Evidence mapPaperPMID 33309175Full record

ReviewJournal of the American College of Cardiology2020

Global Burden of Cardiovascular Diseases and Risk Factors, 1990-2019: Update From the GBD 2019 Study.

Gregory A Roth, George A Mensah, Catherine O Johnson, Giovanni Addolorato, Enrico Ammirati, Larry M Baddour, Noël C Barengo, Andrea Z Beaton, Emelia J Benjamin, Catherine P Benziger and 60 more

Erratum issued 12 registry-linked trialsOpen access · hybridAbstract readReview
In one paragraph

Review in Journal of the American College of Cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 12 registered trials, which are not on this map. Cited by 6,148 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6,148citing papers in PubMed, 5 pooled it
699.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06606821 phase4recruitingstarted 2024, after this paper: background citation

The Effects of Tirzepatide on Coronary Plaque Lipid Content and Myocardial Microvascular Function in Overweight and Obese People With Coronary Disease - The IDEAL-COR Study

Ran2024Enrolled124Registered outcomes23Posted comparisons0ConditionsAtherosclerosis Cardiovascular Disease, Chronic Coronary Artery Disease, Coronary Artery Disease, Coronary Microvascular DysfunctionArmsPlacebo, Tirzepatide
Open the trial in the graph
NCT07680595 phase1 / phase2recruitingstarted 2026, after this paper: background citation

A Prospective, Exploratory, Cohort Clinical Study Comparing the Effects of Oral Statins With or Without Folic Acid on Carotid Plaque Stability.

Ran2026Enrolled180Registered outcomes5Posted comparisons0ConditionsCarotid Atherosclerotic PlaqueArmsAtorvastatin, Atorvastatin plus folic acid
Open the trial in the graph
NCT05731830 recruitingnot on this mapstarted 2022, after this paper: background citation

Takotsubo Syndrome and Air Pollution: the "Tako-Air" Study

TypeobservationalSponsorFondazione Policlinico Universitario Agostino Gemelli IRCCSRan2022 to 2026Enrolled250ConditionsTakotsubo SyndromeArmsData extraction, Clinical follow-up
NCT06222632 naenrolling by invitationnot on this mapstarted 2024, after this paper: background citation

Cardioprotective and Mental Health Benefits of the Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) Diet Combined With Forest Bathing (FB) Among Adults With Elevated Blood Cholesterol: A Randomized Controlled Trial

TypeinterventionalSponsorTung Wah CollegeRan2024 to 2027Enrolled273ConditionsElevated LDL CholesterolArmsMind diet intervention, Mind plus FB intervention, Usual care
NCT06258473 phase1recruitingnot on this mapstarted 2024, after this paper: background citation

Addressing Gaps in the Hypertension and Diabetes Care Continuum in Rural Bangladesh Through mHealth and Decentralized Primary Care: The Dinajpur Study

TypeinterventionalSponsorBRAC UniversityRan2024 to 2026Enrolled6,750ConditionsHypertension, DiabetesArmsMulticomponent decentralized care, mHealth
NCT06640400 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

A Clinical Study of the Efficacy of Cardiovascular Ultrasound Therapy on the Rehabilitation of Patients After PCI for Coronary Artery Disease

TypeinterventionalSponsorQilu Hospital of Shandong UniversityRan2024 to 2025Enrolled200ConditionsCoronary Heart DiseaseArmsCardiovascular ultrasound
NCT06674161 not yet recruitingnot on this mapstarted 2024, after this paper: background citation

The Impact of Type 2 Diabetes Mellitus on Cardiovascular Events in Saudi Arabia Now and Future

TypeobservationalSponsorKing Faisal Specialist Hospital & Research CenterRan2024 to 2030Enrolled80ConditionsMortality of Patients with CVD, Mortality of Patients with CVD and T2DM, Mortality of Patients with T2DM, Mortality of Patients with Neither
NCT06675890 completednot on this mapstarted 2022, after this paper: background citation

Correlation of Serum Homocysteine Levels With Various Types of Coronary Artery Disease (CAD) and In-hospital Mortality

Typeobservational_patient_registrySponsorShaqra UniversityRan2022 to 2023Enrolled381ConditionsCoronary Arterial Disease (CAD)Armsserum homocysteine
NCT06716177 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Clinical Features and Mechanisms of Acute Myocardial Infarction in Patients Without Traditional Cardiovascular Risk Factors

TypeobservationalSponsorBeijing Anzhen HospitalRan2025 to 2030Enrolled300ConditionsActue Coronary Syndrome
NCT06841757 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Efficacy of Remote Ischemic Preconditioning on Diastolic Function in Coronary Artery Bypass Surgery: A Randomized Controlled Study Comparing Diabetic and Non-Diabetic Patients

TypeinterventionalSponsorAlzahraa Khalil MarieRan2025 to 2025Enrolled40ConditionsCoronary Artery Disease, Diabetes Mellitus, Diastolic FunctionArmsRemote ischemic preconditioning
NCT07237971 narecruitingnot on this mapstarted 2025, after this paper: background citation

Cocreating Action to Improve Rationality in the Health System

TypeinterventionalSponsorUniversidad Miguel Hernandez de ElcheRan2025 to 2029Enrolled4,000ConditionsHealth-Related Quality-of-Life, Social Capital, Health Literacy, Community Based Participatory ResearchArmsCocreation process
NCT07507409 phase4not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Innovative Sternal Closure Techniques: Evaluating STRATAFIX™ and DERMABOND™ for Reduced Complications in CABG Patients

TypeinterventionalSponsorUnity Health TorontoRan2026 to 2028Enrolled401ConditionsCardiovascular Disease, Surgical Site Infection, Superficial Sternal Wound Infection, MediastinitisArmsKnotless Barbed Sutures, Mesh-based Topical Skin Adhesive
3 · Its place in the literature

Who cites it

6,148 citing papers in PubMed, 5 syntheses or guidelines pooled it, 10,517 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. A systematic review of patient decision aids for hypertension.BMC medical informatics and decision making · 2026
    Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Article
  9. Review
  10. Lack of guidelines for cold exposure among vulnerable outdoor workers.International journal of circumpolar health · 2026
    Review
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  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
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6,088 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

70 authors at 20 institutions in 15 countries.

Gregory A RothUniversity of Washington, Seattle, Washington, USA. Electronic address: rothg@uw.edu.
George A MensahNational Heart, Lung, and Blood Institute (NHLBI), Bethesda, Maryland, USA. Electronic address: george.mensah@nih.gov.
Catherine O JohnsonUniversity of Washington, Institute for Health Metrics and Evaluation, Seattle, Washington, USA.
Giovanni AddoloratoCatholic University of Rome, Rome, Italy.
Enrico AmmiratiDe Gasperis Cardio Center and Transplant Center, Niguarda Hospital, Milan, Italy.
Larry M BaddourMayo Clinic, Rochester, Minnesota, USA.
Noël C BarengoHerbert Wertheim College of Medicine, Florida International University, Miami, Florida, USA.
Andrea Z BeatonCincinnati Children's Hospital, Cincinnati, Ohio, USA.
Emelia J BenjaminBoston University School of Public Health, Boston, Massachusetts, USA.
Catherine P BenzigerEssentia Health, Duluth, Minnesota, USA.
Aimé BonnyDistrict Hospital of Bonassama-University of Douala, Douala, Cameroon.
Michael BrauerUniversity of British Columbia, Vancouver, British Columbia, Canada.
Marianne BrodmannMedical University of Graz, Graz, Austria.
Thomas J CahillNewpath Partners LLC, Boston, Massachusetts, USA.
Jonathan CarapetisTelethon Kids Institute, Nedlands, Western Australia, Australia.
Alberico L CatapanoUniversity of Milano, Milan, Italy.
Sumeet S ChughCedars-Sinai, Smidt Heart Institute, Los Angeles, California, USA.
Leslie T CooperMayo Clinic, Jacksonville, Florida, USA.
Josef CoreshJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Michael CriquiUniversity of California at San Diego, San Diego, California, USA.
Nicole DeCleeneThe University of Michigan Samuel and Jean Frankel Cardiovascular Center, Ann Arbor, Michigan, USA.
Kim A EagleThe University of Michigan Samuel and Jean Frankel Cardiovascular Center, Ann Arbor, Michigan, USA.
Sophia Emmons-BellUniversity of Washington, Institute for Health Metrics and Evaluation, Seattle, Washington, USA.
Valery L FeiginUniversity of Washington, Seattle, Washington, USA.
Joaquim Fernández-SolàBarnaclinic+ Grup Hospital Clinic, Barcelona, Spain.
Gerry FowkesUniversity of Edinburgh, Edinburgh, United Kingdom.
Emmanuela GakidouUniversity of Washington, Seattle, Washington, USA.
Scott M GrundyUniversity of Texas Southwestern Medical Center, Dallas, Texas, USA.
Feng J HeQueen Mary University of London, London, United Kingdom.
George HowardUniversity of Alabama at Birmingham School of Public Health, Birmingham, Alabama, USA.
Frank HuHarvard Medical School, Boston, Massachusetts, USA.
Lesley InkerTufts Medical Center, Boston, Massachusetts, USA.
Ganesan KarthikeyanCardiothoracic Sciences Centre, All India Institute of Medical Sciences, New Delhi, India.
Nicholas KassebaumUniversity of Washington, Seattle, Washington, USA.
Walter KoroshetzNational Institute of Neurological Disorders and Stroke, Bethesda, Maryland, USA.
Carl LavieOchsner Health, New Orleans, Louisiana, USA.
Donald Lloyd-JonesNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Hong S LuUniversity of Kentucky College of Medicine, Lexington, Kentucky, USA.
Antonio MirijelloIRCCS Casa Sollievo della Sofferenza Hospital, Department of Medical Sciences, San Giovanni Rotondo, Italy.
Awoke Misganaw TemesgenUniversity of Washington, Institute for Health Metrics and Evaluation, Seattle, Washington, USA.
Ali MokdadUniversity of Washington, Institute for Health Metrics and Evaluation, Seattle, Washington, USA.
Andrew E MoranColumbia University Irving Medical Center, New York, New York, USA.
Paul MuntnerUniversity of Alabama at Birmingham School of Public Health, Birmingham, Alabama, USA.
Jagat NarulaIcahn School of Medicine at Mount Sinai, New York, New York, USA.
Bruce NealThe University of Sydney School of Medicine, Sydney, New South Wales, Australia.
Mpiko NtsekheUniversity of Cape Town, Cape Town, South Africa.
Glaucia Moraes de OliveiraUniversidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Catherine OttoUniversity of Washington, Seattle, Washington, USA.
Mayowa OwolabiUniversity of Ibadan, Ibadan, Oyo State, Nigeria.
Michael PrattUniversity of California at San Diego, San Diego, California, USA.
Sanjay RajagopalanCase Western Reserve University School of Medicine, Cleveland, Ohio, USA.
Marissa ReitsmaStanford University School of Medicine, Stanford, California, USA.
Antonio Luiz P RibeiroUniversidade Federal de Minas Gerais, Minas Gerais, Brazil.
Nancy RigottiMassachusetts General Hospital, Boston, Massachusetts, USA.
Anthony RodgersThe George Institute for Global Health, Newtown, New South Wales, Australia; Imperial College of London, London, United Kingdom.
Craig SableChildren's National Hospital, Washington, DC, USA.
Saate ShakilUniversity of Washington, Seattle, Washington, USA.
Karen Sliwa-HahnleUniversity of Cape Town, Cape Town, South Africa.
Benjamin StarkUniversity of Washington, Seattle, Washington, USA.
Johan SundströmUppsala University, Uppsala, Sweden.
Patrick TimpelDresden University of Technology, Dresden, Germany.
Imad M TleyjehKing Fahd Medical City, Riyadh, Saudi Arabia.
Marco ValgimigliInselspital, University Hospital Bern, Bern, Switzerland.
Theo VosUniversity of Washington, Seattle, Washington, USA.
Paul K WheltonTulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana, USA.
Magdi YacoubImperial College of London, London, United Kingdom.
Liesl ZuhlkeUniversity of Cape Town, Cape Town, South Africa.
Christopher MurrayUniversity of Washington, Institute for Health Metrics and Evaluation, Seattle, Washington, USA.
Valentin FusterIcahn School of Medicine at Mount Sinai, New York, New York, USA; Centro Nacional de Investigaciones Cardiovasculares, Madrid, Spain.
GBD-NHLBI-JACC Global Burden of Cardiovascular Diseases Writing Group
University of Washington · USUniversity of California San Diego · USEssentia Health · USBoston University · USJacksonville College · USUniversity of Cape Town · ZAHarvard University · USMassachusetts General Hospital · USOchsner Health System · USUniversidade Federal de Minas Gerais · BRUniversity of Alabama at Birmingham · USUniversity of Douala · CMUniversity of Michigan · USUniversity School · USAll India Institute of Medical Sciences · INCedars-Sinai Smidt Heart Institute · USCincinnati Children's Hospital Medical Center · USNational Institute of Neurological Disorders and Stroke · USThe Kids Research Institute Australia · AUUniversidade Federal do Rio de Janeiro · BR

Funding

CARDIOVASCULAR RESEARCH TRAINING PROGRAMT32HL007828 · UNIVERSITY OF WASHINGTON · 1997 to 2025
$3.1M
UAB Diabetes Research CenterP30DK079626 · UNIVERSITY OF ALABAMA AT BIRMINGHAM · 2025 to 2025
$1.3M
IDENTIFICATION OF COMMON GENETIC VARIANTS FOR ATRIAL FIBRILLATION AND PR INTERVALR01HL092577 · MASSACHUSETTS GENERAL HOSPITAL · 2025 to 2025
$715k
African Rigorous Innovative Stroke Epidemiological Surveillance (ARISES)R01NS115944 · COLLEGE OF MEDICINE, UNIVERSITY OF IBADAN · 2025 to 2025
$388k
Medical Research Council MR/M015084/1Medical Research Council MR/R024227/1Medical Research Council MR/S005242/1Medical Research Council MR/S011676/1NHGRI NIH HHS U54 HG007479NHLBI NIH HHS K23 HL140133NHLBI NIH HHS R01 HL092577NHLBI NIH HHS R01 HL128914NHLBI NIH HHS T32 HL007828NIDDK NIH HHS P30 DK079626NINDS NIH HHS R01 NS107900NINDS NIH HHS R01 NS115944
6 · The paper itself

Abstract

Cardiovascular diseases (CVDs), principally ischemic heart disease (IHD) and stroke, are the leading cause of global mortality and a major contributor to disability. This paper reviews the magnitude of total CVD burden, including 13 underlying causes of cardiovascular death and 9 related risk factors, using estimates from the Global Burden of Disease (GBD) Study 2019. GBD, an ongoing multinational collaboration to provide comparable and consistent estimates of population health over time, used all available population-level data sources on incidence, prevalence, case fatality, mortality, and health risks to produce estimates for 204 countries and territories from 1990 to 2019. Prevalent cases of total CVD nearly doubled from 271 million (95% uncertainty interval [UI]: 257 to 285 million) in 1990 to 523 million (95% UI: 497 to 550 million) in 2019, and the number of CVD deaths steadily increased from 12.1 million (95% UI:11.4 to 12.6 million) in 1990, reaching 18.6 million (95% UI: 17.1 to 19.7 million) in 2019. The global trends for disability-adjusted life years (DALYs) and years of life lost also increased significantly, and years lived with disability doubled from 17.7 million (95% UI: 12.9 to 22.5 million) to 34.4 million (95% UI:24.9 to 43.6 million) over that period. The total number of DALYs due to IHD has risen steadily since 1990, reaching 182 million (95% UI: 170 to 194 million) DALYs, 9.14 million (95% UI: 8.40 to 9.74 million) deaths in the year 2019, and 197 million (95% UI: 178 to 220 million) prevalent cases of IHD in 2019. The total number of DALYs due to stroke has risen steadily since 1990, reaching 143 million (95% UI: 133 to 153 million) DALYs, 6.55 million (95% UI: 6.00 to 7.02 million) deaths in the year 2019, and 101 million (95% UI: 93.2 to 111 million) prevalent cases of stroke in 2019. Cardiovascular diseases remain the leading cause of disease burden in the world. CVD burden continues its decades-long rise for almost all countries outside high-income countries, and alarmingly, the age-standardized rate of CVD has begun to rise in some locations where it was previously declining in high-income countries. There is an urgent need to focus on implementing existing cost-effective policies and interventions if the world is to meet the targets for Sustainable Development Goal 3 and achieve a 30% reduction in premature mortality due to noncommunicable diseases.

Indexed as

Cost of IllnessGlobal Burden of DiseaseGlobal HealthCardiovascular DiseasesHealth PolicyHeart Disease Risk FactorsHumansPublic Healthcardiovascular diseasesglobal healthhealth policypopulation health

Identifiers

PMID33309175
PMCPMC7755038
OpenAlexW3113178943

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

and 6 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.