Temporal trends in mortality due to coronary heart disease in Germany from 1998 to 2023
Background: Coronary heart disease (CHD) is the leading cause of death in Germany. Comprehensive analyses of long-term trends in CHD mortality that also distinguish between acute myocardial infarction (AMI) and non-AMI-related chronic CHD are currently lacking. Method: Age-specific and age-standardi...
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Robert Koch Institute
2025-06-01
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| Series: | Journal of Health Monitoring |
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| Online Access: | https://www.rki.de/EN/News/Publications/Journal-of-Health-Monitoring/GBEDownloadsJ/Focus_en/JHealthMonit_2025_02_coronary_heart_disease_mortality.pdf?__blob=publicationFile&v=2 |
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| author | Henriette Steppuhn Jens Baumert Viktoria Rücker Kai Günther Annelene Wengler Fabian Tetzlaff Hannelore Neuhauser |
| author_facet | Henriette Steppuhn Jens Baumert Viktoria Rücker Kai Günther Annelene Wengler Fabian Tetzlaff Hannelore Neuhauser |
| author_sort | Henriette Steppuhn |
| collection | DOAJ |
| description | Background: Coronary heart disease (CHD) is the leading cause of death in Germany. Comprehensive analyses of long-term trends in CHD mortality that also distinguish between acute myocardial infarction (AMI) and non-AMI-related chronic CHD are currently lacking. Method: Age-specific and age-standardised CHD mortality rates for the period 1998 – 2023 were calculated based on data from the cause-of-death statistics of the Federal Statistical Office of Germany. Annual percentage changes (APC) and average annual percentage changes (AAPC) were estimated using joinpoint regression analysis. Results: Between 1998 and 2023, the average annual change in age-standardised CHD mortality rates for women was -3.9 % ((-4.1) – (-3.7)) per year, compared with -3.2 % ((-3.3) – (-3.0)) for men. However, since the 2010s, the downward trend in CHD mortality has flattened, particularly among those aged 60 to 74 years. In the analysis by ICD subgroups, mortality rates for chronic CHD declined less sharply than for AMI over the entire period 1998 – 2023, especially among men. Conclusions: The flattening of the CHD mortality trend, particularly among middle-aged adults over the last decade, and the smaller decline in chronic CHD mortality, especially among men, require further exploration in order to identify unmet needs at various levels of prevention for specific life stages. In addition, the influence of the COVID-19 pandemic on CHD mortality trends should be further investigated. |
| format | Article |
| id | doaj-art-6f2b2cab4ee04cda97445224177ec888 |
| institution | OA Journals |
| issn | 2511-2708 |
| language | deu |
| publishDate | 2025-06-01 |
| publisher | Robert Koch Institute |
| record_format | Article |
| series | Journal of Health Monitoring |
| spelling | doaj-art-6f2b2cab4ee04cda97445224177ec8882025-08-20T02:07:51ZdeuRobert Koch InstituteJournal of Health Monitoring2511-27082025-06-0110211210.25646/13178johm-10-2-03-e13178Temporal trends in mortality due to coronary heart disease in Germany from 1998 to 2023Henriette Steppuhn0Jens Baumert1Viktoria Rücker2Kai Günther3Annelene Wengler4Fabian Tetzlaff5Hannelore Neuhauser6Robert Koch Institute, Department for Epidemiology and Health Monitoring, Berlin, GermanyRobert Koch Institute, Department for Epidemiology and Health Monitoring, Berlin, GermanyInstitut for Clinical Epidemiology und Biometry, University of Würzburg, GermanyInstitut for Clinical Epidemiology und Biometry, University of Würzburg, GermanyRobert Koch Institute, Department for Epidemiology and Health Monitoring, Berlin, GermanyRobert Koch Institute, Department for Epidemiology and Health Monitoring, Berlin, GermanyRobert Koch Institute, Department for Epidemiology and Health Monitoring, Berlin, GermanyBackground: Coronary heart disease (CHD) is the leading cause of death in Germany. Comprehensive analyses of long-term trends in CHD mortality that also distinguish between acute myocardial infarction (AMI) and non-AMI-related chronic CHD are currently lacking. Method: Age-specific and age-standardised CHD mortality rates for the period 1998 – 2023 were calculated based on data from the cause-of-death statistics of the Federal Statistical Office of Germany. Annual percentage changes (APC) and average annual percentage changes (AAPC) were estimated using joinpoint regression analysis. Results: Between 1998 and 2023, the average annual change in age-standardised CHD mortality rates for women was -3.9 % ((-4.1) – (-3.7)) per year, compared with -3.2 % ((-3.3) – (-3.0)) for men. However, since the 2010s, the downward trend in CHD mortality has flattened, particularly among those aged 60 to 74 years. In the analysis by ICD subgroups, mortality rates for chronic CHD declined less sharply than for AMI over the entire period 1998 – 2023, especially among men. Conclusions: The flattening of the CHD mortality trend, particularly among middle-aged adults over the last decade, and the smaller decline in chronic CHD mortality, especially among men, require further exploration in order to identify unmet needs at various levels of prevention for specific life stages. In addition, the influence of the COVID-19 pandemic on CHD mortality trends should be further investigated.https://www.rki.de/EN/News/Publications/Journal-of-Health-Monitoring/GBEDownloadsJ/Focus_en/JHealthMonit_2025_02_coronary_heart_disease_mortality.pdf?__blob=publicationFile&v=2mortalitycoronary heart diseasechdacute myocardial infarctionchronic chdtime series analysisjoinpoint regression |
| spellingShingle | Henriette Steppuhn Jens Baumert Viktoria Rücker Kai Günther Annelene Wengler Fabian Tetzlaff Hannelore Neuhauser Temporal trends in mortality due to coronary heart disease in Germany from 1998 to 2023 Journal of Health Monitoring mortality coronary heart disease chd acute myocardial infarction chronic chd time series analysis joinpoint regression |
| title | Temporal trends in mortality due to coronary heart disease in Germany from 1998 to 2023 |
| title_full | Temporal trends in mortality due to coronary heart disease in Germany from 1998 to 2023 |
| title_fullStr | Temporal trends in mortality due to coronary heart disease in Germany from 1998 to 2023 |
| title_full_unstemmed | Temporal trends in mortality due to coronary heart disease in Germany from 1998 to 2023 |
| title_short | Temporal trends in mortality due to coronary heart disease in Germany from 1998 to 2023 |
| title_sort | temporal trends in mortality due to coronary heart disease in germany from 1998 to 2023 |
| topic | mortality coronary heart disease chd acute myocardial infarction chronic chd time series analysis joinpoint regression |
| url | https://www.rki.de/EN/News/Publications/Journal-of-Health-Monitoring/GBEDownloadsJ/Focus_en/JHealthMonit_2025_02_coronary_heart_disease_mortality.pdf?__blob=publicationFile&v=2 |
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