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논문 기본 정보

자료유형
학술저널
저자정보
Eunji Kim (Yonsei University College of Medicine) Jongmin Baek (Yonsei University College of Medicine) Min Kim (Chungbuk National University) Hokyou Lee (Yonsei University College of Medicine) Jang-Whan Bae (Chungbuk National University) Hyeon Chang Kim (Yonsei University College of Medicine)
저널정보
대한심장학회 Korean Circulation Journal Korean Circulation Journal Vol.52 No.11
발행연도
2022.11
수록면
829 - 843 (15page)
DOI
https://doi.org/10.4070/kcj.2022.0156

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Background and Objectives: Despite remarkable reduction in cardiovascular disease (CVD) mortality, the burden has remained the leading cause of death. Since little research has focused on regional disparity in CVD mortality, this study aims to investigate its spatiotemporal trends in Korea from 1983 to 2019. Methods: Using the causes of death statistics in Korea, we analyzed the geographic variation in deaths from CVDs from 1983 to 2019. The sex and age-standardized mortality rate was calculated according to the 17 administrative regions. The analyses include all diseases of the circulatory system (International Classification of Diseases-10 codes, I00–I99), along with the following 6 subcategories which were not mutually exclusive: total heart disease (I00–I13 and I20–I51), hypertensive heart disease (I10–I13), ischemic heart disease (I20–I25), myocardial infarction (I21–I23), heart failure (I50), and cerebrovascular disease (I60–I69). Results: Overall, heart failure death rate increased across all regions, and other CVD death rates showed a decreasing trend. Regional disparity in mortality was substantial in the early 1980s but converged over time. In all types of cardiovascular mortality, Busan, Ulsan and Gyeongnam remained the highest, although they showed a downward trend like other regions. Jeju continued to have a relatively low CVD mortality rate. Conclusions: The regional disparity substantially decreased compared to the 1980s. However, the relatively high burden of CVD mortality in the southeastern region has not been fully resolved.

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