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The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Cardiovascular Disease Figures.

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Presentation on theme: "The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Cardiovascular Disease Figures."— Presentation transcript:

1 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Cardiovascular Disease Figures

2 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 1.1. CVD and Leading Causes of Death, N.C., 2010 Total Cardiovascular Diseases: 23,232 deaths, 29.6% of all deaths* *Unintentional injuries other than motor-vehicles injuries. Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99, Q20-Q28. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Leading Causes of Death in North Carolina, SCHS Online Database,

3 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 1.2. Major Cardiovascular Disease Death Rates, Major Cardiovascular Disease: : ICD-10 codes I00-I78; : ICD-9 codes , multiplied by comparability ratio of Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, and CDC WONDER Online Database,

4 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 1.3. Cardiovascular Disease Death Rates by Age and Gender, N.C., 2008 Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99; Q20-Q28. Rates per 100,000 population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, CDC WONDER Online Database,

5 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 1.4. Major Cardiovascular Disease Death Rates by Gender, N.C., Major Cardiovascular Disease: : ICD-10 codes I00-I78; : ICD-9 codes , multiplied by comparability ratio of Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, and CDC WONDER Online Database,

6 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 1.5. Major Cardiovascular Disease Death Rates by Race, N.C., Major Cardiovascular Disease: : ICD-10 codes I00-I78; : ICD-9 codes , multiplied by comparability ratio of Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, and CDC WONDER Online Database,

7 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 1.6. Major Cardiovascular Disease Death Rates by Race and Gender, N.C., Major Cardiovascular Disease: : ICD-10 codes I00-I78; : ICD-9 codes , multiplied by comparability ratio of Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, and CDC WONDER Online Database,

8 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 1.7. Percentage of Total CVD Deaths by Age Group, Race, and Gender, N.C., Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99, Q20-Q28. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, CDC WONDER Online Database,

9 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 1.8. Cardiovascular Disease Death Rates by County of Residence, N.C., Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99; Q20-Q28. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, CDC WONDER Online Database, N.C. overall: U.S.: Death Rate

10 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 1.9. Number and Percentage of Total CVD Hospital Discharges by Type of CVD, N.C., 2010 All Cardiovascular Diseases: 162,329 ICD-9-CM codes: Cardiovascular Disease, excluding congenital malformations ; Heart Disease , , 402, 404, , ; Coronary Heart Disease ; Congestive Heart Failure 428.0; Stroke Principal diagnosis only; N.C. residents only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012.

11 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure CVD Hospital Discharge Rates, N.C., Total Cardiovascular Disease, excluding congenital malformations: ICD-9-CM codes ; Principal diagnosis only. Discharge rates per 100,000 population, age-adjusted to the U.S standard population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012.

12 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure CVD Hospital Discharge Rates by Age and Gender, N.C., 2010 Total Cardiovascular Disease, excluding congenital malformations: ICD-9-CM codes ; Principal diagnosis only. Discharge rates per 100,000 population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/29/2012.

13 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Percentage of CVD Hospitalizations by Age Group, N.C., 2010 Total Cardiovascular Disease, excluding congenital malformations: ICD-9-CM codes ; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Provisional Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012.

14 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Cardiovascular Disease Hospital Discharge Rates by County of Residence, N.C., Total Cardiovascular Disease, excluding congenital malformations: ICD-9-CM codes: ; Principal diagnosis only; N.C. residents only. Discharge rates per 100,000 population age-adjusted to the U.S standard population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012. N.C. overall: Hospital Discharge Rate

15 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Estimated Direct and Indirect Costs of CVD, United States, 2008 Total: $297.7 billion Data Source: Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, Bravata DM, Dai S, Ford ES, Fox CS, Fullerton HJ, Gillespie C, Hailpern SM, Heit JA, Howard VJ, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Makuc DM, Marcus GM, Marelli A, Matchar DB, Moy CS, Mozaffarian D, Mussolino ME, Nichol G, Paynter NP, Soliman EZ, Sorlie PD, Sotoodehnia N, Turan TN, Virani SS, Wong ND, Woo D, Turner MB; on behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics—2012 update: a report from the American Heart Association. Circulation. 2012;125:e2–e220.

16 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Cardiovascular Disease Hospital Charges, N.C., Total Cardiovascular Disease, excluding congenital malformations: ICD-9-CM codes ; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years , U.S. city average, not seasonally adjusted.

17 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Cardiovascular Disease: Average Hospital Charges per Stay, N.C., Total Cardiovascular Disease, excluding congenital malformations: ICD-9-CM codes ; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years , U.S. city average, not seasonally adjusted.

18 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Stroke Figures

19 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 2.1. Stroke and Leading Causes of Death, N.C., 2010 *Unintentional injuries other than motor-vehicles injuries. Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99, Q20-Q28. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Leading Causes of Death in North Carolina, SCHS Online Database,

20 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Healthy People 2020 Objective Stroke: ICD-10 codes I60-I69. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Healthy People 2020, Online Database, and Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, CDC WONDER Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 8/28/ Figure 2.2. Stroke Death Rates & Healthy People 2020 Target, 2009

21 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 2.3. Stroke Death Rates, Stroke: : ICD-10 codes I60-I69; : ICD-9 codes , multiplied by comparability ratio of Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, and CDC WONDER Online Database,

22 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 2.4. Stroke Disease Deaths Rates by Age and Gender, N.C., 2008 Stroke: ICD-10 codes I60-I69. Rates per 100,000 population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, CDC WONDER Online Database,

23 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 2.5. Stroke Death Rates by Gender, N.C., Stroke: : ICD-10 codes I60-I69; : ICD-9 codes , multiplied by comparability ratio of Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, and CDC WONDER Online Database,

24 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 2.6. Stroke Death Rates by Race and Ethnicity & Healthy People 2020 Target, N.C., 2008 Healthy People 2020 Objective Stroke: ICD-10 codes I60-I69. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Healthy People 2020, Online Database, and Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, CDC WONDER Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 8/28/

25 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Stroke: : ICD-10 codes I60-I69; : ICD-9 codes , multiplied by comparability ratio of Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, and CDC WONDER Online Database, Figure 2.7. Stroke Death Rates by Race, N.C.,

26 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Stroke: : ICD-10 codes I60-I69; : ICD-9 codes , multiplied by comparability ratio of Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, and CDC WONDER Online Database, Figure 2.8. Stroke Death Rates by Race and Gender, N.C.,

27 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 2.9. Percentage of Total Stroke Deaths by Age Group, Race, and Gender, N.C., Stroke: : ICD-10 codes I60-I69. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, CDC WONDER Online Database,

28 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Stroke Death Rates by County of Residence, N.C., Stroke: ICD-10 codes I60-I69. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. N.C. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Volume 2: Leading Causes of Death in North Carolina 2010, U.S. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, CDC WONDER Online Database, N.C. overall: 47.8 U.S. ( ): 44.5 Death Rate Unreliable Rate (<50 Deaths) Unreliable Rate (<20 Deaths)

29 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Number and Percentage of Total CVD Hospital Discharges that were Due to Stroke, N.C., 2010 ICD-9-CM codes: Cardiovascular Disease, excluding congenital malformations ; Heart Disease , , 402, 404, , ; Coronary Heart Disease ; Congestive Heart Failure 428.0; Stroke Principal diagnosis only; N.C. residents only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012.

30 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Stroke Hospital Discharge Rates, N.C., Stroke: ICD-9-CM Codes ; Principal diagnosis only. Discharge rates per 100,000 population, age-adjusted to the U.S standard population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012.

31 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Stroke Hospital Discharge Rates by Age and Gender, N.C., 2010 Stroke: ICD-9-CM codes ; Principal diagnosis only. Discharge rates per 100,000 population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/29/2012.

32 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Percentage of Stroke Hospitalizations by Age Group, N.C., 2010 Stroke: ICD-9-CM codes ; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/29/2012.

33 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Stroke History and Knowledge among N.C. Adults by Age Group, 2009 Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. *Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.

34 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Stroke History and Knowledge among N.C. Adults by Race, 2009 Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. *Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.

35 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Stroke History and Knowledge among N.C. Adults by Education, 2009 Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. *Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.

36 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Stroke History and Knowledge among N.C. Adults by Household Income, 2009 Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. *Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.

37 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Stroke Hospital Discharge Rates by County of Residence, N.C., Stroke: ICD-9-CM codes ; Principal diagnosis only; N.C. residents only. Discharge rates per 100,000 population age-adjusted to the U.S standard population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012. N.C. overall: Hospital Discharge Rate

38 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Estimated Direct and Indirect Costs of CVD and Stroke, United States, 2008 Total: $297.7 billion Total: $34.3 billion Data Source: Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, Bravata DM, Dai S, Ford ES, Fox CS, Fullerton HJ, Gillespie C, Hailpern SM, Heit JA, Howard VJ, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Makuc DM, Marcus GM, Marelli A, Matchar DB, Moy CS, Mozaffarian D, Mussolino ME, Nichol G, Paynter NP, Soliman EZ, Sorlie PD, Sotoodehnia N, Turan TN, Virani SS, Wong ND, Woo D, Turner MB; on behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics—2012 update: a report from the American Heart Association. Circulation. 2012;125:e2–e220.

39 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Stroke Hospital Charges, N.C., Stroke: ICD-9-CM codes ; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years , U.S. city average, not seasonally adjusted.

40 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Stroke Average Hospital Charges per Stay, N.C., Stroke: ICD-9-CM codes ; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years , U.S. city average, not seasonally adjusted.

41 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Annual Medicaid Costs due to Stroke and Other CVD, N.C., 2011 Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Annual Medicaid Cost due to CVD, Produced by: State Center for Health Statistics, 09/19/2012.

42 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Stroke Awareness, N.C. Adults, Adults = ages 18+ years. Data not available in 2002, 2004, 2006, Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. *Knew All Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.

43 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Knowledge of Each Stroke Symptom, N.C. Adults, Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Data not available in 2002, 2004, 2006, 2008.

44 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Stroke Awareness by Hypertension Status, N.C. Adults, 2007 Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Analysis conducted by: Heart Disease and Stroke Prevention Branch, 2010.

45 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Knowledge of Each Stroke Symptom by Hypertension Status, N.C. Adults, 2007 Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Analysis conducted by: Heart Disease and Stroke Prevention Branch, 2010.

46 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Stroke Awareness by Stroke History Status, N.C. Adults, 2007 Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Analysis conducted by: Heart Disease and Stroke Prevention Branch, 2010.

47 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Knowledge of Each Stroke Symptom by Stroke History Status, N.C. Adults, 2007 Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Analysis conducted by: Heart Disease and Stroke Prevention Branch, 2010.

48 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Heart Disease Figures

49 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force *Unintentional injuries other than motor-vehicles injuries. Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99, Q20-Q28. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Leading Causes of Death in North Carolina, SCHS Online Database, Figure 3.1. Heart Disease and Leading Causes of Death, N.C., 2010

50 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 3.2. Heart Disease Death Rates, Heart Disease: : ICD-10 codes I00-I09, I11, I13, I20-I51; : ICD-9 codes , 402, 404, multiplied by comparability ratio of Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, and CDC WONDER Online Database,

51 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 3.3. Heart Disease Death Rates by Age and Gender, N.C., 2008 Heart Disease: ICD-10 codes I00-I09, I11, I13, I20-I51. Rates per 100,000 population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, CDC WONDER Online Database,

52 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 3.4. Heart Disease Death Rates by Gender, N.C., Heart Disease: : ICD-10 codes I00-I09, I11, I13, I20-I51; : ICD-9 codes , 402, 404, multiplied by comparability ratio of Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, and CDC WONDER Online Database,

53 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 3.5. Heart Disease Death Rates by Race, N.C., Heart Disease: : ICD-10 codes I00-I09, I11, I13, I20-I51; : ICD-9 codes , 402, 404, multiplied by comparability ratio of Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, and CDC WONDER Online Database,

54 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 3.6. Heart Disease Death Rates by Race and Gender, N.C., Heart Disease: : ICD-10 codes I00-I09, I11, I13, I20-I51; : ICD-9 codes , 402, 404, multiplied by comparability ratio of Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, and CDC WONDER Online Database,

55 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 3.7. Percentage of Total Heart Disease Deaths by Age Group, Race, and Gender, N.C., Heart Disease: : ICD-10 codes I00-I09, I11, I13, I20-I51. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, CDC WONDER Online Database,

56 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 3.8. Heart Disease Death Rates by County of Residence, N.C., Heart Disease: ICD-10 codes I00-I09, I11, I13, I20-I51. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. N.C. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Volume 2: Leading Causes of Death in North Carolina 2010, U.S. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, CDC WONDER Online Database, N.C. overall: U.S. ( ): Death Rate

57 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 3.9. Number and Percentage of Total CVD Hospital Discharges that were Due to Heart Disease, N.C., 2010 All Heart Diseases: 108,013, 66.5% of CVD Hospitalizations* ICD-9-CM codes: Cardiovascular Disease, excluding congenital malformations ; Heart Disease , , 402, 404, , ; Coronary Heart Disease ; Congestive Heart Failure 428.0; Stroke Principal diagnosis only; N.C. residents only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012.

58 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Heart Disease Hospital Discharge Rates, N.C., Heart Disease: ICD-9-CM Codes , , 402, 404, , ; Principal diagnosis only. Discharge rates per 100,000 population, age-adjusted to the U.S standard population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012.

59 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Heart Disease Hospital Discharge Rates by Age and Gender, N.C., 2010 Heart Disease: ICD-9-CM codes , , 402, 404, , ; Principal diagnosis only. Discharge rates per 100,000 population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/29/2012.

60 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Percentage of Heart Disease Hospitalizations by Age Group, N.C., 2010 Heart Disease: ICD-9-CM codes , , 402, 404, , ; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/29/2012.

61 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Heart Disease Hospital Discharge Rates by County of Residence, N.C., Heart Disease: ICD-9-CM codes: , , 402, 404, , ; Principal diagnosis only; N.C. residents only. Discharge rates per 100,000 population age-adjusted to the U.S standard population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012. N.C. overall: Hospital Discharge Rate

62 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Estimated Direct and Indirect Costs of CVD and Heart Disease, United States, 2008 Data Source: Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, Bravata DM, Dai S, Ford ES, Fox CS, Fullerton HJ, Gillespie C, Hailpern SM, Heit JA, Howard VJ, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Makuc DM, Marcus GM, Marelli A, Matchar DB, Moy CS, Mozaffarian D, Mussolino ME, Nichol G, Paynter NP, Soliman EZ, Sorlie PD, Sotoodehnia N, Turan TN, Virani SS, Wong ND, Woo D, Turner MB; on behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics—2012 update: a report from the American Heart Association. Circulation. 2012; 125:e2–e220.

63 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Heart Disease Hospital Charges, N.C., Heart Disease: ICD-9-CM codes , , 402, 404, , ; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years , U.S. city average, not seasonally adjusted.

64 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Heart Disease: Average Hospital Charges per Stay, N.C., Heart Disease: ICD-9-CM codes , , 402, 404, , ; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years , U.S. city average, not seasonally adjusted.

65 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Annual Medicaid Costs due to Heart Disease and Other CVD, N.C., 2011 Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Annual Medicaid Cost due to CVD, Produced by: State Center for Health Statistics, 09/19/2012.

66 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Coronary Heart Disease Figures

67 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 4.1. Coronary Heart Disease, CVD, and Leading Causes of Death, N.C., 2010 *Unintentional injuries other than motor-vehicles injuries. Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99, Q20-Q28. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Leading Causes of Death in North Carolina, SCHS Online Database,

68 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 4.2. Coronary Heart Disease Death Rates, Coronary Heart Disease: : ICD-10 codes I20-I25; : ICD-9 codes , multiplied by comparability ratio of Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, and CDC WONDER Online Database,

69 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 4.3. Coronary Heart Disease Death Rates & Healthy People 2020 Target, 2008 Healthy People 2010 Objective Coronary Heart Disease: ICD-10 codes I11, I20-I25. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Healthy People 2020, Online Database, and Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, CDC WONDER Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 8/28/

70 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 4.4. Coronary Heart Disease Death Rates by Age and Gender, N.C., 2008 Coronary Heart Disease: ICD-10 codes I20-I25. Rates per 100,000 population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, CDC WONDER Online Database,

71 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 4.5. Coronary Heart Disease Death Rates by Gender, N.C., Coronary Heart Disease: : ICD-10 codes I20-I25; : ICD-9 codes , multiplied by comparability ratio of Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, and CDC WONDER Online Database,

72 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 4.6. Death Rates by Race and Ethnicity & Healthy People 2020 Target, N.C., 2008 Healthy People 2020 Objective Coronary Heart Disease: ICD-10 codes I11, I20-I25. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Healthy People 2020, Online Database, and Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, CDC WONDER Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 8/28/

73 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 4.7. Coronary Heart Disease Death Rates by Race, N.C., Coronary Heart Disease: : ICD-10 codes I20-I25; : ICD-9 codes , multiplied by comparability ratio of Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, and CDC WONDER Online Database,

74 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 4.8. Coronary Heart Disease Death Rates by Race and Gender, N.C., Coronary Heart Disease: : ICD-10 codes I20-I25; : ICD-9 codes , multiplied by comparability ratio of Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, and CDC WONDER Online Database,

75 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 4.9. Percentage of Total Coronary Heart Disease Deaths by Age Group, Race, and Gender, N.C., Coronary Heart Disease: ICD-10 codes I20-I25. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, CDC WONDER Online Database,

76 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Coronary Heart Disease Death Rates by County of Residence, N.C., Coronary Heart Disease: ICD-10 codes I20-I25. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, CDC WONDER Online Database, N.C. overall: U.S.: Death Rate

77 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Number and Percentage of Total CVD Hospital Discharges that were Due to Coronary Heart Disease, N.C., 2010 ICD-9-CM codes: Cardiovascular Disease, excluding congenital malformations ; Heart Disease , , 402, 404, , ; Coronary Heart Disease ; Congestive Heart Failure 428.0; Stroke Principal diagnosis only; N.C. residents only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012.

78 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Coronary Heart Disease Hospital Discharge Rates, N.C., Coronary Heart Disease: ICD-9-CM codes ; Principal diagnosis only. Discharge rates per 100,000 population, age-adjusted to the U.S standard population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012.

79 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Coronary Heart Disease Hospital Discharge Rates by Age and Gender, N.C., 2010 Coronary Heart Disease: ICD-9-CM codes ; Principal diagnosis only. Discharge rates per 100,000 population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012.

80 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Percentage of Coronary Heart Disease Hospitalizations by Age Group, N.C., 2010 Coronary Heart Disease: ICD-9-CM codes ; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/29/2012.

81 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Coronary Heart Disease History and Knowledge among N.C. Adults by Age Group, 2009 Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. *Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.

82 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Coronary Heart Disease History and Knowledge among N.C. Adults by Race, 2009 Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. *Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.

83 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Coronary Heart Disease History and Knowledge among N.C. Adults by Education, 2009 Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. *Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.

84 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Coronary Heart Disease History and Knowledge among N.C. Adults by Household Income, 2009 Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. *Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.

85 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Coronary Heart Disease Hospital Discharge Rates by County of Residence, N.C., Coronary Heart Disease: ICD-9-CM codes: ; Principal diagnosis only; N.C. residents only. Discharge rates per 100,000 population age-adjusted to the U.S standard population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012. N.C. overall: Hospital Discharge Rate

86 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Coronary Heart Disease Hospital Charges, N.C., Coronary Heart Disease: ICD-9-CM codes ; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years , U.S. city average, not seasonally adjusted.

87 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Coronary Heart Disease: ICD-9-CM codes ; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years , U.S. city average, not seasonally adjusted. Figure Coronary Heart Disease: Average Hospital Charges per Stay, N.C.,

88 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Heart Attack Awareness, N.C. Adults, Adults = ages 18+ years. Data not available in 2002, 2004, 2006, Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. *Knew All Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.

89 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Knowledge of Each Heart Attack Symptom, N.C. Adults, Adults = ages 18+ years. Data not available in 2002, 2004, 2006, Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.

90 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Heart Attack Awareness by Coronary Heart Disease History, N.C. Adults, 2007 Adults = ages 18+ years. CHD= Coronary Heart Disease. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Analyzed by the Heart Disease and Stroke Prevention Branch, 2010.

91 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Adults = ages 18+ years. CHD= Coronary Heart Disease. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Analyzed by the Heart Disease and Stroke Prevention Branch, Figure Knowledge of Each Heart Attack Symptom by Coronary Heart Disease History, N.C. Adults, 2007

92 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Heart Failure Figures

93 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 5.1. Heart Failure, CVD, and Leading Causes of Death, N.C., 2010 *Unintentional injuries other than motor-vehicles injuries. Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99, Q20-Q28. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Leading Causes of Death in North Carolina, SCHS Online Database,

94 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 5.2. Heart Failure Death Rates, Heart Failure: : ICD-10 codes I50; : ICD-9 codes 428 multiplied by comparability ratio of Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, and CDC WONDER Online Database,

95 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 5.3. Heart Failure Death Rates by Age and Gender, N.C., 2008 Heart Failure: ICD-10 codes I50. Rates per 100,000 population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, CDC WONDER Online Database,

96 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 5.4. Smoothed* Heart Failure Death Rates by Gender, N.C., * 3-year moving averages (i.e., smoothed rate shown for 1999 is an average of the 1998, 1999, and 2000 rates). Heart Failure: : ICD-10 codes I50; : ICD-9 codes 428 multiplied by comparability ratio of Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, and CDC WONDER Online Database,

97 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 5.5. Smoothed* Heart Failure Death Rates by Race, N.C., * 3-year moving averages (i.e., smoothed rate shown for 1999 is an average of the 1998, 1999, and 2000 rates). Heart Failure: : ICD-10 codes I50; : ICD-9 codes 428 multiplied by comparability ratio of Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, and CDC WONDER Online Database,

98 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force * 3-year moving averages (i.e., smoothed rate shown for 1999 is an average of the 1998, 1999, and 2000 rates). Heart Failure: : ICD-10 codes I50; : ICD-9 codes 428 multiplied by comparability ratio of Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, and CDC WONDER Online Database, Figure 5.6. Smoothed* Heart Failure Death Rates by Race and Gender, N.C.,

99 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 5.7. Percentage of Total Heart Failure Deaths by Age Group, Race, and Gender, N.C., Heart Failure: ICD-10 codes I50. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, CDC WONDER Online Database,

100 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 5.8. Heart Failure Death Rates by County of Residence, N.C., Heart Failure: ICD-10 codes I50. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population. * Rates based on fewer than 20 deaths may be unreliable, should be interpreted with caution, and are not mapped. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, CDC WONDER Online Database, N.C. Overall: 18.5 U.S.: 18.3 Death Rate <20 deaths*

101 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 5.9. Number and Percentage of Total CVD Hospital Discharges that were Due to Congestive Heart Failure, N.C., 2010 ICD-9-CM codes: Cardiovascular Disease, excluding congenital malformations ; Heart Disease , , 402, 404, , ; Coronary Heart Disease ; Congestive Heart Failure 428.0; Stroke Principal diagnosis only; N.C. residents only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012.

102 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Congestive Heart Failure Hospitalization Rates & Healthy People 2010 Targets Healthy People 2010 Objective Congestive Heart Failure: ICD-9-CM codes 428.0; Principal diagnosis. Age-specific rates per 1,000 population. Data Source: Healthy People 2020, Online Database, and North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012.

103 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Congestive Heart Failure Hospital Discharge Rates, N.C., Congestive Heart Failure: ICD-9-CM codes 428.0; Principal diagnosis only. Discharge rates per 100,000 population, age-adjusted to the U.S standard population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012.

104 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Congestive Heart Failure Hospital Discharge Rates by Age and Gender, N.C., 2010 Congestive Heart Failure: ICD-9-CM codes 428.0; Principal diagnosis only. Discharge rates per 100,000 population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012.

105 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Percentage of Congestive Heart Failure Hospitalizations by Age Group, N.C., 2010 Congestive Heart Failure: ICD-9-CM codes 428.0; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012.

106 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Congestive Heart Failure Hospital Discharge Rates by County of Residence, N.C., Congestive Heart Failure: ICD-9-CM codes: 428.0; Principal diagnosis only; N.C. residents only. Discharge rates per 100,000 population age-adjusted to the U.S standard population. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012. N.C. overall: Hospital Discharge Rate

107 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Congestive Heart Failure Hospital Charges, N.C., Congestive Heart Failure: ICD-9-CM codes 428.0; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years , U.S. city average, not seasonally adjusted.

108 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Congestive Heart Failure: Average Hospital Charges per Stay, N.C., Congestive Heart Failure: ICD-9-CM Codes 428.0; Principal diagnosis only. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years , U.S. city average, not seasonally adjusted.

109 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Annual Medicaid Costs due to Congestive Heart Failure and Other CVD, N.C., 2011 Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Annual Medicaid Cost due to CVD, Produced by: State Center for Health Statistics, 09/19/2012.

110 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force High Blood Pressure Figures

111 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 6.1. Blood Pressure Checked within Past 2 Years, Adults = ages 18+ years. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. US Data Source: National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention. Data not available for N.C. in 1994, 1996, 1998, 2000, , ; data not available for U.S. in 1991, 1992, 1994, 1996, 1998,

112 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 6.2. Blood Pressure-related Measures among N.C. Adults by Age Group, 2009 Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.

113 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 6.3. Blood Pressure Checked within Past 2 Years, by Gender, N.C., Adults = ages 18+ years. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Data not available for N.C. in 1994, 1996, 1998, 2000, ,

114 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 6.4. Blood Pressure-related Measures among N.C. Adults by Race and Gender, 2009 * Among those who have high blood pressure. Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Blood pressure screening data is from 2005, all other data are from 2009.

115 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force * Among those who have high blood pressure. Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Figure 6.5. Blood Pressure-related Measures among N.C. Adults by Race, 2009

116 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 6.6. Blood Pressure Checked within Past 2 Years, by Race, N.C., Adults = ages 18+ years. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Data not available for N.C. in 1994, 1996, 1998, 2000, ,

117 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 6.7. Blood Pressure-related Measures among N.C. Adults by Education, 2009 * Among those who have high blood pressure. Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.

118 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 6.8. Blood Pressure-related Measures among N.C. Adults by Household Income, 2009 * Among those who have high blood pressure. Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.

119 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 6.9. Estimated Direct and Indirect Costs of CVD and Hypertensive Disease, United States, 2008 Data Source: Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, Bravata DM, Dai S, Ford ES, Fox CS, Fullerton HJ, Gillespie C, Hailpern SM, Heit JA, Howard VJ, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Makuc DM, Marcus GM, Marelli A, Matchar DB, Moy CS, Mozaffarian D, Mussolino ME, Nichol G, Paynter NP, Soliman EZ, Sorlie PD, Sotoodehnia N, Turan TN, Virani SS, Wong ND, Woo D, Turner MB; on behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics—2012 update: a report from the American Heart Association. Circulation. 2012;125:e2–e220.

120 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Hypertension Prevalence, Adults = ages 18+ years included women diagnosed with high blood pressure only while pregnant as hypertensive, while 2003 and later years data do not consider them to be hypertensive. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. US Data Source: National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention. Data not available for U.S. in ; data not available for N.C. or U.S. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.

121 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Annual Medicaid Costs due to Hypertension and Other CVD, N.C., 2011 Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Annual Medicaid Cost due to CVD, Produced by: State Center for Health Statistics, 09/19/2012.

122 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Hypertension Prevalence, by Gender, N.C., Adults = ages 18+ years included women diagnosed with high blood pressure only while pregnant as hypertensive, while 2003 and later years data do not consider them to be hypertensive. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.

123 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Hypertension Prevalence by Age and Race, N.C., 2009 Adults = ages 18+ years. Race specific data combines & 75+ categories. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.

124 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Hypertension Prevalence, by Race, N.C., Adults = ages 18+ years included women diagnosed with high blood pressure only while pregnant as hypertensive, while 2003 and later years data do not consider them to be hypertensive. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.

125 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Percentage of People with Diagnosed Hypertension who are Taking Anti-Hypertensive Medication, N.C. Adults, included women diagnosed with high blood pressure only while pregnant as hypertensive, while 2003 and later years data do not consider them to be hypertensive. Adults = ages 18+ years. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Data not available for N.C. in 2002, 2004, 2006, 2008.

126 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Use of Anti-Hypertensive Medication by Race and Gender, N.C. Adults, included women diagnosed with high blood pressure only while pregnant as hypertensive, while 2003 and later years data do not consider them to be hypertensive. Adults = ages 18+ years. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Data not available for N.C. in 2002, 2004, 2006, 2008.

127 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force High Blood Cholesterol Figures

128 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 7.1. Cholesterol Checked within Past 5 Years, Adults = ages 18+ years. North Carolina Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. U.S. Data Source: National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention. Data not available for U.S. in ; data not available for N.C. or U.S. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.

129 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 7.2. Cholesterol-related Measures among N.C. Adults by Age Group, 2009 * Among those who have ever had their blood cholesterol checked. Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.

130 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 7.3. Cholesterol Checked within Past 5 Years, by Gender, N.C., Adults = ages 18+ years. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.

131 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 7.4. Cholesterol-related Measures among N.C. Adults by Race and Gender, 2009 * Among those who have ever had their blood cholesterol checked. Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.

132 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force * Among those who have ever had their blood cholesterol checked. Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Figure 7.5. Cholesterol-related Measures among N.C. Adults by Race, 2009

133 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 7.6. Cholesterol Checked within Past 5 Years, by Race, N.C., Adults = ages 18+ years. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.

134 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 7.7. Cholesterol Checked within Past 5 Years, by Race and Gender, N.C., Adults = ages 18+ years. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.

135 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 7.8. Cholesterol-related Measures among N.C. Adults by Education, 2009 * Among those who have ever had their blood cholesterol checked. Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.

136 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 7.9. Cholesterol-related Measures among N.C. Adults by Household Income, 2009 * Among those who have ever had their blood cholesterol checked. Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.

137 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure High Cholesterol Prevalence, Adults = ages 18+ years. North Carolina Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. U.S. Data Source: National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention. Data not available for U.S. in ; data not available for N.C. or U.S. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.

138 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure High Cholesterol Prevalence, by Gender, N.C., Adults = ages 18+ years. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.

139 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure High Cholesterol Prevalence, by Race, N.C., Adults = ages 18+ years. NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012. Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.

140 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Other Risk Factors Figures

141 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 8.1. Prevalence of Physical Activity-related Measures among Adults Adults = ages 18+ years. *During the past month, did you participate in any physical activities? ** Engaging in at least 30 minutes of moderate activity per day on 5 or more days of the week, or at least 20 minutes of vigorous activity per day on 3 or more days of the week. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011 and National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention. Extracted by: Heart Disease and Stroke Branch, 08/2012.

142 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 8.2. Prevalence of Physical Activity-related Measures among High School Students, 2011 * Physically active for a total of 60 minutes or more per day on 5 or more of the past 7 days. Data Source: Centers for Disease Control and Prevention Youth Risk Behavior Survey. Available at: Accessed on 8/17/2012.www.cdc.gov/yrbs

143 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 8.3. Prevalence of Daily Consumption of 5+ Fruits and Vegetables among Adults, 2009 Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011 and National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention. Extracted by: Heart Disease and Stroke Branch, 08/2012.

144 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 8.4. Prevalence of Daily Consumption of 5+ Fruits and Vegetables among High School Students, 2011 N.C. Data Source: North Carolina Department of Public Instruction Youth Risk Behavior Survey. Available at: Accessed on 8/17/2012. U.S. Data Source: Centers for Disease Control and Prevention Youth Risk Behavior Survey.

145 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 8.5. Prevalence of Tobacco Use-related Measures among Adults, 2010 Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, Extracted by: Heart Disease and Stroke Prevention Branch, 08/2012 and National Centers for Disease Control and Prevention, Quitting Smoking Among Adults--- United States, MMWR 2011; 60 (No. 44): 1514.

146 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 8.6. Prevalence of Tobacco Use-related Measures among Students N.C. Data Source: 2011 North Carolina Youth Tobacco Survey. YTS-SummaryTablesStatewide FINAL.pdf. U.S. Data Source: Centers for Disease Control and Prevention. Tobacco Use Among Middle and High School Students --- United States, MMWR 2010; 59(No. 33):

147 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 8.7. Prevalence of Overweight and Obesity among Adults, 2010 Overweight: BMI >= 25.0 and = 30.0; Overweight or Obese: BMI >= Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011 and National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention. Extracted by: Heart Disease and Stroke Prevention Branch, 08/2012.

148 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure 8.8. Prevalence of Overweight and Obesity among High School Students, 2011 Overweight: BMI >= 85th and = 95th Percentile. Data Source: Centers for Disease Control and Prevention Youth Risk Behavior Survey. Available at: Accessed on 8/17/2012.www.cdc.gov/yrbs

149 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Overweight: BMI >= 85th and = 95th Percentile; Overweight or At-risk for Overweight: BMI >= 85th Percentile. Data from age group 2-4 years are from 2010, all other age groups are from 2009 data. Data Source: N.C. Nutrition and Physical Activity Surveillance System data. Figure 8.9. Prevalence of Overweight and Obesity among Children seen in N.C. Public Health Clinics by Age Group

150 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Prevalence of Diagnosed Diabetes among Adults, 2010 Adults = ages 18+ years. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, SCHS Online Database, 2011 and National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention. Extracted by: Heart Disease and Stroke Prevention Branch, 08/2012.

151 The Burden of CVD in N.C. – September, 2012 N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force Figure Estimated Number of Adults with Chronic High Blood Glucose Levels, N.C., 2010 *Estimate is based on self-report of diagnosed pre-diabetes in the 2010 NC BRFSS survey. **Estimate is based on self-report of diagnosed diabetes in the 2010 NC BRFSS survey. +Estimate is obtained by applying the estimated national prevalence of pre-diabetes among adults 20 years or older of 35 percent (National Diabetes fact sheet, 2011) to the 2010 NC population of the same age group. ++Estimate is obtained by applying the estimated national prevalence of undiagnosed diabetes among adults 20 years or older of 3.2 percent (National Diabetes fact sheet, 2011) to the 2010 NC population of the same age group. N.C. Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance System, 2012 and National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention. Extracted by: Heart Disease and Stroke Branch: 08/2012. U.S. Source: Center for Disease Control and Prevention. National diabetes facts sheet: national estimates and general information on diabetes and pre-diabetes in the United States, Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2011.


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