Opioid overdose and cardiovascular disease-related mortality: a retrospective analysis using real-world data from the USA, 1999–2023 - Summary - MDSpire

Opioid overdose and cardiovascular disease-related mortality: a retrospective analysis using real-world data from the USA, 1999–2023

  • By

  • Mohamed Fawzi Hemida

  • Alyaa Ahmed Ibrahim

  • Maryam Saghir

  • Ahmed Elshahat

  • Mohammad Rayyan Faisal

  • Moaz Elsayed Abouelmagd

  • Zeyad Kholeif

  • Krish Patel

  • Noha Hammad

  • Pakeezah Tabasum

  • Eshal Saghir

  • Mohammed Hammad Jaber Amin

  • Ahmed Elmorsy Mohamed

  • Khaled Ali

  • Basel Abdelazeem

  • Mustafa Al-jarshawi

  • May 13, 2026

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Objective:

To characterize long-term trends and disparities in mortality involving both opioid overdose and cardiovascular disease (CVD) from 1999 to 2023.

Key Findings:
  • 112,430 deaths involving both opioid overdose and CVD were identified.
  • AAMR increased from 0.36 in 1999 to 4.08 in 2023 (AAPC: 10.96; p < 0.001).
  • Men had higher mortality rates than women (AAMRs: 2.51 vs. 0.99).
  • Non-Hispanic Black individuals showed the steepest increase in AAMR (from 0.33 to 6.48).
  • Non-metropolitan areas had higher AAMRs compared to metropolitan areas (1.56 vs. 1.47).
Interpretation:

The surge in opioid overdose and CVD-related mortality highlights significant disparities affecting specific demographics, particularly men and non-Hispanic Black individuals, necessitating targeted public health interventions.

Limitations:
  • Data limited to adults aged 15 and older, potentially missing trends in younger populations, which may affect the overall understanding of the epidemic.
  • Urban-rural classification data only available for 1999-2020, limiting the analysis of trends in more recent years.
Conclusion:

Opioid overdose and CVD-related mortality have surged, disproportionately affecting certain demographics and regions, indicating a need for integrated health strategies.

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