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Heart Disease and Stroke Statistics — 2010 Update . Questions on statistics? mailto:[email protected] Audio-visual questions? mailto:[email protected] Please keep the red wave and logo attached to these slides. .

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CVD disease mortality trends for males and females(United States: 1979-2006). Source: NCHS and NHLBI.


Age-adjusted death rates for CHD, stroke, lung and breast for white and black females(United States: 2006).Source: NCHS.


Deaths from diseases of the heart for white and black females(United States: 1900–2006)Note: See Glossary for an explanation of “Diseases of the Heart.”Source: NCHS.


Deaths from cardiovascular disease for white and black females(United States: 1900–2006). Source: NCHS and NHLBI.


Hospital discharges for cardiovascular diseases. for white and black females(United States: 1970-2006).Note: Hospital discharges include people discharged alive, dead and status unknown. Source: NCHS and NHLBI.


Percentage breakdown of deaths from cardiovascular diseases for white and black females(United States: 2006)* - Not a true underlying cause.Source: NCHS.


Prevalence of CVD in adults age 20 and older by age and sex for white and black females(NHANES 2003-2006). Source: NCHS and NHLBI. These data include coronary heart disease, heart failure, stroke and hypertension.


CVD deaths vs. cancer deaths by age. for white and black females

(United States: 2006). Source: NCHS.


CVD and other major causes of death: both sexes. for white and black females(United States: 2006).Source: NCHS and NHLBI.


CVD and other major causes of death: males for white and black females(United States: 2006).Source: NCHS and NHLBI.


CVD and other major causes of death: females for white and black females(United States: 2006). Source: NCHS and NHLBI.


A for white and black females CVD (I00-I99; Q20-Q28)

B Cancer

C Accidents

D Chronic Lower Respiratory Diseases

E Diabetes Mellitus

F Alzheimer’s Disease

CVD and other major causes of death for all males and females (United States: 2006).Source: NCHS and NHLBI.


A for white and black females CVD (I00-I99; Q20-28)

B Cancer

C Accidents

D Chronic Lower Respiratory Diseases

E Diabetes Mellitus

F Alzheimer’s Disease

CVD and other major causes of death for white males and females (United States: 2006).Source: NCHS and NHLBI.


D for white and black females Assault (Homicide)

E Diabetes Mellitus

F Nephritis, Nephrotic Syndrome and Nephrosis

A CVD (I00-I99; Q20-Q28)

B Cancer C Accidents

CVD and other major causes of death for black males and females. (United States: 2006).Source: NCHS and NHLBI.


A for white and black females CVD (I00-I99)

B Cancer

C Accidents

D Diabetes Mellitus

E Assault (Homicide)

F CLRD

CVD and other major causes of death for Hispanic or Latino males and females (United States: 2006). Source: NCHS and NHLBI.


D for white and black females Chronic Lower Respiratory Diseases

E Diabetes Mellitus

F Influenza and Pneumonia

A CVD (I00-I99)

B Cancer

C Accidents

CVD and other major causes of death for Asian or Pacific Islander males and females(United States: 2006).

Source: NCHS and NHLBI.


A for white and black females CVD (I00-I99)

B Cancer

C Accidents

D Diabetes Mellitus

E Chronic Liver Disease and Cirrhosis

F Chronic Lower Respiratory Diseases

CVD and other major causes of death for American Indian or Alaska Native males and females (United States: 2006).Source: NCHS and NHLBI.


Hospital Discharges (in millions) for the 10 Leading diagnostic Groups (United States: 2006). Source: NHDS/NCHS and NHLBI.


A diagnostic Groups BC D

Age 50-54 50-54 50-54 50-54

HDL Cholesterol, mg/dL 45-49 45-49 35-34 35-34

Total Cholesterol (mg/dL) 160-199 200-239 200-239 200-239

Systolic BP mm/Hg, no treat. 120-129 130-139 130-139 130-139

Smoker No No No Yes

Diabetes No No Yes Yes

mm Hg = millimeters of mercury. mg/dL = milligrams per deciliter of blood

Estimated 10-Year CVD risk in 50 to 54-year-old adults according to levels of various risk factors (Framingham Heart Study).Source: D’Agostino et al., Circulation. 2008;117:743-753.


Prevalence (%) of Coronary Calcium: US Adults diagnostic Groups Ages 33-45 Years (CARDIA Study).Source: Loria et al., JACC. 2007;49(20):2013-20.


Prevalence (%) of Coronary Calcium: US Adults diagnostic Groups Ages 45-84 Years (The MESA Study).Source: Bild et al., Circulation. 2005;111:1313-1320.


Hazard Ratios for CHD Events Associated With Coronary Calcium Scores: US Adults Ages 45-84 Years (Reference Group CAC=0) Source: Detrano et al., NEJM. 2008;358(13):1336-1345.


Hazard Ratios for CHD Events Associated With Coronary Calcium Scores: US Adults (Reference Group CAC=0 and Framingham Risk Scores <10%)

Source: Greenland et al., JAMA. 2004;291(2):210-15.


Mean Values of Carotid IMT for Different Carotid Artery Segments in Younger Adults by Race and Sex (Bogalusa Heart Study)

Source: Urbina et al., Am J Card. 2002;90(9):953-58.


Mean Values of Carotid IMT for Different Carotid Artery Segments in Older Adults by Race (MESA Heart Study)

Source: Manolio et al., Atherosclerosis 2008;197(1):132-38.


A Segments in Older Adults by Race B C D

Blood Pressure (mm Hg) 120/80 140/90 140/90 140/90

Total Cholesterol (mg/dL) 200 240 240 240

HDL Cholesterol (mg/dL) 50 50 40 40

Diabetes No No Yes Yes

Cigarettes No No No Yes

mm Hg = millimeters of mercury. mg/dL = milligrams per deciliter of blood

Estimated 10-Year CHD risk in 55-year-old adults according to levels of various risk factors (Framingham Heart Study).Source: Wilson et al., Circulation. 1998;97:1837-47.


Annual number of U.S. Adults having diagnosed heart attack by age and sex (ARIC: 1987-2004 and CHS: 1989-2004).

Source: NHLBI. Includes MI and fatal CHD but not silent MI’s.


Prevalence of CHD by age and sex by age and sex (NHANES :2003-2006). Source: NCHS and NHLBI.


Prevalence of low CHD risk, overall and by sex, ages 25-74 by age and sex (NHANES :1971-2006).Source:Personal communication with NHLBI 6/28/07.“Low risk” is defined as SBP <120 mm Hg and DBP<80 mm Hg; cholesterol < 200 mg/dL and BMI <25 kg/m2 and currently not smoking cigarettes and no prior MI or DM.


Annual rate of first heart attack by age, sex and race. by age and sex (ARIC Surveillance:1987-2004).Source: NHLBI.


Incidence of Myocardial Infarction by age and sex * by Age, Race and Sex. (ARIC Surveillance: 1987-2004).Source: NHLBI.* MI diagnosed by expert committee based on review of hospital records.


Incidence of Angina Pectoris* by Age and Sex. by age and sex (FHS: 1980-2002/2003). Source: NHLBI.* AP uncomplicated based on physicians interview of patient. Note: Rate for women age 45-54 considered unreliable.


Hospital discharges for coronary heart disease by sex by age and sex

(United States: 1970-2006).Source: NHDS/NCHS.

Note: Hospital discharges include people discharged alive, dead, and status unknown.


Trends in Carotid Endarterectomy Procedures by age and sex

(United States: 1979-2006).Source: NHDS/NCHS and NHLBI.


Prevalence of stroke by age and sex by age and sex (NHANES: 2003-2006). Source: NCHS and NHLBI.


Annual age-adjusted incidence of first-ever stroke, by race. Inpatient plus out-of-hospital ascertainment. (GCNKSS: 1993-94 and 1999).Source: Stroke 2005;36;720-23.


Annual rate of first cerebral infarction by age, sex and race

(GCNKSS: 1999).Source: Unpublished data GCNKSS. Note – rates for ages 45-54 for black males and females and for black males ages 75 and over, are considered unreliable. An estimated 15,000 people have first cerebral infarctions before age 45.


Annual rate of all first-ever strokes by age, sex and race race (GCNKSS: 1999). Source: GCNKSS unpublished data.Note: rates for ages 45-54 for black men and women and for black men 75 and over, are considered unreliable.


A race BCDE F

Systolic BP* 95-105 130-148 130-148 130-148 130-148 130-148

Diabetes No No Yes Yes Yes Yes

Cigarettes No No No Yes Yes Yes

Prior Atrial Fib. No No No No Yes Yes

Prior CVD No No No No No Yes

*Closest ranges for women are: 95-104 and 115-124.

Estimated 10-year stroke risk in 55-year-old adults according to levels of various risk factors(FHS).Source: Wolf et al., Stroke.1991;22:312-318.


Prevalence of high blood pressure in Adults age 20 and older, by age and sex(NHANES: 2003-2006).Source: NCHS and NHLBI.


Extent of awareness, treatment and control of high blood pressure by race/ethnicity (NHANES : 2003-2006).

Source: NCHS and NHLBI.


Age-adjusted prevalence trends for high blood pressure in Adults age 20 and older by race/ethnicity, sex and survey(NHANES: 1988-94, 1999-02 and 2003-06).Source: NCHS and NHLBI. NH- non-Hispanic.


Extent of Awareness, Treatment and Control of High Blood Pressure by Age(NHANES: 2003-2006).Source: NCHS and NHLBI.


Extent of Awareness, Treatment and Control of High Blood Pressure by Race/Ethnicity and Sex (NHANES: 1999-2006).Source: NCHS and NHLBI.


Prevalence of heart failure by age and sex Pressure by Race/Ethnicity and Sex (NHANES: 2003-2006).Source: NCHS and NHLBI.


Hospital discharges for heart failure by sex. Pressure by Race/Ethnicity and Sex

(United States: 1979-2006).Source: NHDS/NCHS and NHLBI.

Note: Hospital discharges include people discharged alive, dead and status unknown.


Incidence of Heart Failure* by age and sex. Pressure by Race/Ethnicity and Sex (FHS: 1980-2003). Source: NHLBI.

* HF based on physician review of medical records and strict diagnostic criteria.


Prevalence of students in grades 9-12 reporting current cigarette smoking by race/ethnicity and sex. (YRBS:2007). Source: MMWR. 2008;57:SS04. NH – non-Hispanic.


Prevalence of current smoking for Adults age 18 and older by race/ethnicity and sex (NHIS:2007).

Source: MMWR. 2008;57:1221-26. NH – non-Hispanic.


Trends in mean total serum cholesterol among adolescents ages 12-17 by race, sex, and survey(NHANES: 1976-80, 1988-94, 1999-02, 2003-04, and 2005-06).Source: NCHS and NHLBI.


Trends in mean total serum cholesterol among adults ages 12-17 by race, sex, and surveyage 20 and older, by race/ethnicity and survey(NHANES : 1988-94, 1999-02, 2003-04 and 2005-06). Source: NCHS and NHLBI. NH – non-Hispanic.


Trends in the prevalence of total serum cholesterol (200+mg/dL) in adults age 20 and older, by sex, race/ethnicity andsurvey.(NHANES: 2003-04 and 2005-06)Source: NCHS and NHLBI. NH – non-Hispanic. MA – Mexican Am.


Prevalence of students in grades 9-12 who met currently recommended levels of physical activity during the past 7 days by race/ ethnicity and sex (YRBS: 2007). Source: MMWR. 2008;57:No. SS-4. NH – non-Hispanic.

Note: “Currently recommended levels” is defined as activity that increased their heart rate and made them breathe hard some of the time for a total of at least 60 minutes/day on 5 or more of the 7 days preceding the survey.


Prevalence of regular leisure-time physical activity among adults age 18 and older by race/ethnicity, and sex. (BRFSS: 2001 and 2005). Source: MMWR, 2007;56:No. 46. NH – non-Hispanic.


Prevalence of students in grades 9-12 who did not meet currently recommended MVPA during the past 7 days by race/ethnicity, and sex. (YRBS: 2007). Source: MMWR 2008;57 (No.SS-4). NH – non-Hispanic.


Prevalence of children ages 6-19 who attained sufficient MVPA to meet public health recommendations of >60 minutes/day on >5 of 7 days by sex and age. (NHANES: 2003-04). Source: MSSE 2008;40:181-8.


Prevalence of overweight among students in grades 9-12 by race/ethnicity and sex(YRBS: 2007). Source: MMWR. 2008 57: No. SS-4. BMI 95th percentile or higher by age and sex of the CDC 2000 growth chart. NH – non-Hispanic.


Age-adjusted prevalence of obesity in Adults ages 20-74 by sex and survey. (NHES, 1960-62; NHANES, 1971-74, 1976-80, 1988-94 and 2003-2006).Source: Health, United States, 2008. NCHS.

Note: Obesity is defined as a BMI of 30.0 or higher.


Trends in prevalence of overweight among U.S. children and adolescents by age and survey.(NHANES, 1976-80, 1988-94 and 2003-2006).Source: Health, United States, 2008. NCHS.


Prevalence of physician-diagnosed diabetes in Adults age 20 and older by race/ethnicity and sex (NHANES: 2003-2006).Source: NCHS and NHLBI. NH – non-Hispanic.


Prevalence of Physician Diagnosed Type 2 diabetes in Adults and older by race/ethnicity and sex age 20+ by Race/Ethnicity, and Years of Education(NHANES: 2003-2006). Source: NCHS and NHLBI. NH – non-Hispanic.


Trends in diabetes prevalence in adults age 20+ by Sex and older by race/ethnicity and sex (NHANES: 1988-94 and 2003-2006).Undiagnosed03-06 for females considered unreliable.Source: NCHS and NHLBI. NH – non-Hispanic.


Diabetes Awareness, Treatment and Control and older by race/ethnicity and sex (NHANES: 2003-2006). Source: NHLBI.


1977 2007 and older by race/ethnicity and sex

Figure 16-3. Total U.S. Food Expenditures Away from Home and At Home, 1977 and 2007. Source: United States Department of Agriculture Economic Research Service


Figure 16-2. Per Capita Calories Consumed from Different Beverages by U.S. Adults (age 19 and older), 1965-2002.

Source: Nationwide Food Consumption Surveys (1965, 1977-78) and NHANES (1988-94, 1999-02); Duffey & Popkin, Obesity (Silver Spring) 2007


Men Women Beverages by U.S. Adults (age 19 and older), 1965-2002.

Figure 16-1. Age-Adjusted Trends in Macronutrients and Total Calories Consumed by U.S. Adults (20-74 years), 1971-2004.

Source: National Center for Health Statistics. Health, United States 2008, With Special Focus on Young Adults. NCHS; 2009


Trends in Heart Transplants Beverages by U.S. Adults (age 19 and older), 1965-2002.(UNOS: 1975-2008).

Source: United Network for Organ Sharing (UNOS), scientific registry data.


Trends in Cardiovascular Operations and Procedures Beverages by U.S. Adults (age 19 and older), 1965-2002.(United States: 1979-2006).Source: NCHS and NHLBI.

Note: In-hospital procedures only.


Number of Surgical Procedures in the 10 Leading Diagnostic Groups (United States: 2006).Source: NHDS/NCHS and NHLBI.


Cardiovascular 390-459 Groups

324.1

225.2

Digestive System 520-579

Mental 290-319

177.7

175.4

Nervous System 320-389

Injury and Poisoning 800-999

172.9

159.1

Respiratory System 460-519

Musculoskeletal system 710-739

126.1

102.7

Neoplasms 140-239

Genitourinary System 580-629

93.8

87.4

Endocrine System 240-279

0.0

50.0

100.0

150.0

200.0

250.0

300.0

350.0

Direct Costs of the 10 Leading Diagnostic Groups (Billions of dollars) (United States: 2010).Source: NHLBI.


Estimated direct and indirect costs (in billions of dollars) of major cardiovascular diseases and stroke (United States: 2010).Source: NHLBI.


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