Morbidity & Mortality: 2012 Chart Book on Cardiovascular, Lung, and Blood Diseases

1. Morbidity & Mortality: 2012 Chart Book on Cardiovascular, Lung, and Blood Diseases National Heart, Lung, and Blood Institute February, 2012

2. Chapter 3 – Cardiovascular Diseases • The term cardiovascular diseases is used here to mean: • Diseases and congenital malformations of the circulatory system as coded in the ICD. • Coronary heart disease • Heart failure • Cardiomyopathy • Atrial fibrillation • Cerebrovascular disease (stroke) • Hypertensive disease • Peripheral artery disease • Congenital malformations of the circulatory system

3. Chart 3–1 Deaths From Cardiovascular Diseases, Percent by Subgroup, U.S., 2008 Heart Failure (Underlying)* 7.0% Diseases of Arteries 3.4% Hypertensive Diseases 7.5% Coronary Heart Disease 49.9% Other Cardiovascular Diseases 15.6% Stroke 16.5% * Heart failure as an underlying cause or otherwise mentioned on the death certificate accounted for 35% (281,437) of total CVD deaths. Total deaths = 811,940 (100%), including 3,415 due to congenital CVD defects. Compiled from Vital Statistics of the United States, NCHS.

4. Chart 3–2 Deaths From Heart Disease, Percent by Subgroup, U.S., 2008 Cardiomyopathy 1.0% Other 3.9% Rhythmic 5.7% Heart Failure (Underlying)* 6.9% Rheumatic/Congenital 8.0% Other Coronary Heart Disease 43.8% Hypertensive 9.2% Acute Myocardial Infarction 21.6% * Heart failure as an underlying cause or otherwise mentioned on the death certificate accounted for 45% (281,437) of total heart disease deaths. Total deaths = 619,574 (100%), including 2,746 due to congenital CVD defects. Compiled from Vital Statistics of the United States, NCHS.

5. Chart 3–3 Deaths From Stroke, Percent by Subgroup, U.S., 2008 Subarachnoid Hemorrhage 4.1% Cerebral Infarction 4.9% Other Cerebrovascular 17.6% Unspecified 52.7% Other Hemorrhage 20.7% Total Deaths = 134,148 (100%) * Compiled from Vital Statistics of the United States, NCHS.

6. Chart 3–5 Change in Age-Adjusted Death Rates* for CV and Non-CV Diseases, U.S., 1950–2008 Percent Change ICD-6 ICD-7 ICD-8 ICD-9 ICD-10 Year * The comparability ratio 1.0502 was applied to death rates reported for 1979–1998.  CV: Cardiovascular.

7. Chart 3–9 Deaths & Age-Adjusted Death Rates for Cardiovascular Diseases, U.S., 1979–2008 Deaths in Thousands (Bar) Deaths/100,000 Population (Line) Year

8. Chart 3–10 Percent of All Deaths Due to Cardiovascular Diseases* by Age, U.S., 2008 Percent of All Deaths Age (Years) * Includes congenital malformations of the circulatory system.

9. Chart 3–11 Death Rates* for Cardiovascular Diseases by State, U.S., 2005–2007 Deaths/100,000 Population * Age-adjusted. Excludes congenital malformations of the circulatory system.

10. Chart 3–12 Percent Decline in CVD* Death Rates by State, U.S.,1996-1998, 2005-2007 Percent Decline * CVD: Cardiovascular diseases. Excludes congenital malformations of circulatory system.  Age-adjusted.

11. Chart 3–13 Age-Adjusted Death Rates for Heart Disease by Race/Ethnicity & Sex, U.S., 2008 Deaths/100,000 Population * Non-Hispanic.

12. Chart 3–14 Death Rates for Heart Disease in Males by Age & Race/Ethnicity, U.S., 2008 Deaths/100,000 Population Age (Years) * Non-Hispanic.

13. Chart 3–15 Death Rates for Heart Disease in Females by Age & Race/Ethnicity, U.S., 2008 Deaths/100,000 Population Age (Years) * Non-Hispanic.

14. Chart 3–16 Prevalence* of Acute MI by Race & Sex, Ages 25–74, U.S.,1971–1975 to 2005–2008 Percent of Population * Age-adjusted. MI: Myocardial infarction.

15. Chart 3–17 Prevalence of Acute Myocardial Infarction by Age & Sex, U.S., 1999–2008 Percent of Population Age (Years)

16. Chart 3–18 Prevalence of Acute Myocardial Infarction by Age & Race, U.S., 1999–2008 Percent of Population Age (Years)

17. Chart 3–19 Prevalence of Angina Pectoris by Age & Sex, U.S., 2001–2008 Percent of Population Age (Years)

18. Chart 3–20 Prevalence of Angina Pectoris by Age & Race, U.S., 2001–2008 Percent of Population Age (Years)

19. Chart 3–21 Emergency Department Visit Rates for CHD* by Sex, U.S., 1997–1999 to 2006–2008 Visits/10,000 Population Years * CHD: Coronary heart disease.

20. Chart 3–22 Hospitalization Rates for Acute MI*, Ages 45–64 & ≥ 65, U.S., 1965–2009 Hospitalizations/10,000 Population Ages (Years): Year * MI: Myocardial infarction. Break represents change in National Hospital Discharge Survey design in 1988.

21. Chart 3–23 Hospital Case-Fatality Rates for Acute MI*, Ages < 65 & ≥ 65, U.S., 1970–2009 Percent Discharged Dead Year * MI: Myocardial infarction. Break represents change in National Hospital Discharge Survey design in 1988.

22. Chart 3–24 Age-Adjusted Death Rates for CHD*, Actual & Expected, U.S., 1950–2008 Deaths/100,000 Population Year * CHD: Coronary heart disease.

23. Chart 3–25 Age-Adjusted Death Rates for CHD by Race/Ethnicity & Sex, U.S., 1999–2008 Deaths/100,000 Population -*White -*Black -Hispanic -American Indian -Asian Male Female Year  CHD: Coronary heart disease. * Non-Hispanic.

24. Chart 3–26 Age-Adjusted Death Rates for CHD by Race & Sex, U.S., 1950–2008 Deaths/100,000 Population ICD-6 ICD-7 ICD-8 ICD-9 ICD-10 Year  CHD: Coronary heart disease. * Nonwhite from 1950 to 1967.

25. Chart 3–27 Deaths & Age-Adjusted Death Rates for Coronary Heart Disease, U.S., 1980–2008 Deaths in Thousands (Bar) Deaths/100,000 Population (Line) Year

26. Chart 3–29 Percent Decline Annually in CHD Death Rates by Age, Race, Sex, US., 1998-2008 Black Male White Male Age (Years) Black Female White Female CHD: Coronary heart disease.

27. Chart 3-30 Age-Adjusted Death Rates for CHD by Race/Ethnicity & Sex, U.S., 2008 Deaths/100,000 Population  CHD: Coronary heart disease. * Non-Hispanic.

28. Chart 3–31 Death Rates for CHDin Males by Age & Race/Ethnicity, U.S., 2008 Deaths/100,000 Population Age (Years)  CHD: Coronary heart disease. * Non-Hispanic.

29. Chart 3–32 Death Rates for CHD in Females by Age & Race/Ethnicity, U.S., 2008 Deaths/100,000 Population Age (Years)  CHD: Coronary heart disease. * Non-Hispanic.

30. Chart 3–33 Age-Adjusted Death Rates for CHD* by State, U.S., 2005–2007 Deaths/100,000 Population * CHD: Coronary heart disease.

31. Chart 3–34 Age-Adjusted Death Rates* for CHD by Country & Sex, Ages 35–74, 2006–2009 * Age-adjusted to European standard. Data for years indicated in parentheses.  CHD: Coronary heart disease.

32. Chart 3–35 Change in Death Rates* for CHD in Males by Country, Ages 35–74, 1999–2009 * Age-adjusted to European standard. Data for years indicated in parentheses.  CHD: Coronary heart disease. Based on log-linear regression of actual rates.

33. Chart 3–36 Change in Death Rates* for CHD in Females by Country, Ages 35–74, 1999–2009 * Age-adjusted to European standard. Data for years indicated in parentheses.  CHD: Coronary heart disease. Based on log-linear regression of actual rates.

34. Chart 3–37 Prevalence* of HF by Race & Sex, Ages 25–74, U.S.,1988–1994 to 2005–2008 Percent of Population * Age-adjusted. HF: Heart failure.

35. Chart 3–38 Hospitalization Rates for HF*, Ages 45–64 & ≥ 65, U.S., 1971–2009 Hospitalizations/10,000 Population Year * HF: Heart failure. Break represents change in National Hospital Discharge Survey design in 1988.

36. Chart 3–39 Hospital Case-Fatality Rates for HF*, Ages 45–64 & ≥ 65, U.S., 1980–2009 Percent Discharged Dead Year * HF: Heart failure. Break represents change in National Hospital Discharge Survey design in 1988.

37. Chart 3–40 Death Rates* for HF as the Underlying Cause by Race & Sex, U.S., 1981–2008 Deaths/100,000 Population ICD-9 ICD-10 * Age-adjusted. HF: Heart failure. Break represents revisions to US death certificate in 1989. Year

38. Chart 3–41 Age-Adjusted Death Rates for Any-Mention HF* by Race & Sex, U.S., 1981–2008 Deaths/100,000 Population ICD-9 ICD-10 Year * HF: Heart failure. Break represents revisions to US death certificate in 1989.

39. Chart 3–42 Death Ratesfor HFas the Underlying Cause by Race/Ethnicity & Sex, U.S., 2008 Deaths/100,000 Population Age-adjusted. HF: Heart failure. * Non-Hispanic.

40. Chart 3–43 Death Ratesfor Any Mention of HF by Race/Ethnicity & Sex, U.S., 2008 Deaths/100,000 Population Age-adjusted. HF: Heart failure. * Non-Hispanic.

41. Chart 3–44 Death Rates for HF* as the Underlying Cause by Age, Race, & Sex. U.S., 2008 Deaths/100,000 Population Age (Years) * HF: Heart failure.

42. Chart 3–45 Death Rates for Any Mention of HF* by Age, Race, & Sex, U.S., 2008 Deaths/100,000 Population Age (Years) * HF: Heart failure.

43. Chart 3–46 Age-Adjusted Death Rates for Cardiomyopathy by Race & Sex, U.S., 2008 Deaths/100,000 Population

44. Chart 3–47 Death Rates for Cardiomyopathy by Age, Race, & Sex, U.S., 2008 Deaths/100,000 Population Age (Years)

45. Chart 3–48 Hospitalizations for AF* by Primary & Secondary Diagnosis, U.S., 1982–2009 Hospitalizations (Thousands) Year * AF: Atrial fibrillation. Break represents change in National Hospital Discharge Survey design in 1988.

46. Chart 3–49 Hospitalization Rates for Atrial Fibrillation by Age, U.S., 1982–2009 Hospitalizations/10,000 Population Year * Break represents change in National Hospital Discharge Survey design in 1988.

47. Chart 3–50 Prevalence of Stroke by Race & Sex, Ages 25–74, U.S., 1971–1975 to 2005–2008 Percent of Population * Age-adjusted.

48. Chart 3–51 Prevalence of Stroke by Age & Sex, U.S., 1999–2008 Percent of Population Age (Years)

49. Chart 3–52 Prevalence of Stroke by Age & Race, U.S., 1999–2008 Percent of Population Age (Years)

50. Chart 3–53 ER* Visit Rates for Stroke by Age, U.S., 1997–1999 to 2006–2008 Visits/10,000 Population Years * ER: Emergency Department.