ABC | Volume 110, Nº6, June 2018

Original Article Nascimento et al Cardiovascular disease in Portuguese-speaking countries Arq Bras Cardiol. 2018; 110(6):500-511 Figure 5 – Correlation between the change in mortality from cardiovascular diseases between 1990 and 2016 and the sociodemographic index (r s = 0.7; p = 0.04). 60 50 40 30 20 10 0 ,20 ,30 ,40 ,50 ,60 ,70 ,80 Sociodemographic index Change in mortality (%) Country Angola Brazil Cape Verde Guinea-Bissau Equatorial Guinea Mozambique Portugal Timor-Leste Sao Tome Principe Figure 4 – Age-standardized mortality rate in the Portuguese-speaking countries in 1990 and 2016. 600 500 400 300 200 100 0 Angola Brazil Cape Verde Equatorial Guinea Guinea-Bissau Mozambique Sao Tome and Principe Portugal Timor-Leste 1990 2016 440 353 434 222 349 284 559 239 507 495 460 339 381 155 320 294 453 330 An important result of this study was to show that in all the PSC, except for Guinea-Bissau, reductions in age‑standardized mortality rates from CVD were observed from 1990 to 2016. From a global perspective, the period was marked by a reduction in age-standardized mortality from CVD in all high‑income and some middle-income countries, although little change could be observed in most Sub-Saharan countries. 7 In the PSC, a strong positive correlation was observed between the SDI and the reduction in the age‑standardized mortality rates from CVD in the past 27 years. However, that pattern was not homogeneous, suggesting that other factors 19 could be associated with the observed mortality reduction. 506