Tabela 5-3. – Número de mortes, taxa de mortalidade padronizada por idade (por 100 mil) e variação percentual das taxas, por grupo cardiovascular de causa de morte, no Brasil e suas unidades federativas, 1990 e 2017 .
| Causa de morte e localização | 1990 | 2017 | Variação percentual (II 95%) | ||||||
| Número (II 95%) | Taxa (II 95%) | Número (II 95%) | Taxa (II 95%) | ||||||
| B.2.1- Doença cardíaca reumática | |||||||||
| Acre | 6.8 (6.3;7.3) | 2.6 (2.5;2.8) | 9.6 (8.8;10.4) | 1.4 (1.3;1.5) | -46.2 (-51.8;-40.2) | ||||
| Alagoas | 43.8 (37.3;51.6) | 2.2 (1.9;2.5) | 37.5 (34.9;40.2) | 1.1 (1.1;1.2) | -47.3 (-54.4;-36.5) | ||||
| Amapá | 2.7 (2.5;2.9) | 1.8 (1.7;2) | 6.6 (6;7.3) | 1.1 (1;1.3) | -37.3 (-44.6;-29.1) | ||||
| Amazonas | 18.3 (16.9;19.7) | 1.5 (1.4;1.6) | 26 (23.7;28.2) | 0.8 (0.8;0.9) | -44.7 (-49.7;-39) | ||||
| Bahia | 171.9 (155.9;186.2) | 1.8 (1.6;1.9) | 172 (159.2;185.3) | 1.1 (1;1.2) | -40.3 (-46;-33.1) | ||||
| Brasil | 2647.8 (2549.9;2727.7) | 2.4 (2.3;2.5) | 2682.3 (2584.5;2796.7) | 1.2 (1.1;1.2) | -50.3 (-52.4;-47.5) | ||||
| Ceará | 62.6 (51.4;72) | 1.2 (1;1.3) | 64.6 (60.2;69.2) | 0.7 (0.6;0.7) | -44.3 (-51.3;-33.7) | ||||
| Distrito Federal | 33.4 (31.2;35.8) | 3.7 (3.5;4) | 38.9 (35.8;42.7) | 1.6 (1.5;1.8) | -56.8 (-61;-52.4) | ||||
| Espírito Santo | 40.3 (38.1;42.6) | 2.2 (2.1;2.4) | 46.8 (43.4;50.8) | 1.1 (1;1.2) | -50.6 (-54.7;-45.8) | ||||
| Goiás | 74.6 (69.8;79.9) | 2.8 (2.6;3) | 100.8 (93.9;108.4) | 1.5 (1.4;1.6) | -46.8 (-51.2;-42) | ||||
| Maranhão | 100.4 (80.9;123.3) | 2.3 (2;2.8) | 59.8 (55.6;64.6) | 0.9 (0.8;0.9) | -62.6 (-68.9;-55.4) | ||||
| Mato Grosso | 23.9 (22.1;26) | 1.9 (1.8;2.1) | 32.3 (30;34.9) | 1 (0.9;1.1) | -47.7 (-52.6;-42) | ||||
| Mato Grosso do Sul | 25 (22;27.3) | 2.1 (2;2.3) | 33.3 (30.8;36.2) | 1.2 (1.1;1.3) | -44.7 (-50;-38.8) | ||||
| Minas Gerais | 331.2 (311.9;350.1) | 2.8 (2.6;2.9) | 343 (321;367.1) | 1.4 (1.3;1.5) | -50.6 (-54.5;-46.2) | ||||
| Pará | 52.4 (47;57.1) | 1.7 (1.6;1.8) | 70.3 (65.5;75.3) | 1 (0.9;1) | -43.5 (-48.8;-37.2) | ||||
| Paraíba | 61.5 (53.4;70.2) | 2.2 (2;2.5) | 49.1 (44.5;53.8) | 1.1 (1;1.2) | -51.8 (-58.3;-43.7) | ||||
| Paraná | 186.5 (177.8;196) | 3.3 (3.1;3.4) | 206.6 (193;221.9) | 1.6 (1.5;1.8) | -49.5 (-53.4;-45.3) | ||||
| Pernambuco | 113.9 (105.4;122.5) | 2 (1.8;2.1) | 132.3 (122.1;143.1) | 1.3 (1.2;1.4) | -33.3 (-38.9;-26.3) | ||||
| Piauí | 26.2 (19.9;31.3) | 1.3 (1.1;1.5) | 25.1 (23.3;27.1) | 0.7 (0.6;0.7) | -47.5 (-55.3;-34.8) | ||||
| Rio de Janeiro | 242.4 (230.8;253.8) | 2.2 (2.1;2.3) | 230.3 (215.4;247) | 1.1 (1;1.2) | -49.2 (-53;-44.7) | ||||
| Rio Grande do Norte | 31.9 (28.4;35.1) | 1.6 (1.5;1.8) | 44.1 (40.4;48.1) | 1.2 (1.1;1.3) | -28.4 (-37.4;-16.5) | ||||
| Rio Grande do Sul | 136.7 (129.5;143.6) | 1.9 (1.8;2) | 128.1 (118.5;137.7) | 0.9 (0.8;1) | -52.3 (-56.1;-48.1) | ||||
| Rondônia | 14.5 (13.3;15.8) | 2.4 (2.2;2.6) | 18.6 (16.5;21) | 1.2 (1.1;1.4) | -49.5 (-56.3;-41.7) | ||||
| Roraima | 1.8 (1.6;2) | 1.8 (1.7;2) | 3.5 (3;4) | 0.9 (0.8;1.1) | -49.1 (-56.6;-39.5) | ||||
| Santa Catarina | 72.3 (68.4;76) | 2.4 (2.3;2.6) | 86.2 (79.9;92.9) | 1.2 (1.1;1.2) | -52.9 (-56.6;-48.6) | ||||
| São Paulo | 735.7 (704.1;764.8) | 3.1 (3;3.2) | 671.8 (632;718.7) | 1.3 (1.2;1.4) | -57.8 (-60.6;-54.7) | ||||
| Sergipe | 24.3 (22.2;26.6) | 2.1 (2;2.3) | 28.2 (26.2;30.6) | 1.3 (1.2;1.4) | -41.2 (-46.6;-34.5) | ||||
| Tocantins | 12.6 (8.5;15.5) | 2.3 (1.8;2.7) | 16.9 (15.3;18.6) | 1.1 (1;1.3) | -49.7 (-57.7;-37.2) | ||||
| B.2.5- Doença valvar do coração não reumática | |||||||||
| Acre | 2.4 (2.2;2.8) | 1.4 (1.3;1.7) | 8.6 (7.3;9.5) | 1.5 (1.3;1.7) | 6.3 (-18.1;22) | ||||
| Alagoas | 14.4 (12.8;19) | 1.1 (0.9;1.4) | 42.3 (37.9;50.9) | 1.4 (1.2;1.7) | 31.4 (8.4;50.9) | ||||
| Amapá | 1.9 (1.3;2.1) | 1.9 (1.4;2.1) | 9.8 (6.4;10.9) | 2.1 (1.4;2.4) | 10.7 (-13.2;24.9) | ||||
| Amazonas | 11.9 (10.2;13.6) | 1.5 (1.3;1.7) | 40.5 (33.5;44.9) | 1.5 (1.3;1.7) | 5.5 (-12.3;18.3) | ||||
| Bahia | 96.1 (85.1;116.3) | 1.4 (1.2;1.7) | 197.5 (179.7;255.7) | 1.2 (1.1;1.6) | -9 (-19.7;14.4) | ||||
| Brasil | 1495.1 (1284.4;1620.4) | 1.7 (1.5;1.9) | 3974.4 (3116.8;4165.1) | 1.8 (1.4;1.9) | 7.1 (-9.1;13) | ||||
| Ceará | 33.7 (26;60.7) | 0.8 (0.6;1.5) | 106.6 (96.7;136.7) | 1.1 (1;1.4) | 33.1 (-13.6;68.6) | ||||
| Distrito Federal | 13.4 (10.3;14.5) | 2.3 (1.8;2.5) | 41.6 (36.3;47.7) | 2.1 (1.9;2.5) | -6.6 (-18.4;16.3) | ||||
| Espírito Santo | 30.9 (20.9;33.9) | 2.4 (1.7;2.6) | 86.1 (59.1;95.1) | 2.1 (1.4;2.4) | -10.9 (-19.2;-2.6) | ||||
| Goiás | 31.4 (26.2;34.1) | 1.7 (1.4;1.9) | 97.3 (83.6;106.9) | 1.5 (1.3;1.7) | -9.9 (-17;-0.9) | ||||
| Maranhão | 26.1 (19.5;46) | 1 (0.7;1.8) | 62.2 (52.7;100.7) | 1 (0.8;1.6) | -1.9 (-16.9;19) | ||||
| Mato Grosso | 12.9 (11.4;14.5) | 1.6 (1.4;1.8) | 46.2 (39.6;51.2) | 1.6 (1.4;1.8) | 3.3 (-10.8;15.6) | ||||
| Mato Grosso do Sul | 16.5 (13;18) | 1.9 (1.5;2.1) | 50.6 (39.1;56) | 1.9 (1.5;2.1) | -0.4 (-12.2;10.7) | ||||
| Minas Gerais | 153.8 (135.2;169.9) | 1.6 (1.5;1.8) | 419.1 (332.3;454.1) | 1.7 (1.3;1.8) | 2.8 (-15.8;13.1) | ||||
| Pará | 27.3 (24.8;34.4) | 1.3 (1.1;1.6) | 90.3 (81.5;107) | 1.4 (1.3;1.7) | 11.1 (-5.4;24.9) | ||||
| Paraíba | 17.5 (13.9;31.9) | 0.8 (0.6;1.4) | 39.3 (32.8;68.9) | 0.8 (0.7;1.5) | 10.1 (-11.1;33.2) | ||||
| Paraná | 105.3 (71.9;114.2) | 2.4 (1.7;2.6) | 293.1 (178.1;325.9) | 2.5 (1.5;2.7) | 4.1 (-14.8;14.3) | ||||
| Pernambuco | 66.5 (59.1;75.4) | 1.5 (1.4;1.8) | 172.1 (138.3;188.5) | 1.8 (1.4;2) | 17.2 (-4;31) | ||||
| Piauí | 13.1 (10.2;24.1) | 0.9 (0.7;1.7) | 34 (29.9;51.7) | 0.9 (0.8;1.4) | 1.1 (-22.9;23.9) | ||||
| Rio de Janeiro | 150.6 (135.6;201.8) | 1.6 (1.5;2.3) | 357.5 (305.4;408) | 1.7 (1.5;1.9) | 3.7 (-15.2;14.2) | ||||
| Rio Grande do Norte | 16.5 (13.9;24.9) | 1 (0.8;1.5) | 49 (44.2;62.1) | 1.3 (1.2;1.6) | 28.6 (-9.9;57.7) | ||||
| Rio Grande do Sul | 140.6 (98.8;152.4) | 2.3 (1.6;2.5) | 389.2 (217.1;436.1) | 2.7 (1.5;3) | 15.2 (-12.5;27.8) | ||||
| Rondônia | 5.9 (5.2;7.1) | 1.6 (1.4;1.9) | 19.5 (16.9;24.1) | 1.4 (1.2;1.8) | -9.1 (-20.9;3.3) | ||||
| Roraima | 0.9 (0.8;1.2) | 1.7 (1.4;2.4) | 4.3 (3.7;5.6) | 1.5 (1.3;1.9) | -6.7 (-32.7;15.8) | ||||
| Santa Catarina | 61 (37.5;67.1) | 2.7 (1.6;3) | 177.4 (104.2;198.4) | 2.5 (1.5;2.9) | -4.4 (-15.1;4.4) | ||||
| São Paulo | 431.6 (309.8;460.1) | 2.2 (1.7;2.3) | 1097 (770;1195.5) | 2.2 (1.6;2.4) | 1.9 (-14.5;10.9) | ||||
| Sergipe | 7.7 (6.6;12.2) | 0.9 (0.8;1.4) | 23.3 (20.8;33.8) | 1.1 (1;1.6) | 24.3 (-0.4;44.1) | ||||
| Tocantins | 5.2 (4.1;7.4) | 1.5 (1.2;2.3) | 19.9 (17.6;22.7) | 1.5 (1.3;1.7) | -3.3 (-38.6;21.9) | ||||
| B.2.5.1- Doença valvar aórtica calcífica não reumática | |||||||||
| Acre | 1.4 (1.1;1.6) | 0.9 (0.7;1) | 5.6 (4.8;6.8) | 1 (0.9;1.2) | 14.9 (-4.1;52.3) | ||||
| Alagoas | 7.2 (6.1;9.1) | 0.6 (0.5;0.7) | 26.8 (23.5;34.2) | 0.9 (0.8;1.1) | 60.5 (35.4;93.6) | ||||
| Amapá | 1.1 (0.6;1.3) | 1.2 (0.7;1.4) | 6.3 (4.5;7.4) | 1.4 (1;1.7) | 17.3 (-0.1;59.6) | ||||
| Amazonas | 7.9 (4.9;8.9) | 1 (0.7;1.1) | 29.4 (24.2;33) | 1.2 (0.9;1.3) | 13 (-2.6;56.4) | ||||
| Bahia | 62.9 (40.6;72.3) | 0.9 (0.6;1) | 134.5 (120.5;178) | 0.8 (0.8;1.1) | -7.2 (-24.2;59) | ||||
| Brasil | 950.4 (722.7;1016.7) | 1.1 (0.9;1.2) | 2806 (2349.2;3132) | 1.3 (1.1;1.4) | 16.3 (9.6;34) | ||||
| Ceará | 17.3 (12.9;29.7) | 0.4 (0.3;0.7) | 68.6 (59.3;99.2) | 0.7 (0.6;1) | 62.7 (21;108.7) | ||||
| Distrito Federal | 8.3 (7.1;9.9) | 1.5 (1.3;1.8) | 29.2 (24.8;40.5) | 1.6 (1.3;2.2) | 1.4 (-14.4;36.2) | ||||
| Espírito Santo | 17.6 (11.7;19.9) | 1.4 (1;1.6) | 56.9 (43.8;64.3) | 1.4 (1.1;1.6) | -1.9 (-14.3;21.5) | ||||
| Goiás | 19.4 (13.8;21.9) | 1.1 (0.8;1.3) | 67.5 (60;77.2) | 1.1 (1;1.2) | -3.8 (-16.4;24.2) | ||||
| Maranhão | 13.2 (10.3;18.6) | 0.5 (0.4;0.8) | 41.1 (34.9;62.2) | 0.7 (0.6;1) | 25.3 (5.3;61.9) | ||||
| Mato Grosso | 7.7 (6;8.8) | 1 (0.8;1.1) | 30.9 (27.5;37) | 1.1 (1;1.3) | 10.3 (-4.6;41.6) | ||||
| Mato Grosso do Sul | 10.6 (7.1;12) | 1.3 (0.9;1.5) | 36 (28.9;40.3) | 1.4 (1.1;1.5) | 6.4 (-7.6;38.8) | ||||
| Minas Gerais | 98 (73.1;109) | 1.1 (0.8;1.2) | 295 (242.1;330.1) | 1.2 (1;1.3) | 10.4 (0.3;30.5) | ||||
| Pará | 15.1 (12.3;17.6) | 0.7 (0.6;0.9) | 55.4 (48;72.2) | 0.9 (0.8;1.1) | 19.9 (3.5;47.8) | ||||
| Paraíba | 8.9 (6.7;17.1) | 0.4 (0.3;0.8) | 25.8 (20.1;49.3) | 0.6 (0.4;1.1) | 39.6 (10.9;72.5) | ||||
| Paraná | 66.8 (42.3;75.1) | 1.6 (1;1.8) | 213.8 (136.2;240.2) | 1.8 (1.2;2) | 15.2 (3;34.3) | ||||
| Pernambuco | 35.8 (29.4;41.1) | 0.8 (0.7;1) | 111.3 (95.1;129.6) | 1.2 (1;1.3) | 36.7 (19.2;56.2) | ||||
| Piauí | 6 (4.6;10.6) | 0.4 (0.3;0.8) | 20 (16.4;33.7) | 0.6 (0.5;0.9) | 24 (-0.4;61.9) | ||||
| Rio de Janeiro | 94.3 (81.2;132.4) | 1.1 (0.9;1.5) | 262.7 (234.5;331) | 1.3 (1.1;1.6) | 17.9 (1.2;32.7) | ||||
| Rio Grande do Norte | 10.2 (8.3;13.1) | 0.6 (0.5;0.8) | 34.5 (30.4;44.4) | 0.9 (0.8;1.2) | 44 (17.3;86.2) | ||||
| Rio Grande do Sul | 93.5 (61.7;103.8) | 1.6 (1.1;1.8) | 289 (173.5;325.4) | 2 (1.2;2.2) | 25.1 (4.5;43.9) | ||||
| Rondônia | 3.5 (2.6;4.1) | 1 (0.8;1.2) | 13.1 (11;17.3) | 1 (0.8;1.3) | -3 (-21.4;30.3) | ||||
| Roraima | 0.6 (0.4;0.7) | 1.2 (0.9;1.4) | 3.3 (2.7;4.1) | 1.2 (1;1.5) | 3.7 (-16.7;46.1) | ||||
| Santa Catarina | 40.2 (21.4;46.1) | 1.8 (1;2.1) | 132.6 (80.9;149.9) | 1.9 (1.1;2.2) | 4.8 (-6.6;29.4) | ||||
| São Paulo | 296.7 (198;326.2) | 1.5 (1.1;1.7) | 790.7 (611;885) | 1.6 (1.2;1.8) | 5.1 (-4;27.3) | ||||
| Sergipe | 3.8 (3.1;6.3) | 0.5 (0.4;0.7) | 14 (11.4;23.5) | 0.7 (0.5;1.1) | 48.6 (25.2;76.3) | ||||
| Tocantins | 2.5 (2;3.5) | 0.8 (0.6;1.2) | 12 (10.3;15.9) | 0.9 (0.8;1.2) | 13.4 (-11.5;49.4) | ||||
| B.2.5.2- Doença valvar mitral degenerativa não reumática | |||||||||
| Acre | 0.8 (0.7;1.4) | 0.4 (0.4;0.8) | 2.3 (1.7;2.8) | 0.4 (0.3;0.5) | -13.6 (-53.6;12) | ||||
| Alagoas | 6.4 (5.2;9.7) | 0.4 (0.4;0.7) | 13.8 (10.5;16.7) | 0.4 (0.3;0.5) | -1 (-35.6;24.3) | ||||
| Amapá | 0.6 (0.5;0.9) | 0.6 (0.5;0.9) | 2.8 (1.5;3.5) | 0.6 (0.3;0.7) | -5.4 (-54.4;19) | ||||
| Amazonas | 3.6 (2.9;6.3) | 0.4 (0.3;0.7) | 9.6 (7.2;12) | 0.3 (0.3;0.4) | -13.8 (-52.1;11.2) | ||||
| Bahia | 30.9 (24.8;55.3) | 0.4 (0.3;0.8) | 58.3 (44.5;75.6) | 0.4 (0.3;0.5) | -12.5 (-45.7;11.9) | ||||
| Brasil | 510.6 (450.7;676.7) | 0.5 (0.5;0.7) | 1086.1 (621.9;1214.9) | 0.5 (0.3;0.5) | -10.8 (-47.6;2.4) | ||||
| Ceará | 14.5 (6.7;28.8) | 0.3 (0.2;0.7) | 34.4 (22.8;39.9) | 0.3 (0.2;0.4) | 2.3 (-51.5;71.2) | ||||
| Distrito Federal | 4.8 (2.8;5.5) | 0.7 (0.4;0.8) | 11.4 (4.4;14.4) | 0.5 (0.2;0.7) | -25.4 (-61.7;-7.7) | ||||
| Espírito Santo | 12.7 (7.9;16.4) | 0.9 (0.6;1.2) | 27.2 (12.3;32.9) | 0.7 (0.3;0.8) | -25.7 (-53.2;-11.9) | ||||
| Goiás | 11.2 (9.8;15.1) | 0.5 (0.5;0.8) | 27.1 (17.8;31.5) | 0.4 (0.3;0.5) | -23.2 (-50.5;-5.8) | ||||
| Maranhão | 10.8 (4.8;26.3) | 0.4 (0.2;1) | 17.1 (9.6;37.7) | 0.3 (0.1;0.6) | -33.4 (-48.1;-10.8) | ||||
| Mato Grosso | 4.8 (4;6.5) | 0.5 (0.4;0.7) | 14.1 (8.2;16.5) | 0.5 (0.3;0.5) | -10.3 (-50.3;12.3) | ||||
| Mato Grosso do Sul | 5.6 (4.7;7.5) | 0.6 (0.5;0.8) | 13.7 (7.5;16.9) | 0.5 (0.3;0.6) | -14.8 (-51.4;5.8) | ||||
| Minas Gerais | 52.7 (46.2;74.3) | 0.5 (0.5;0.8) | 116.6 (70;135.7) | 0.5 (0.3;0.5) | -12.1 (-50.7;7.4) | ||||
| Pará | 11.1 (8.9;16.6) | 0.5 (0.4;0.7) | 30.4 (20.2;35.2) | 0.5 (0.3;0.5) | -3.9 (-40.7;18.8) | ||||
| Paraíba | 7.3 (3.7;14.5) | 0.3 (0.2;0.6) | 11.2 (7.1;19.1) | 0.2 (0.2;0.4) | -22 (-45;5.2) | ||||
| Paraná | 36.5 (25.4;49.7) | 0.7 (0.5;1) | 74.2 (32.6;98.5) | 0.6 (0.3;0.8) | -18.9 (-53.8;-3.3) | ||||
| Pernambuco | 29.2 (24.3;36) | 0.6 (0.5;0.8) | 57.2 (32.8;66.9) | 0.6 (0.3;0.7) | -8.1 (-41.3;8.9) | ||||
| Piauí | 6 (2.9;12.6) | 0.4 (0.2;0.9) | 12 (8.1;17) | 0.3 (0.2;0.5) | -18.7 (-50.7;20.3) | ||||
| Rio de Janeiro | 54 (41.3;69.8) | 0.6 (0.4;0.7) | 89.8 (52;104.2) | 0.4 (0.2;0.5) | -23 (-52;-9) | ||||
| Rio Grande do Norte | 5.5 (3.1;11.5) | 0.3 (0.2;0.7) | 12.5 (9.9;16.1) | 0.3 (0.3;0.4) | 1.3 (-46.2;62.2) | ||||
| Rio Grande do Sul | 44.8 (30.8;61.3) | 0.7 (0.5;0.9) | 94.5 (39;135.6) | 0.6 (0.3;0.9) | -6.7 (-49.3;10.9) | ||||
| Rondônia | 2.1 (1.7;3.4) | 0.5 (0.4;0.8) | 5.3 (3.9;6.7) | 0.4 (0.3;0.5) | -25.1 (-52.5;-2.4) | ||||
| Roraima | 0.2 (0.2;0.6) | 0.4 (0.2;1) | 0.7 (0.5;1.5) | 0.2 (0.2;0.5) | -41.8 (-65.4;-12.9) | ||||
| Santa Catarina | 19.9 (13.3;30.3) | 0.8 (0.5;1.3) | 42.4 (18.9;60.8) | 0.6 (0.3;0.9) | -25.7 (-54.3;-10.7) | ||||
| São Paulo | 128.9 (98.6;180) | 0.6 (0.5;0.9) | 292.7 (118.9;351.9) | 0.6 (0.2;0.7) | -5.7 (-55.2;16.5) | ||||
| Sergipe | 3.4 (2.1;5.8) | 0.4 (0.2;0.7) | 8 (5.3;9.6) | 0.4 (0.2;0.4) | -2.4 (-41.6;23.1) | ||||
| Tocantins | 2.3 (1.4;3.7) | 0.6 (0.3;1) | 6.8 (4.2;8) | 0.5 (0.3;0.6) | -19.2 (-63.8;33.1) | ||||
Fonte: Estudo Global Burden of Disease 2017, Institute for Health Metrics and Evaluation. 236