Global, regional, and national burdens of hypertensive heart disease from 1990 to 2019 ：A multilevel analysis based on the global burden of Disease Study 2019

Hu, Ben; Shi, Yihang; Zhang, Pengcheng; Fan, Yinguang; Feng, Jun; Hou, Linlin

doi:10.1016/j.heliyon.2023.e22671

Cited by 5 publications

(9 citation statements)

References 43 publications

(44 reference statements)

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“…HHD is a common condition resulting from hypertension, posing a heightened risk of adverse cardiovascular events and significantly impacting quality of life. Numerous studies indicate a rising prevalence and mortality associated with HHD over the past three decades, with projections anticipating a continued increase in HHD mortality in the next decade [ 21 – 23 ]. Therefore, early diagnosis and intervention of HHD are paramount concerns for clinicians.…”

Section: Discussionmentioning

confidence: 99%

A study on the application of radiomics based on cardiac MR non-enhanced cine sequence in the early diagnosis of hypertensive heart disease

Ma,

Wang,

Xue

et al. 2024

BMC Med Imaging

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Background The prevalence of hypertensive heart disease (HHD) is high and there is currently no easy way to detect early HHD. Explore the application of radiomics using cardiac magnetic resonance (CMR) non-enhanced cine sequences in diagnosing HHD and latent cardiac changes caused by hypertension. Methods 132 patients who underwent CMR scanning were divided into groups: HHD (42), hypertension with normal cardiac structure and function (HWN) group (46), and normal control (NOR) group (44). Myocardial regions of the end-diastolic (ED) and end-systolic (ES) phases of the CMR short-axis cine sequence images were segmented into regions of interest (ROI). Three feature subsets (ED, ES, and ED combined with ES) were established after radiomic least absolute shrinkage and selection operator feature selection. Nine radiomic models were built using random forest (RF), support vector machine (SVM), and naive Bayes. Model performance was analyzed using receiver operating characteristic curves, and metrics like accuracy, area under the curve (AUC), precision, recall, and specificity. Results The feature subsets included first-order, shape, and texture features. SVM of ED combined with ES achieved the highest accuracy (0.833), with a macro-average AUC of 0.941. AUCs for HHD, HWN, and NOR identification were 0.967, 0.876, and 0.963, respectively. Precisions were 0.972, 0.740, and 0.826; recalls were 0.833, 0.804, and 0.863, respectively; and specificities were 0.989, 0.863, and 0.909, respectively. Conclusions Radiomics technology using CMR non-enhanced cine sequences can detect early cardiac changes due to hypertension. It holds promise for future use in screening for latent cardiac damage in early HHD.

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Section: Discussionmentioning

confidence: 99%

A study on the application of radiomics based on cardiac MR non-enhanced cine sequence in the early diagnosis of hypertensive heart disease

Ma,

Wang,

Xue

et al. 2024

BMC Med Imaging

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“…Ranging from 0 to 1, the Sociodemographic Index (SDI) quantifies a country or region's social and demographic development level. A higher level indicates better socio-economic development ( 11 , 12 ). SDI is associated with disease incidence and mortality rates ( 13 ).…”

Section: Methodsmentioning

confidence: 99%

“…This analytical approach delineates points of significant trend alteration, segments the overall trend based on identified junctures, and assesses the epidemiological trend within each segment by calculating Annual Percentage Changes (APCs) and their 95% Confidence Intervals (CIs). Furthermore, epidemiological trends over pre-specified fixed intervals (1990–1999, 2000–2009, 2010–2019, 1990–2019) should be assessed by calculating the Average Annual Percent Change (AAPC) ( 12 ). An upward trend is deduced if the AAPC estimate and the lower bound of its 95% CI exceed zero.…”

Section: Methodsmentioning

confidence: 99%

Temporal trends in the prevalence and death of ischemic heart disease in women of childbearing age from 1990 to 2019: a multilevel analysis based on the Global Burden of Disease Study 2019

Hu,

Wang,

Chen

et al. 2024

Front. Cardiovasc. Med.

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BackgroundOur objective is to describe the current prevalence and death of ischemic heart disease (IHD) in women of childbearing age (WCBA) at the global, regional, and national levels and to analyze its temporal trends from 1990 to 2019.MethodsWCBA was defined as women aged 15–49 years. Estimates and 95% Uncertainty Intervals (UI) of IHD prevalence and death numbers for seven age groups were extracted from the 2019 Global Burden of Disease Study. The age-standardized prevalence and death rate (ASPR and ASDR) of IHD in WCBA was estimated using the direct age-standardization method. Joinpoint regression analysis was used to calculate average annual percent change (AAPC) to represent the temporal trends from 1990 to 2019.ResultsBetween 1990 and 2019, the global ASPR of IHD experienced a 3.21% increase, culminating in 367.21 (95% UI, 295.74–430.16) cases per 100,000 individuals. Conversely, the ASDR decreased to 11.11 (95% UI, 10.10–12.30) per 100,000 individuals. In 2019, among the five sociodemographic index (SDI) regions, the highest ASPR was observed in the high-middle SDI region, whereas the highest ASDR was found in the low-middle SDI region. Regionally, the Caribbean reported the highest ASPR (563.11 per 100,000 individuals; 95% UI, 493.13–643.03), and Oceania reported the highest ASDR (20.20 per 100,000 individuals; 95% UI, 13.01–31.03). At the national level, Trinidad and Tobago exhibited the highest ASPR (730.15 per 100,000 individuals; 95% UI, 633.96–840.13), and the Solomon Islands had the highest ASDR (77.77 per 100,000 individuals; 95% UI, 47.80–121.19). Importantly, over the past three decades, the global ASPR has seen a significant increase [AAPC = 0.11%, 95% Confidence Interval (CI): 0.09–0.13; P < 0.001], while the ASDR has demonstrated a significant decreasing trend (AAPC = −0.86%, 95% CI: −1.11 to −0.61; P < 0.001). Air pollution, tobacco use, high systolic blood pressure, elevated body mass index, dietary risks, and high LDL cholesterol have been identified as the leading six risk factors for IHD-related deaths among WCBA in 2019.ConclusionsDespite the significant decline in the global ASDR for IHD among WCBA over the last thirty years, the ASPR continues to escalate. We need to remain vigilant about the increased burden of IHD in WCBA. It calls for aggressive prevention strategies, rigorous control of risk factors, and the enhancement of healthcare coverage to mitigate the disease burden of IHD among WCBA in forthcoming years.

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“…The direct method was used for age standardization, assuming the rate distribution to estimate the ASPR of HHD in WCBA (12). Joinpoint regression analysis was employed to analyze the trends in the estimated ASPR, assessing epidemiological trends over pre-speci ed xed intervals (1990-1999, 2000-2009, 2010-2019, 1990-2019) by calculating the Average Annual Percent Change (AAPC) and its 95% Con dence Interval (CI) (13). An increasing trend is inferred if the AAPC estimate and the lower bound of its 95% CI are greater than zero.…”

Section: Temporal Trend Analysis and Statisticsmentioning

confidence: 99%

Time Trends in Hypertensive Heart Disease in Women of Childbearing Age in China from 1990 to 2019: A Joinpoint Regression and Age-Period-Cohort Analysis

Hu,

Hou

2024

Preprint

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Background: Epidemiological research on hypertensive heart disease (HHD) in women of childbearing age (WCBA) remains scarce in China. We aim to describe the current prevalence of HHD in China and analyze its temporal trends over the past 30 years. Methods: WCBA was defined as WCBA years. The age-standardized prevalence rate (ASPR) of HHD in WCBA was estimated. Joinpoint regression and age-period-cohort methods were used to analyze the temporal trends from 1990 to 2019. Results: In 2019, the prevalence of HHD among WCBA in China was 0.171 million (95% UI: 0.105 to 0.262). From 1990 to 2019, there was an annual net drift of 0.65% (95% CI: 0.52 to 0.77) in HHD prevalence among WCBA in China. Although cohorts born earlier had a lower risk of disease, age and period effects showed unfavorable trends. From 1990 to 2019, there was a significant increase in HHD (AAPC = 0.67%, 95% CI:0.57 to 0.78; P < 0.001), with the most notable change occurring between 2000-2004 (APC = 3.83%, 95%CI: 3.20 to 4.45; P < 0.001). However, the ASPR of HHD in WCBA rapidly declined after 2015, with an APC of -0.84%. Conclusion: Over the past 30 years, the ASPR of HHD among WCBA in China has generally shown an upward trend. Despite a downward trend in the ASPR of HHD in WCBA after 2015, the burden of HHD remains a concern. Continuous efforts are needed to reduce the burden of HHD in WCBA in China further, aligning with the strategic goal of "Healthy China 2030" and improving public health.

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Global, regional, and national burdens of hypertensive heart disease from 1990 to 2019 ：A multilevel analysis based on the global burden of Disease Study 2019

Cited by 5 publications

References 43 publications

A study on the application of radiomics based on cardiac MR non-enhanced cine sequence in the early diagnosis of hypertensive heart disease

A study on the application of radiomics based on cardiac MR non-enhanced cine sequence in the early diagnosis of hypertensive heart disease

Temporal trends in the prevalence and death of ischemic heart disease in women of childbearing age from 1990 to 2019: a multilevel analysis based on the Global Burden of Disease Study 2019

Time Trends in Hypertensive Heart Disease in Women of Childbearing Age in China from 1990 to 2019: A Joinpoint Regression and Age-Period-Cohort Analysis

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