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        <datestamp>2026-09-18T04:42:22Z</datestamp>
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          <dc:title>Table 5_Ischemic heart disease mortality trends and disparities in US adults from 1999 to 2023: a CDC WONDER analysis.xlsx</dc:title>
          <dc:creator>Jia Li (160557)</dc:creator>
          <dc:creator>Bolin Wang (11301172)</dc:creator>
          <dc:creator>Xuezhen Xuan (12965618)</dc:creator>
          <dc:creator>Fan Zhang (46132)</dc:creator>
          <dc:creator>Sichong Qian (18096583)</dc:creator>
          <dc:creator>Haiyang Li (1557451)</dc:creator>
          <dc:subject>Cardiology</dc:subject>
          <dc:subject>AAMR</dc:subject>
          <dc:subject>CDC WONDER</dc:subject>
          <dc:subject>COVID-19 pandemic</dc:subject>
          <dc:subject>IHD</dc:subject>
          <dc:subject>the United States</dc:subject>
          <dc:description>Background&lt;p&gt;Ischemic heart disease (IHD) remains a leading cause of mortality in the United States, yet it remains unclear whether postpandemic recovery patterns differ across population subgroups.&lt;/p&gt;Methods&lt;p&gt;Using CDC WONDER data (1999–2023), we analyzed IHD deaths among US adults aged ≥25 years. Age-adjusted mortality rates (AAMRs) were stratified by sex, race/ethnicity, urbanization, and region; crude mortality rates (CMRs) by age. Urban–rural analyses were restricted to 1999–2020. Joinpoint regression estimated temporal trends, and tests of parallelism assessed between-group differences.&lt;/p&gt;Results&lt;p&gt;Among 10,200,362 IHD deaths, overall AAMRs declined from 300.8 to 127.07 per 100,000 (average annual percent change, AAPC = −3.51; p &lt; 0.001), with the fastest decline during 2021–2023 (APC = −5.59). Males had higher AAMRs than females (245.58 vs. 138.69; p &lt; 0.001). Non-Hispanic (NH) Black individuals had the highest AAMR (217.58). The steepest age-specific CMR decline occurred at 75–84 years (AAPC = −4.04). Metropolitan areas had lower AAMRs than non-metropolitan areas (189.07 vs. 212.60; p &lt; 0.001). Pairwise tests confirmed significant trend differences across most subgroups (all p &lt; 0.05), except NH Other vs. NH White (p = 0.396).&lt;/p&gt;Conclusions&lt;p&gt;Despite sustained IHD mortality declines, significant disparities persist across demographic and geographic subgroups, supporting targeted prevention for high-risk populations.&lt;/p&gt;</dc:description>
          <dc:date>2026-09-18T04:42:22Z</dc:date>
          <dc:type>Dataset</dc:type>
          <dc:type>Dataset</dc:type>
          <dc:identifier>10.3389/fcvm.2026.1883973</dc:identifier>
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          <dc:rights>CC BY 4.0</dc:rights>
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