Regions of Germany (NUTS 2) by death rate from circulatory diseases (age-standardised)
Chemnitz had the highest death rate from circulatory diseases (age-standardised) of 38 regions in 2021, at 455.3 per 100,000 people. Hamburg had the lowest, at 266.6 per 100,000 people. The median was 357.8 per 100,000 people and the figure for Germany was 345.1 per 100,000 people. Source: Eurostat, European Commission.
All regions, 2021
Full ranking
| Rank | Regions | 2021 | Change on 2020 |
|---|---|---|---|
| 1 | Chemnitz | 455.3 | -15.5 pts |
| 2 | Thüringen | 440.9 | +37.4 pts |
| 3 | Sachsen-Anhalt | 439.6 | -2.6 pts |
| 4 | Oberfranken | 403.3 | -8.9 pts |
| 5 | Mecklenburg-Vorpommern | 402.1 | +12.8 pts |
| 6 | Gießen | 390.8 | +8.3 pts |
| 7 | Kassel | 384.5 | +4.1 pts |
| 8 | Leipzig | 381.5 | -9.5 pts |
| 9 | Unterfranken | 376.6 | +7.7 pts |
| 10 | Brandenburg | 375.9 | +1.4 pts |
| 11 | Niederbayern | 375.4 | +5.7 pts |
| 12 | Oberpfalz | 372.8 | -4.8 pts |
| 13 | Weser-Ems | 372.6 | -5.4 pts |
| 14 | Mittelfranken | 371.8 | -5.5 pts |
| 15 | Koblenz | 370.9 | +1.3 pts |
| 16 | Braunschweig | 366.3 | -12.4 pts |
| 17 | Hannover | 365.7 | -1.9 pts |
| 18 | Lüneburg | 364.7 | -8.6 pts |
| 19 | Dresden | 360 | -33.9 pts |
| 20 | Rheinhessen-Pfalz | 355.6 | -3.7 pts |
| 21 | Saarland | 352.2 | +9.7 pts |
| 22 | Trier | 348.9 | -15.2 pts |
| 23 | Bremen | 348.2 | -0.1 pts |
| 24 | Schleswig-Holstein | 343.7 | -6.9 pts |
| 25 | Schwaben | 338.5 | -4.3 pts |
| 26 | Karlsruhe | 327.5 | -9 pts |
| 27 | Tübingen | 327.2 | +6.9 pts |
| 28 | Darmstadt | 324.9 | -1.4 pts |
| 29 | Freiburg | 317.2 | +5.8 pts |
| 30 | Arnsberg | 317 | +3.2 pts |
| 31 | Stuttgart | 316.4 | -4.6 pts |
| 32 | Berlin | 307.7 | -6.5 pts |
| 33 | Münster | 300.9 | -6.1 pts |
| 34 | Oberbayern | 299.7 | -2.2 pts |
| 35 | Detmold | 299.5 | -10 pts |
| 36 | Düsseldorf | 294.4 | -8.9 pts |
| 37 | Köln | 292.5 | -16.2 pts |
| 38 | Hamburg | 266.6 | -9 pts |
Other periods
About this ranking
Deaths from [object Object] (ICD-10 I00 to I99) per 100,000 inhabitants, age-standardised to the revised European Standard Population of 2013. Both sexes, all ages, by place of residence (Eurostat causes of death statistics).
Age standardisation removes the effect of different age structures, so EU countries and regions can be compared with each other. US age-adjusted rates use the 2000 US standard population and are not comparable with these. Death certification and cause coding differ between countries, and Eurostat flags some values as following a different definition. Eurostat publishes these rates about two and a half years after the reference year.
Every value in the ranking comes from the same publisher and the same period, so the regions are compared on one definition. Equal values share a rank.
How to cite
Eurostat. Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 I (hlth_cd_asdr2). https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table. Retrieved 2026-10-12.Citation styles
APA 7
Eurostat, European Commission. (2026). Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 I (hlth_cd_asdr2) (Regions of Germany (NUTS 2) by death rate from circulatory diseases (age-standardised), 2021) [Data set]. Retrieved October 12, 2026, from https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table
MLA 9
Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 I (hlth_cd_asdr2), Regions of Germany (NUTS 2) by death rate from circulatory diseases (age-standardised), 2021. Eurostat, European Commission, 8 June 2026, https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table. Invokely, https://invokely.ai/rankings/circulatory-disease-death-rate/germany-regions?period=2021. Accessed 12 Oct. 2026.
Chicago (author-date)
Eurostat, European Commission. 2026. Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 I (hlth_cd_asdr2). Regions of Germany (NUTS 2) by death rate from circulatory diseases (age-standardised), 2021. Dataset. Accessed October 12, 2026. https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table. Also distributed by Invokely, https://invokely.ai/rankings/circulatory-disease-death-rate/germany-regions?period=2021.
Harvard
Eurostat, European Commission (2026) Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 I (hlth_cd_asdr2), Regions of Germany (NUTS 2) by death rate from circulatory diseases (age-standardised), 2021 [Dataset]. Available at: https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table, via Invokely: https://invokely.ai/rankings/circulatory-disease-death-rate/germany-regions?period=2021 (Accessed: 12 October 2026).
BibTeX
@misc{eurostat_regions_of_germany_nuts_2021,
author = {{Eurostat, European Commission}},
title = {{Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 I (hlth\_cd\_asdr2): Regions of Germany (NUTS 2) by death rate from circulatory diseases (age-standardised), 2021}},
year = {2026},
howpublished = {Data set},
url = {https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table},
urldate = {2026-10-12},
note = {Accessed via Invokely, https://invokely.ai/rankings/circulatory-disease-death-rate/germany-regions?period=2021. Publisher attribution: Eurostat. Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 I (hlth\_cd\_asdr2). https://ec.europa.eu/eurostat/databrowser/view/hlth\_cd\_asdr2/default/table. Retrieved 2026-10-12.},
}
RIS
TY - DATA
AU - Eurostat, European Commission
TI - Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 I (hlth_cd_asdr2): Regions of Germany (NUTS 2) by death rate from circulatory diseases (age-standardised), 2021
PY - 2026
DA - 2026/06/08
PB - Eurostat, European Commission
DB - Invokely
UR - https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table
L2 - https://invokely.ai/rankings/circulatory-disease-death-rate/germany-regions?period=2021
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/circulatory-disease-death-rate/germany-regions?period=2021.
N1 - Publisher attribution: Eurostat. Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 I (hlth_cd_asdr2). https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table. Retrieved 2026-10-12.
ER -
Use this data in your AI agent
Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:
Rank Regions of Germany by death rate from circulatory diseases (age-standardised) using official data, and cite the source.
rank_places {"indicator":"standardised_death_rate_circulatory","level":"region","within":"Germany","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=standardised_death_rate_circulatory&level=region&within=Germany&limit=10Questions
Which region has the highest death rate from circulatory diseases (age-standardised)?
Chemnitz, with 455.3 per 100,000 people in 2021, according to Eurostat, European Commission.
Which region has the lowest death rate from circulatory diseases (age-standardised)?
Hamburg, with 266.6 per 100,000 people in 2021.
Where does this ranking come from?
Every value comes from one source and one period, so the places are comparable: Eurostat, European Commission, Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 I (hlth_cd_asdr2). Retrieved 2026-10-12.