Assessing CVD mortality rate and DALYs attributable to the combined cardiovascular RF, Figure 4 shows a trend towards stability between 1990 – 2019 in most PSC for crude rates, with a decreasing trend in Portugal and Equatorial Guinea, and an increase in East Timor.
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Burden of Cardiovascular Diseases Attributable to Risk Factors in Portuguese-Speaking Countries: Data from the "Global Burden of Disease 2019" Study.
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On the other hand, when analyzing age-standardized mortality rate and DALYs, there is a contrast between Brazil and Portugal – which showed a decline for all RFs – and the other PSC, that showed a trend towards stability or increase.