Evidence map›Paper›PMID 42535659›Full record

ArticleClinical cardiology2026

Mortality Related to Different Circulatory Diseases Before, During and After the COVID-19 Pandemic.

Giulia Capodaglio, Ugo Fedeli, Susanna Levantesi, Paolo Girardi

Abstract read
In one paragraph

Article in Clinical cardiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Giulia CapodaglioScreening Unit, Azienda Zero, Veneto Region, Padova, Italy.
Ugo FedeliEpidemiological Department, Azienda Zero, Veneto Region, Padova, Italy.ORCID https://orcid.org/0000-0002-9939-3398
Susanna LevantesiDepartment of Statistics, Sapienza University of Rome, Roma, Italy.ORCID https://orcid.org/0000-0002-4644-4358
Paolo GirardiDepartment of Environmental Sciences, Informatics and Statistics, Ca' Foscari University of Venice, Mestre-Venezia, Italy.ORCID https://orcid.org/0000-0001-8330-9414

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic caused a global rise in cardiovascular mortality. In Italy, a large excess deaths from ischemic heart disease (IHD), cerebrovascular disease (CVD), hypertensive diseases (HD), and atrial fibrillation (AF) was observed early during the pandemic. Whether mortality has since returned to pre-pandemic levels remains uncertain.

methodsThis study analyzed mortality data for residents aged ≥ 40 in the Veneto Region, Italy, using multiple causes of death (MCOD) from death certificates. Age-standardized monthly mortality rates were computed for IHD, CVD, HD, and AF. Forecasts for 2023 were generated using two scenarios: excluding the pandemic period (2008-2019) and including it (2008-2022). Seasonal ARIMA and Lee-Carter models were applied, and observed 2023 rates were compared with forecasts.

resultsIn 2020, all circulatory disease categories showed a mortality peak, especially HD (+29%). Although rates decreased in 2021-2022, they remained significantly above pre-pandemic levels. In 2023, observed rates for all conditions were close to those forecasted using the 2008-2019 baseline. By contrast, observed rates were significantly lower than expected when using the 2008-2022 baseline. Seasonal peaks were still observed in December 2023, associated with the circulation of multiple respiratory viruses. Lee-Carter model results confirmed a general re-alignment of 2023 mortality with pre-pandemic patterns.

conclusionsBy 2023, mortality from major circulatory diseases in the Veneto Region largely returned to pre-pandemic trends, suggesting limited long-term excess mortality. The findings underscore the value of MCOD data and time-series modeling in capturing both short-term disruptions and long-term recovery patterns in population health.

Indexed as

Cardiovascular DiseasesCOVID-19AdultAgedAged, 80 and overCause of DeathFemaleHumansItalyMaleMiddle AgedPandemicsRisk FactorsSARS-CoV-2Time Factorscirculatory diseasesCOVID‐19mortalitytime series analysis

Identifiers

PMID42535659
PMCPMC13426009

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.