Trends of Acute Myocardial Infarction-related Deaths in US Patients from 1999 to 2020

Overview

Journal Arch Med Sci Atheroscler Dis

Date 2025 Feb 26

PMID 40007989

Authors

Irfan Ullah

Hanzala Ahmed Farooqi

Owais Ahmad

Muhammad Irfan

Ejaz Khan

Osama Ali Khan

Aman Goyal

Abdul Wali Khan

Zeeshan Sattar

Samay Mehta

Azeem Hassan

Hasan Ahmad

Qadeer Abdul

Muhammad Sohaib Asghar

Raheel Ahmed

Affiliations

Soon will be listed here.

Abstract

Introduction: The objective of this study was to analyze the temporal trends and demographic/geographical disparities in acute myocardial infarction (AMI)-related mortality among individuals aged 15 and older across the United Sates (US).

Material And Methods: We evaluated death records from 1999 to 2020 that were obtained from the CDC WONDER database. Age-adjusted mortality rates (AAMRs) per 100,000 persons and annual percent changes (APC) were computed, with stratification by year, sex, race/ethnicity, and geographic region.

Results: Between 1999 and 2020, 3,016,546 AMI-related deaths were reported in the United States. The overall AAMR was 51.9 per 100,000 (95% CI: 51.8-52.0). Over the course of the study, the crude mortality rate (CMR) increased with age. Males exhibited a consistently higher overall annual AAMR (67.4, 95% CI: 67.3, 67.5) than females (39.5, 95% CI: 39.4, 39.6). In comparison to other races, Black (or African American) people had the highest death rates, with an AAMR of 58.9 (95% CI: 58.7, 59.1). The South region mortality rate (AAMR = 57.7; 95% CI: 57.6, 57.8) was higher than that of the Northeast, Midwest, and West. Specifically, Kentucky had the highest death rate (87.7, 95% CI: 87.0, 88.3), followed by Missouri (80.3, 95% CI: 79.8, 80.8) and Mississippi (85.6, 95% CI: 85.0, 86.6).

Conclusions: During the period from 1999 to 2020, males, Black/African American adults and those living in the South and other nonmetropolitan areas of the country typically had the highest AAMRs.

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