Mortalidade por doença cardíaca hipertensiva nas macrorregiões brasileiras

Introduction: Cardiovascular diseases are in first place among the causes of death in Brazil. Hypertensive heart disease (HHD) describes a target-organ response spectrum, which includes coronary artery disease, left ventricular hypertrophy, heart failure and arrhythmias. Objective: To carry out an epidemiological analysis of mortality by HHD in the Brazilian regions. Materials and Methods: Descriptive population-based study of mortality rates with secondary data, as well as comparative analysis between the Brazilian regions using the following variables: gender, age group, year of death, color/race and education. Results: There was a large increase in crude mortality rates from 40 to 59 years. HHD occurred mainly in brown people in the North, Northeast and Midwest, and whites in the South and Southeast regions, probably due to greater predominance of these phenotypes in their respective areas. Regarding sex, mortality was high in both. The number of deaths is inversely proportional to the number of years of schooling in all regions, with the highest values in the illiterate group. Conclusion: We have observed that, as age increases, there is an elevated mortality rate, especially where there is a greater insecurity in health care, control, follow-up and preventive measures, as well as in mechanisms of funding transfer, such as in the Northeast.