Thirty-six Year Trends in Mortality from Diseases of Circulatory System in Korea

Abstract

Background and Objectives Understanding the trends in cardiovascular disease (CVD) mortality is important for developing burden reduction strategies. Based on the Cause of Death Statistics, we examined the changing patterns of CVD mortality in Korea between 1983 and 2018. Methods Causes of death were coded according to the International Classification of Disease, 10th revision. Deaths from all diseases of circulatory system (I00-I99) and the following 6 subcategories were analyzed: total heart diseases (I00-I13 and I20-I51), hypertensive heart diseases (I10-I13), ischemic heart diseases (I20-I25), myocardial infarction (I21-I23), heart failure (I50), and cerebrovascular diseases (I60-I69). Crude, age-standardized, and age-stratified rates were calculated to assess temporal trends in CVD mortality. Results The number of deaths and crude mortality rate for all diseases of circulatory system increased recently mainly due to the population ageing. Specifically, total heart diseases showed increasing trend, whereas cerebrovascular diseases showed decreasing trend. Between 1983 and 2018, age-standardized mortality rates significantly declined for all diseases of circulatory system, total heart diseases, hypertensive heart diseases, and cerebrovascular diseases. Age-standardized mortality rates for ischemic heart diseases and myocardial infarction peaked in the early 2000s then decreased thereafter. However, age-standardized mortality rate for heart failure rapidly increased, especially in recent years. Conclusions CVD mortality in Korea has remarkably decreased over the last 36 years. However, the recent rise in the absolute number of deaths from heart diseases, especially from heart failure, calls for attention in prevention and management of CVD and its sequelae.

Korea Heart Disease Fact Sheet 2020: Analysis of Nationwide Data

“…Further details on the 36-year trend of mortality from diseases of circulatory system in Korea are presented elsewhere. 21) …”

Does Hospital Volume of Coronary Artery Bypass Graft Matter on Mid-Term Mortality?: from the Data of National Health Insurance Service in Korea

“…Cardiovascular disease is the 2nd common cause for death in Korea. 1) Number of death from cardiovascular disease gradually decreased until 2009, then increased again from 2010 to 2018. 1) Specifically, number of death from total heart diseases was increasing, but cerebrovascular diseases showed decreasing trend in Korea.…”

“… 1) Number of death from cardiovascular disease gradually decreased until 2009, then increased again from 2010 to 2018. 1) Specifically, number of death from total heart diseases was increasing, but cerebrovascular diseases showed decreasing trend in Korea. 1) And, the major cause of increasing number of death from total heart disease was heart failure, not the IHD in recent 20 years in Korea.…”

“… 1) Specifically, number of death from total heart diseases was increasing, but cerebrovascular diseases showed decreasing trend in Korea. 1) And, the major cause of increasing number of death from total heart disease was heart failure, not the IHD in recent 20 years in Korea. 1) Specifically, age-standardized mortality rate per 100,000 persons for IHD and MI is steadily decreasing from 2003 in men and 2006 in women until 2018, but age-standardized heart failure mortality per 100,000 person is gradually increasing in both sexes from 2003 to 2018.…”

“… 1) And, the major cause of increasing number of death from total heart disease was heart failure, not the IHD in recent 20 years in Korea. 1) Specifically, age-standardized mortality rate per 100,000 persons for IHD and MI is steadily decreasing from 2003 in men and 2006 in women until 2018, but age-standardized heart failure mortality per 100,000 person is gradually increasing in both sexes from 2003 to 2018. 1) Pivotal treatment of IHD or MI is appropriate coronary revascularization including percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG).…”