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. 2022 May;15(5):e008651.
doi: 10.1161/CIRCOUTCOMES.121.008651. Epub 2022 May 10.

Cardiovascular and Cerebrovascular Disease Mortality in Asian American Subgroups

Nilay S Shah  1   2   3 , Kevin Xi  1 , Kristopher I Kapphahn  4 , Malathi Srinivasan  1   5 , Timothy Au  1 , Vedant Sathye  1 , Vaibhav Vishal  1 , Han Zhang  1 , Latha P Palaniappan  1   5
Affiliations

Cardiovascular and Cerebrovascular Disease Mortality in Asian American Subgroups

Nilay S Shah et al. Circ Cardiovasc Qual Outcomes. 2022 May.

Abstract

Background: Asian American individuals comprise the fastest-growing race and ethnic group in the United States. Certain subgroups may be at disproportionately high cardiovascular risk. This analysis aimed to identify cardiovascular and cerebrovascular disease mortality trends in Asian American subgroups.

Methods: Age-standardized mortality rates (ASMR), average annual percent change of ASMR calculated by regression, and proportional mortality ratios of ischemic heart disease, heart failure, and cerebrovascular disease were calculated by sex in non-Hispanic Asian American subgroups (Chinese, Filipino, Asian Indian, Japanese, Korean, and Vietnamese), non-Hispanic White, and Hispanic individuals from US death certificates, 2003 to 2017.

Results: Among 618 004 non-Hispanic Asian American, 30 267 178 non-Hispanic White, and 2 292 257 Hispanic deaths from all causes, ASMR from ischemic heart disease significantly decreased in all subgroups of Asian American women and in non-Hispanic White and Hispanic women; significantly decreased in Chinese, Filipino, Japanese, and Korean men and non-Hispanic White and Hispanic men and remained stagnant in Asian Indian and Vietnamese men. The highest 2017 ASMR from ischemic heart disease among Asian American decedents was in Asian Indian women (77 per 100 000) and men (133 per 100 000). Heart failure ASMR remained stagnant in Chinese, Korean, and non-Hispanic White women, and Chinese and Vietnamese men. Heart failure ASMR significantly increased in both sexes in Filipino, Asian Indian, and Japanese individuals, Vietnamese women, and Korean men, with highest 2017 ASMR among Asian American subgroups in Asian Indian women (14 per 100 000) and Asian Indian men (15 per 100 000). Cerebrovascular disease ASMR decreased in Chinese, Filipino, and Japanese women and men between 2003 and 2017, and remained stagnant in Asian Indian, Korean, and Vietnamese women and men. The highest cerebrovascular disease ASMR among Asian American subgroups in 2017 was in Vietnamese women (46 per 100 000) and men (47 per 100 000).

Conclusions: There was heterogeneity in cardiovascular and cerebrovascular mortality among Asian American subgroups, with stagnant or increasing mortality trends in several subgroups between 2003 and 2017.

Keywords: Asian Americans; cerebrovascular disorders; ethnicity; heart diseases; heart failure; mortality; myocardial ischemia.

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Figures

Figure 1.
Figure 1.. Age-standardized mortality rates from ischemic heart disease by sex in Asian Americans, 2003–2017
Age-standardized mortality rates (ASMR) from ischemic heart disease shown for (A) men and (B) women. Average annual percent change of ASMR shown in Table 1. ASMR are listed in Supplemental Tables S3 and S4.
Figure 2.
Figure 2.. Age-standardized mortality rates from heart failure by sex in Asian Americans, 2003–2017
Age-standardized mortality rates (ASMR) from heart failure shown for (A) men and (B) women. Average annual percent change of ASMR are shown in Table 1. ASMR are listed in Supplemental Tables S3 and S4.
Figure 3.
Figure 3.. Age-standardized mortality rates from cerebrovascular disease by sex in Asian Americans, 2003–2017
Age-standardized mortality rates (ASMR) from cerebrovascular disease shown for (A) men and (B) women. Average annual percent change of ASMR are shown in Table 1. ASMR are listed in Supplemental Tables S3 and S4.
See this image and copyright information in PMC

Comment in

  • Not So Simple, Nor Model Minority.
    Parks M, Nallamothu B, Ho PM. Parks M, et al. Circ Cardiovasc Qual Outcomes. 2022 May;15(5):e008918. doi: 10.1161/CIRCOUTCOMES.122.008918. Epub 2022 May 10. Circ Cardiovasc Qual Outcomes. 2022. PMID: 35535590 No abstract available.

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