The age cohort of 30-39 showed a notable initial decline from 2000 to 2002 (APC: -40.8; see Table 3 , Appendix Table 9 ), followed by a more recent increase, which is quite significant (2002-2021).
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Temporal Trends of Age-Adjusted Mortality Rates for Rheumatic Heart Disease in Brazil From 2000 to 2021.
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