{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T18:47:51Z","timestamp":1791917271830,"version":"4.3.4"},"reference-count":35,"publisher":"Sociedade Brasileira de Cardiologia","issue":"8","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Bras. Cardiol."],"abstract":"<jats:p>Resumo  Fundamento O \u00f3bito por doen\u00e7a cardiovascular (DCV) representa um marcador essencial para avaliar os progressos e limites das pol\u00edticas p\u00fablicas no Brasil, sobretudo em territ\u00f3rios mais vulner\u00e1veis.  Objetivo Analisar a mortalidade por DCV, doen\u00e7as hipertensivas (DH), doen\u00e7as isqu\u00eamicas do cora\u00e7\u00e3o (DIC) e doen\u00e7as cerebrovasculares (DCBV) segundo sexo, no Brasil, regi\u00f5es e estados, entre 2010 e 2023.  M\u00e9todos Estudo de s\u00e9rie temporal com dados de mortalidade obtidos do Departamento de Inform\u00e1tica do Sistema \u00danico de Sa\u00fade (DATASUS). As taxas foram padronizadas por idade e a tend\u00eancia temporal avaliada pelo modelo de regress\u00e3o Joinpoint, com c\u00e1lculo do percentual de varia\u00e7\u00e3o anual (APC, Annual Percent Change) e da Varia\u00e7\u00e3o Percentual Anual M\u00e9dia (AAPC, Average Annual Percent Change) para todo o per\u00edodo. Considerou-se intervalo de confian\u00e7a de 95%.  Resultados Entre 2010 e 2023, ocorreram 4.991.937 mortes por DCV no Brasil (52,50% em homens). Mortalidade por DCV reduziu em homens (Distrito Federal: -3,58%, p&lt;0,001; Sul: -2,23%, p&lt;0,001), mas aumentou no Amazonas (1,04%, p&lt;0,01) e Amap\u00e1 (1,54%, p&lt;0,01). DIC cresceu em homens no Amap\u00e1 (5,21%, p&lt;0,001) e Roraima (2,61%, p=0,03). DH aumentou na Bahia (homens: 1,38%, p=0,03; mulheres: 1,50%, p=0,04) e Rio Grande do Sul (homens: 1,93%, p&lt;0,001; mulheres: 1,86%, p&lt;0,01). DCBV tem panorama de redu\u00e7\u00e3o para a maioria dos estados. Mortalidade prematura por DH aumentou entre homens do Sul (+1,61%, p&lt;0,001).  Conclus\u00e3o No Brasil, apesar dos avan\u00e7os na preven\u00e7\u00e3o e tratamento das doen\u00e7as cardiovasculares, as melhorias n\u00e3o foram equitativas: persistem fortes desigualdades regionais e socioecon\u00f4micas, com maiores taxas de mortalidade entre popula\u00e7\u00f5es vulner\u00e1veis.<\/jats:p>","DOI":"10.36660\/abc.20260087","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T18:13:36Z","timestamp":1791915216000},"source":"Crossref","is-referenced-by-count":0,"title":["Tend\u00eancia Temporal da Mortalidade por Doen\u00e7as Cardiovasculares: Estudo Ecol\u00f3gico das Regi\u00f5es e Unidades da Federa\u00e7\u00e3o do Brasil, 2010-2023"],"prefix":"10.36660","volume":"123","author":[{"given":"Jos\u00e9 Francisco Kerr","family":"Saraiva","sequence":"first","affiliation":[{"name":"Pontif\u00edcia Universidade Cat\u00f3lica de Campinas","place":["Campinas, SP, Brasil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5523-8444","authenticated-orcid":false,"given":"Ana Clara Paix\u00e3o","family":"Campos","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz","place":["Salvador, BA, Brasil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gisele","family":"O\u2019Dwyer","sequence":"additional","affiliation":[{"name":"Fiocruz","place":["Rio de Janeiro, RJ, Brasil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Carolina Pinho da","family":"Silva","sequence":"additional","affiliation":[{"name":"Fiocruz","place":["Rio de Janeiro, RJ, Brasil"]},{"name":"Centro Universit\u00e1rio Serra dos \u00d3rg\u00e3os","place":["Teres\u00f3polis, RJ, Brasil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruna Bornhofen","family":"Barros","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro","place":["Rio de Janeiro, RJ, Brasil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique Alves","family":"Padilha","sequence":"additional","affiliation":[{"name":"Minist\u00e9rio da Sa\u00fade","place":["Bras\u00edlia, DF, Brasil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernanda Cristina da Silva de","family":"Lima","sequence":"additional","affiliation":[{"name":"Fiocruz","place":["Rio de Janeiro, RJ, Brasil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6419-7506","authenticated-orcid":false,"given":"Catia Cristina Martins","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz","place":["Rio de Janeiro, RJ, Brasil"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"22636","published-online":{"date-parts":[[2026]]},"reference":[{"key":"ref1","series-title":"Cardiovascular diseases (CVDs)","year":"2025"},{"issue":"22","key":"ref2","doi-asserted-by":"crossref","first-page":"2167","DOI":"10.1016\/j.jacc.2025.08.015","article-title":"Global, Regional, and National Burden of Cardiovascular Diseases and Risk Factors in 204 Countries and Territories, 1990-2023","volume":"86","year":"2025","journal-title":"J Am Coll Cardiol"},{"issue":"6","key":"ref3","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1093\/qjmed\/hcaf022","article-title":"Global Burden of Cardiovascular Diseases and its Risk Factors, 1990-2021: A Systematic Analysis for the Global Burden of Disease Study 2021","volume":"118","author":"Tan SCW","year":"2025","journal-title":"QJM"},{"issue":"25","key":"ref4","doi-asserted-by":"crossref","first-page":"2350","DOI":"10.1016\/j.jacc.2023.11.007","article-title":"Global Burden of Cardiovascular Diseases and Risks, 1990-2022","volume":"82","author":"Mensah GA","year":"2023","journal-title":"J Am Coll Cardiol"},{"issue":"10","key":"ref5","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0141685","article-title":"Premature Mortality from Cardiovascular Disease in the Americas - 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