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The Burden of Cardiovascular Diseases Among US States, 1990-2016
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- Gregory A. Roth
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Catherine O. Johnson
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Kalkidan Hassen Abate
- Jimma University, Jimma, Ethiopia
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- Foad Abd-Allah
- Cairo University, Giza, Egypt
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- Muktar Ahmed
- Jimma University, Jimma, Ethiopia
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- Khurshid Alam
- The University of Western Australia, Perth, Western Australia, Australia
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- Tahiya Alam
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Nelson Alvis-Guzman
- Universidad de Cartagena, Cartagena, Bolívar, Columbia
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- Hossein Ansari
- Zahedan University of Medical Sciences, Zahedan, Iran
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- Johan Ärnlöv
- Karolinska Institutet, Stockholm, Sweden
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- Tesfay Mehari Atey
- Mekelle University, Mekelle, Ethiopia
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- Ashish Awasthi
- Indian Institute of Public Health Gandhinagar, Public Health Foundation of India, Gandhinagar, Gujarat, India
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- Tadesse Awoke
- University of Gondar, Gondar, Ethiopia
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- Aleksandra Barac
- University of Belgrade, Belgrade, Serbia
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- Till Bärnighausen
- Harvard University, Cambridge, Massachusetts
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- Neeraj Bedi
- Jazan University, Jizan, Saudi Arabia
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- Derrick Bennett
- University of Oxford, Oxford, England
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- Isabela Bensenor
- University of São Paulo, São Paulo, São Paulo, Brazil
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- Sibhatu Biadgilign
- Independent Public Health Consultant, Addis Abbaba, Ethiopia
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- Carlos Castañeda-Orjuela
- Observatorio Nacional de Salud, Instituto Nacional de Salud, Bogotá, DC, Colombia
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- Ferrán Catalá-López
- INCLIVA Health Research Institute, Centro de Investigación Biomédica en Red Salud Mental, University of Valencia, Valencia, Spain
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- Kairat Davletov
- Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
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- Samath Dharmaratne
- University of Peradeniya, Peradeniya, Sri Lanka
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- Eric L. Ding
- Harvard T. H. Chan School of Public Health, Boston, Massachusetts
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- Manisha Dubey
- International Institute for Population Sciences, Mumbai, India
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- Emerito Jose Aquino Faraon
- University of the Philippines Manila, Manila, Philippines
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- Talha Farid
- University of Louisville, Louisville, Kentucky
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- Maryam S. Farvid
- Harvard T. H. Chan School of Public Health, Boston, Massachusetts
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- Valery Feigin
- Auckland University of Technology, Auckland, New Zealand
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- João Fernandes
- Catholic University of Portugal, Lisbon, Portugal
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- Joseph Frostad
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Alemseged Gebru
- Mekelle University, Mekelle, Ethiopia
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- Johanna M. Geleijnse
- Wageningen University, Wageningen, the Netherlands
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- Philimon Nyakauru Gona
- University of Massachusetts Boston, Boston
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- Max Griswold
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Gessessew Bugssa Hailu
- Mekelle University, Mekelle, Ethiopia
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- Graeme J. Hankey
- School of Medicine and Pharmacology, University of Western Australia, Perth, Western Australia, Australia
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- Hamid Yimam Hassen
- Mizan Tepi University, Tepi, Ethiopia
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- Rasmus Havmoeller
- Karolinska Institutet, Stockholm, Sweden
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- Simon Hay
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Susan R. Heckbert
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Caleb Mackay Salpeter Irvine
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Spencer Lewis James
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Dube Jara
- Debre Markos University, Debre Markos, Ethiopia
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- Amir Kasaeian
- Hematology, Oncology, and Stem Cell Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran
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- Abdur Rahman Khan
- University of Louisville, Louisville, Kentucky
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- Sahil Khera
- New York Medical College, Valhalla
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- Abdullah T. Khoja
- Al Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
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- Jagdish Khubchandani
- Ball State University, Muncie, Indiana
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- Daniel Kim
- Northeastern University, Boston, Massachusetts
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- Dhaval Kolte
- Brown University, Providence, Rhode Island
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- Dharmesh Lal
- Public Health Foundation of India, New Delhi, India
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- Anders Larsson
- Department of Medical Sciences, Uppsala University, Uppsala, Sweden
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- Shai Linn
- University of Haifa, Haifa, Israel
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- Paulo A. Lotufo
- Clinical Research Center, University Hospital, University of São Paulo, São Paulo, São Paulo, Brazil
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- Hassan Magdy Abd El Razek
- Faculty of Medicine, Mansoura University, Mansoura, Egypt
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- Mohsen Mazidi
- State Key Laboratory of Molecular Developmental Biology, Institute of Genetics and Developmental Biology, Chinese Academy of Sciences, Chaoyang, Beijing
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- Toni Meier
- Martin Luther University of Halle-Wittenberg, Halle, Germany
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- Walter Mendoza
- United Nations Population Fund, New York, New York
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- George A. Mensah
- National Institutes of Health, Bethesda, Maryland
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- Atte Meretoja
- University of Melbourne, Melbourne, Victoria, Australia
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- Haftay Berhane Mezgebe
- Mekelle University, Mekelle, Ethiopia
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- Erkin Mirrakhimov
- Kyrgyz State Medical Academy, Bishkek, Kyrgyzstan
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- Shafiu Mohammed
- Ahmadu Bello University, Zaria, Kaduna State, Nigeria
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- Andrew Edward Moran
- Columbia University, New York, New York
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- Grant Nguyen
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Minh Nguyen
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Kanyin Liane Ong
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Mayowa Owolabi
- Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
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- Martin Pletcher
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Farshad Pourmalek
- University of British Columbia, Vancouver, British Columbia, Canada
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- Caroline A. Purcell
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Mostafa Qorbani
- Noncommunicable Diseases Research Center, Alborz University of Medical Sciences, Hassan Abad, Karaj, Iran
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- Mahfuzar Rahman
- BRAC, Dhaka, Bangladesh
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- Rajesh Kumar Rai
- Society for Health and Demographic Surveillance, West Bengal, India
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- Usha Ram
- International Institute for Population Sciences, Mumbai, India
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- Marissa Bettay Reitsma
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Andre M. N. Renzaho
- Western Sydney University, Penrith, New South Wales, Australia
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- Maria Jesus Rios-Blancas
- National Institute of Public Health, Wako, Japan
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- Saeid Safiri
- Maragheh University of Medical Sciences, East Azerbaijan Province, Iran
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- Joshua A. Salomon
- Harvard University, Cambridge, Massachusetts
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- Benn Sartorius
- University of KwaZulu-Natal, Durban, South Africa
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- Sadaf Ghajarieh Sepanlou
- Tehran University of Medical Sciences, Tehran, Iran
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- Masood Ali Shaikh
- Independent Consultant, Karachi, Pakistan
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- Diego Silva
- Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
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- Saverio Stranges
- Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada
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- Rafael Tabarés-Seisdedos
- INCLIVA Health Research Institute, Centro de Investigación Biomédica en Red Salud Mental, University of Valencia, Valencia, Spain
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- Niguse Tadele Atnafu
- Addis Ababa University, Addis Ababa, Ethiopia
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- J. S. Thakur
- Postgraduate Institute of Medical Education and Research, Chandigarh, India
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- Roman Topor-Madry
- Jagiellonian University Medical College, Krakow, Poland
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- Thomas Truelsen
- University of Copenhagen, Copenhagen, Denmark
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- E. Murat Tuzcu
- Cleveland Clinic, Cleveland, Ohio
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- Stefanos Tyrovolas
- Hospital Sant Joan de Déu Barcelona, Sant Joan de Déu Research Foundation, Centro de Investigación Biomédica en Red Salud Mental, Universitat de Barcelona, Barcelona, Spain
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- Kingsley Nnanna Ukwaja
- Department of Internal Medicine, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria
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- Tommi Vasankari
- UKK Institute for Health Promotion Research, Tampere, Finland
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- Vasiliy Vlassov
- National Research University Higher School of Economics, Moscow, Russia
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- Stein Emil Vollset
- Norwegian Institute of Public Health, Oslo, Norway
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- Tolassa Wakayo
- Jimma University, Jimma, Ethiopia
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- Robert Weintraub
- Royal Children’s Hospital, Melbourne, Victoria, Australia
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- Charles Wolfe
- King’s College London, London, England
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- Abdulhalik Workicho
- Jimma University, Jimma, Ethiopia
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- Gelin Xu
- Nanjing University School of Medicine, Nanjing, China
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- Simon Yadgir
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Yuichiro Yano
- The University of Mississippi Medical Center, Jackson
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- Paul Yip
- University of Hong Kong, Pokfulam, Hong Kong
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- Naohiro Yonemoto
- Kyoto University, Kyoto, Japan
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- Mustafa Younis
- Jackson State University, Jackson, Mississippi
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- Chuanhua Yu
- Wuhan University, Wuhan, China
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- Zoubida Zaidi
- University Hospital of Setif, Setif, Algeria
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- Maysaa El Sayed Zaki
- Faculty of Medicine, Mansoura University, Mansoura, Egypt
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- Ben Zipkin
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Ashkan Afshin
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Emmanuela Gakidou
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Stephen S. Lim
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Ali H. Mokdad
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Mohsen Naghavi
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Theo Vos
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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- Christopher J. L. Murray
- Institute for Health Metrics and Evaluation, University of Washington, Seattle
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Description
IMPORTANCE: Cardiovascular disease (CVD) is the leading cause of death in the United States, but regional variation within the United States is large. Comparable and consistent state-level measures of total CVD burden and risk factors have not been produced previously. OBJECTIVE: To quantify and describe levels and trends of lost health due to CVD within the United States from 1990 to 2016 as well as risk factors driving these changes. DESIGN, SETTING, AND PARTICIPANTS: Using the Global Burden of Disease methodology, cardiovascular disease mortality, nonfatal health outcomes, and associated risk factors were analyzed by age group, sex, and year from 1990 to 2016 for all residents in the United States using standardized approaches for data processing and statistical modeling. Burden of disease was estimated for 10 groupings of CVD, and comparative risk analysis was performed. Data were analyzed from August 2016 to July 2017. EXPOSURES: Residing in the United States. MAIN OUTCOMES AND MEASURES: Cardiovascular disease disability-adjusted life-years (DALYs). RESULTS: Between 1990 and 2016, age-standardized CVD DALYs for all states decreased. Several states had large rises in their relative rank ordering for total CVD DALYs among states, including Arkansas, Oklahoma, Alabama, Kentucky, Missouri, Indiana, Kansas, Alaska, and Iowa. The rate of decline varied widely across states, and CVD burden increased for a small number of states in the most recent years. Cardiovascular disease DALYs remained twice as large among men compared with women. Ischemic heart disease was the leading cause of CVD DALYs in all states, but the second most common varied by state. Trends were driven by 12 groups of risk factors, with the largest attributable CVD burden due to dietary risk exposures followed by high systolic blood pressure, high body mass index, high total cholesterol level, high fasting plasma glucose level, tobacco smoking, and low levels of physical activity. Increases in risk-deleted CVD DALY rates between 2006 and 2016 in 16 states suggest additional unmeasured risks beyond these traditional factors. CONCLUSIONS AND RELEVANCE: Large disparities in total burden of CVD persist between US states despite marked improvements in CVD burden. Differences in CVD burden are largely attributable to modifiable risk exposures.
Journal
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- JAMA Cardiology
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JAMA Cardiology 3 (5), 375-, 2018-05-01
American Medical Association (AMA)
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Keywords
Details 詳細情報について
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- CRID
- 1360848654679118720
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- HANDLE
- 11541.2/139014
- 10292/11533
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- ISSN
- 23806583
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- Article Type
- journal article
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- Data Source
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- Crossref
- KAKEN
- OpenAIRE