (21.8;33.6) | 0 (-10.3;18.3) | |||||
| Rio Grande do Norte | 241.5 (194.2;300.7) | 13.8 (11.2;17.3) | 750.5 (657;955.2) | 19.9 (17.4;25.4) | 43.9 (15.2;93.5) | |||||
| Rio Grande do Sul | 2457.2 (1619.1;2728) | 33.6 (22.2;37.2) | 5106.1 (3487.4;5690.3) | 34.8 (23.9;38.6) | 3.8 (-6.2;22.4) | |||||
| Rondônia | 121.9 (90.7;143.3) | 22.8 (17.7;26.2) | 317.1 (262.3;435) | 20.6 (17.2;27.3) | -9.8 (-28;26.9) | |||||
| Roraima | 20.4 (14.5;23.9) | 23.2 (17.5;26.6) | 82.2 (68.4;107.1) | 22.1 (18.7;27.4) | -4.7 (-23.2;36.4) | |||||
| Santa Catarina | 1071.1 (587;1233.8) | 36.6 (19.9;41.7) | 2571.3 (1727.2;2869.9) | 33.9 (22.4;37.9) | -7.3 (-17.4;18.6) | |||||
| São Paulo | 8484.5 (5317.1;9384.8) | 35.5 (23.3;39.1) | 15357.3 (13142.4;17600.3) | 29.7 (25.2;33.9) | -16.2 (-26;10.5) | |||||
| Sergipe | 93.2 (75.2;149.4) | 9.9 (8;15.8) | 324.7 (258.7;557.4) | 14.6 (11.7;24.7) | 47.2 (20.2;81.9) | |||||
| Tocantins | 74 (53.8;103.7) | 15.3 (11.9;21) | 278.2 (234.9;375.9) | 19.2 (16.3;25.7) | 25.8 (-2.9;66.6) | |||||
| B.2.5.2- Non-rheumatic degenerative mitral valve disease | ||||||||||
| Acre | 30 (25.2;46) | 13.1 (10.9;20.6) | 75.1 (60.5;90.7) | 11.2 (8.9;13.4) | -14.8 (-45.7;3.5) | |||||
| Alagoas | 220.5 (183.7;311.8) | 13.5 (11.2;19) | 444.4 (356.2;522.7) | 13.4 (10.8;15.8) | -0.1 (-29.4;20.1) | |||||
| Amapá | 23.8 (19.6;30.9) | 16.6 (14;21.9) | 91.8 (53.3;112.4) | 15.6 (9.2;19) | -6 (-44.1;13.9) | |||||
| Amazonas | 136 (113;215.8) | 12.2 (10.1;19.4) | 331.9 (263.6;401.4) | 10.6 (8.4;12.7) | -13.3 (-43;4.9) | |||||
| Bahia | 1104.1 (905.1;1731.5) | 13.3 (10.9;21.1) | 1828.7 (1488.1;2227.1) | 11.3 (9.2;13.8) | -14.9 (-42.1;2.9) | |||||
| Brazil | 17936 (15500.4;22621.4) | 16.4 (14.4;20.8) | 30580.8 (20064.3;34729.6) | 13.4 (8.8;15.2) | -18.7 (-43.4;-9.3) | |||||
| Ceará | 493.4 (278.6;898.4) | 10.7 (6.1;19.1) | 1052.9 (767.3;1230.3) | 10.6 (7.7;12.4) | -1.2 (-43.9;35.8) | |||||
| Distrito Federal | 190.7 (115.1;218.4) | 19.7 (12.4;22.5) | 339.3 (159.2;421.1) | 12.8 (6.2;15.9) | -35.1 (-59.2;-22.7) | |||||
| Espírito Santo | 443.7 (279.5;557.8) | 23.6 (15.4;29.7) | 762.6 (387;901.9) | 17.7 (9.1;21) | -24.9 (-45.7;-13.2) | |||||
| Goiás | 424.4 (369.9;542.4) | 15.6 (13.6;20) | 855.1 (613.7;989.7) | 12.2 (8.9;14.2) | -21.6 (-43.6;-8.5) | |||||
| Maranhão | 385.9 (203.6;833) | 12.5 (6.8;26.7) | 582.5 (380.8;1068.8) | 8.6 (5.7;15.7) | -31 (-45.2;-11) | |||||
| Mato Grosso | 190.4 (160.8;242.1) | 15.7 (13.3;20.6) | 447.5 (286.6;524.3) | 13.3 (8.7;15.7) | -14.8 (-44.4;3.3) | |||||
| Mato Grosso do Sul | 204.1 (169.1;260.1) | 17 (14.4;21.8) | 406.4 (251.7;480.2) | 14.1 (8.8;16.6) | -17.4 (-46;-0.6) | |||||
| Minas Gerais | 1890.6 (1645.4;2507.9) | 15.8 (13.9;21.1) | 3353.1 (2245.4;3860.9) | 13.3 (9;15.3) | -15.7 (-44.4;-0.2) | |||||
| Pará | 404.9 (333.3;563.2) | 14 (11.7;19.8) | 983 (706.3;1136.6) | 13.3 (9.6;15.4) | -5.5 (-35.3;12.4) | |||||
| Paraíba | 237.4 (142.8;443.7) | 9.7 (5.9;17.8) | 370 (265.7;569.3) | 8.1 (5.8;12.5) | -16.5 (-38.4;3.1) | |||||
| Paraná | 1268 (887.1;1627.5) | 20.6 (14.9;26.9) | 1968.9 (1084.3;2414.3) | 15.4 (8.5;18.9) | -25.5 (-48;-13.3) | |||||
| Pernambuco | 999.8 (786.7;1162.9) | 18.8 (15.1;22) | 1641.1 (1077;1887.1) | 16.2 (10.7;18.7) | -13.7 (-34;-1.5) | |||||
| Piauí | 195.7 (108.4;388.3) | 11.8 (6.8;22.7) | 376.3 (274.4;508.7) | 10.3 (7.5;14) | -12.3 (-42.4;17.5) | |||||
| Rio de Janeiro | 1909.1 (1454.4;2345.8) | 16.9 (13;20.8) | 2593.4 (1731.6;3056.8) | 12.3 (8.2;14.5) | -27.2 (-47.3;-16.1) | |||||
| Rio Grande do Norte | 183.1 (118.7;339.9) | 10.3 (6.7;18.9) | 401.6 (333.7;489.9) | 10.6 (8.8;12.9) | 3 (-38.3;45.6) | |||||
| Rio Grande do Sul | 1483.2 (1058.6;1927.1) | 19.4 (13.9;25.2) | 2354.6 (1214.6;2951.9) | 16.1 (8.4;20.2) | -16.7 (-46.7;-2.1) | |||||
| Rondônia | 87 (71.6;132.9) | 14.6 (12.1;22.1) | 172.4 (133;219) | 10.9 (8.5;13.5) | -25.6 (-47.3;-7.7) | |||||
| Roraima | 9.1 (6.4;21.2) | 10 (7.1;23) | 27 (19.8;52.4) | 7 (5.2;12.6) | -30.3 (-53.4;-10) | |||||
| Santa Catarina | 664.1 (474.2;931.5) | 20.8 (14.7;29.9) | 1126.1 (625.8;1436.1) | 14.5 (8.2;18.8) | -30.2 (-50.8;-18.5) | |||||
| São Paulo | 4562.6 (3474.3;6176.4) | 18.3 (14.3;24.5) | 7528.5 (4049.6;8857.7) | 14.5 (7.8;17) | -20.8 (-50.7;-5.8) | |||||
| Sergipe | 111.2 (75.5;172) | 11.4 (7.8;17.5) | 256 (187.3;305.8) | 11.3 (8.3;13.7) | -0.9 (-32.9;20.8) | |||||
| Tocantins | 83.2 (52.6;126.5) | 15.7 (10.1;24) | 210.5 (142.8;246.4) | 14.2 (9.7;16.6) | -9.5 (-49.6;31) | |||||
Source: Global Burden of Disease Study 2017, Institute for Health Metrics and Evaluation.236