Evidence map›Paper›PMID 40475805›Full record

ArticleInternational journal of cardiology. Cardiovascular risk and prevention2025

Trends in coronary artery disease mortality among hyperlipidemic patients: Geographic, gender, and racial insights from CDC WONDER data (1999-2020).

Muhammad Abdullah Naveed, Sivaram Neppala, Himaja Dutt Chigurupati, Bazil Azeem, Ahila Ali, Faizan Ahmed, Sabin Zafar, Muhammad Omer Rehan, Rabia Iqbal, Manahil Mubeen and 3 more

Abstract read
In one paragraph

Article in International journal of cardiology. Cardiovascular risk and prevention, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Muhammad Abdullah NaveedDepartment of Cardiology, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Sivaram NeppalaDepartment of Cardiology, University of Texas Health Sciences Center, San Antonio, TX, USA.
Himaja Dutt ChigurupatiDepartment of Internal Medicine, Saint Micheals Medical Center, Newark, NJ, USA.
Bazil AzeemDivision of Cardiology, Shaheed Mohtarma Benazir Bhutto Medical College Lyari, Karachi, Pakistan.
Ahila AliDepartment of Cardiology, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Faizan AhmedDivision of Cardiology, Shaheed Mohtarma Benazir Bhutto Medical College Lyari, Karachi, Pakistan.
Sabin ZafarDepartment of Internal Medicine, Ameeruddin Medical College, Lahore General Hospital, Lahore, Pakistan.
Muhammad Omer RehanDepartment of Cardiology, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Rabia IqbalDepartment of Cardiology, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Manahil MubeenDepartment of Cardiology, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Hassaan AbidDepartment of Internal Medicine, Indiana University Ball Memorial Hospital, Indiana, USA.
Anum MubasherDepartment of Internal Medicine, Texas Health Resources, Bedford, USA.
Timir PaulDepartment of Cardiovascular Sciences, Ascension St. Thomas Hospital/University of Tennessee Health Sciences Center, Nashville, TN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Coronary artery disease (CAD) in hyperlipidemia is a significant cause of mortality among adults in the United States. This study investigates trends in CAD-related mortality in hyperlipidemia among adults aged 25 and older, focusing on geographic, gender, and racial/ethnic disparities from 1999 to 2020. Methods: A retrospective analysis was conducted using the CDC WONDER database from 1999 to 2020. Age-adjusted mortality rates (AAMRs), annual percent change (APC), and average annual percentage change (AAPC) were calculated per 100,000 persons, stratified by year, sex, race/ethnicity, and geographical region. Results: Between 1999 and 2020, CAD in hyperlipidemia led to 407,667 deaths among US adults aged 25+. The AAMR for CAD in hyperlipidemia rose from 4.1 in 1999 to 12.1 in 2020, with an AAPC of 4.44 (95 % CI: 3.69 to 5.48, p < 0.000001). Men had higher AAMRs (12.4) than women (5.6), with significant increases for both sexes over time. Racial/ethnic disparities showed the highest AAMRs in Whites (8.9), followed by American Indians/Alaska Natives (8.6). Geographically, AAMRs varied from 3.8 in Alabama to 16.0 in Vermont, with the Midwest showing the highest rates (9.7). Nonmetropolitan areas exhibited higher AAMRs (9.6) than metropolitan areas (8.3), with a more significant increase in nonmetropolitan areas (AAPC: 5.82, p < 0.000001). Conclusion: This study highlights significant disparities in CAD in hyperlipidemia-related mortality among US adults by race, gender, and geography. The overall increase in AAMRs from 1999 to 2020 underscores the need for targeted public health interventions to address these growing inequities.

Indexed as

Coronary artery diseaseGenderGeographicsHyperlipidemiaMortalityRace

Identifiers

PMID40475805
PMCPMC12138564

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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 OpenQuestion graph.