• Vilma Pinheiro Gawryszewski and SouzaMaria de Fatima Marinho deMde FRegional Health Observatory, Pan-American Health Organization..
• Health Information and Analysis Unit, American Health Organization, Washington, DC, United States.
• Sao Paulo Med J. 2014 Jan 1; 132 (2): 105110105-10.

Context And ObjectiveCardiovascular diseases are the leading cause of death worldwide. The aim here was to evaluate trends in mortality due to cardiovascular diseases in three different regions of the Americas.Design And SettingThis was a time series study in which mortality data from three different regions in the Americas from 2000 to the latest year available were analyzed.MethodsThe source of data was the Mortality Information System of the Pan-American Health Organization (PAHO). Data from 27 countries were included. Joinpoint regression analysis was used to analyze trends.ResultsDuring the study period, the age-adjusted mortality rates for men were higher than those of females in all regions. North America (NA) showed lower rates than Latin America countries (LAC) and the Non-Latin Caribbean (NLC). Premature deaths (30-69 years old) accounted for 22.8% of all deaths in NA, 38.0% in LAC and 41.8% in NLC. The trend analysis also showed a significant decline in the three regions. NA accumulated the largest decline. The average annual percentage change (AAPC) and 95% confidence interval was -3.9% [-4.2; -3.7] in NA; -1.8% [-2.2; -1.5] in LAC; and -1.8% [-2.7; -0.9] in NLC.ConclusionDifferent mortality rates and reductions were observed among the three regions.

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