Overview

• Nationwide heart-disease deaths declined to 211,152 in 2023 from 216,944 in 2022, with a mortality rate of 215.7 per 100,000.
• Full inpatient cases for cardiac conditions increased to 1,635,903, including 538,675 admissions for coronary heart disease and 185,804 for heart attacks.
• Coronary heart disease remained the leading cause of cardiac death with 119,795 fatalities, including 43,839 from acute myocardial infarction, as experts note signs of a potential plateau.
• Regional gaps persisted, with Berlin recording the highest heart‑attack mortality at 71.2 per 100,000 and Hamburg the lowest at 30.6, linked to socioeconomic factors and health competence despite provider density.
• Cardiology societies highlight modifiable risks—high LDL cholesterol, hypertension, diabetes, smoking and overweight—urging checks from age 35 at the latest by 50, plus prevention tools such as the HerzFit app, as Germany still lags neighbors like France and Denmark on CHD mortality.