2. Heart Disease and Stroke Statistics — 2007 Update

3. Questions on statistics? mailto:nancy.haase@heart.orgQuestions on statistics? mailto:nancy.haase@heart.org mailto:nancy.haase@heart.org Audio-visual questions? mailto:david.brentz@heart.orgAudio-visual questions? mailto:david.brentz@heart.org mailto:david.brentz@heart.org Please keep the red bar and logo attached to these slides.Please keep the red bar and logo attached to these slides.

4. Cardiovascular disease mortality trends for males and females United States: 1979-2004). Source: NCHS and NHLBI. Cardiovascular disease mortality trends for males and females (United States: 1979-2004). Source: NCHS and NHLBI. 0

5. Trends in the age-adjusted prevalence of health conditions, U.S. adults ages 20-74 (NHANES: 1971-74 to 1999-2000). Source: Briefel and Johnson. Annu Rev Nutr. 2004;24:401-431. Printed with permission from the Annual Review of Nutrition.

6. Age-adjusted death rates for coronary heart disease, stroke, and lung and breast cancer for white and black females (United States: 2004). Source: NCHS and NHLBI.

7. Deaths from diseases of the heart (United States: 1900– 2004.) Note: See Glossary for an explanation of “Diseases of the Heart. Total CVD data are not available for much of the period covered by this chart. Source: NCHS and NHLBI.

8. Hospital discharges for cardiovascular diseases. (United States: 1970-2004). Note: Hospital discharges include people discharged alive, dead and status unknown. Source: NCHS and NHLBI.

9. Percentage breakdown of deaths from cardiovascular diseases (United States:2004) Source: NCHS and NHLBI. Coronary Heart Disease Heart Failure Diseases of the Arteries Defects Rheumatic Fever/ Rheumatic Heart Disease Stroke High Blood Pressure Congenital Cardiovascular Other

10. Prevalence of cardiovascular diseases in adults age 20 and older by age and sex (NHANES: 1999-2004). Source: NCHS and NHLBI. These data include coronary heart disease, heart failure, stroke and hypertension.

11. Incidence of cardiovascular disease* by age and sex * Includes CHD, HF, stroke or IC. Source: FHS, 1980-2003. NHLBI.

12. Percent of Foreign-Born Hispanics, Age 18 and Over, with Selected Health Conditions, by Length of Time Living in the U.S. (United States: 1998-2003). Source: MMWR, vol. 55, No. 12, Apr.7, 2006.

13. Cardiovascular disease deaths vs. cancer deaths by age (United States: 2004). Source: NCHS and NHLBI.

14. Leading causes of death: both sexes (United States: 2004). Source: NCHS and NHLBI. Deaths All Ages <85 85+

15. Leading causes of death: males (United States: 2004). Source: NCHS and NHLBI. Deaths All Ages < 85 85+

16. Leading causes of death: females (United States: 2004). Source: NCHS and NHLBI. Deaths < 85 All Ages 85+

17. Deaths in Thousands A Total CVD B Cancer C Accidents D Chronic Lower Respiratory Diseases E Diabetes Mellitus F Alzheimer’s Disease Leading causes of death for all males and females (United States: 2004). Source: NCHS and NHLBI.

18. Percent of Total Deaths A Total CVD B Cancer C Accidents D Chronic Lower Respiratory Diseases E Diabetes Mellitus F Alzheimer’s Disease Leading causes of death for white males and females (United States: 2004). Source: NCHS and NHLBI.

19. A Total CVD B Cancer C Accidents D Assault (Homicide) E Diabetes Mellitus F Nephritis, Nephrotic Syndrome and Nephrosis Leading causes of death for black or African American males and females. (United States: 2004). Source: NCHS and NHLBI. Percent of Total Deaths

20. A Diseases of the Heart, and Stroke B Cancer C Accidents D Diabetes Mellitus E Assault (Homicide) F Influenza & Pneumonia Leading causes of death for Hispanic or Latino males and females, (United States: 2003). Source: NCHS. Percent of Total Deaths

21. A Diseases of the Heart, and Stroke B Cancer C Accidents D Chronic Lower Respiratory Diseases E Diabetes Mellitus F Influenza and Pneumonia Leading causes of death for Asian or Pacific Islander males and females (United States: 2003). Source: NCHS. Percent of Total Deaths

22. A Diseases of the Heart, and Stroke B Cancer C Accidents D Diabetes Mellitus E Chronic Liver Disease and Cirrhosis Leading causes of death for American Indian or Alaska Native males and females (United States: 2003). Source: NCHS. Percent of Total Deaths

23. A B C D A B C D Blood Pressure (mm Hg)120/80140/90140/90140/90 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.

24. Annual number of Adults having diagnosed heart attack by age and sex (ARIC: 1987-2000). Source: Extrapolated from rates in the NHLBI’s ARIC surveillance study, 1987-2000. These data don’t include silent MIs.

25. Annual rate of first heart attacks by age, sex and race (ARIC: 1987-2000). Source: NHLBI’s ARIC surveillance study, 1987-2000.

26. Prevalence of coronary heart disease by age and sex (NHANES :1999-2004). Source: NCHS and NHLBI.

27. Incidence of Myocardial Infarction * by Age, Race and Sex. ARIC Surveillance: 1987-2001. Source: NHLBI. * MI diagnosed by expert committee based on review of hospital records.

28. Incidence of Angina Pectoris* by Age, Race and Sex. FHS: 1980-2003. Source: NHLBI. * AP based on physicians interview of patient. Note: Rate for women age 45-54 considered unreilable.

29. Note: Hospital discharges include people discharged alive, dead, and status unknown. Hospital discharges for coronary heart disease by sex (United States: 1970-2004). Source: NHDS, /NCHS and NHLBI. (United States: 1970-2004). Source: NHDS, /NCHS and NHLBI.

30. Trends in Carotid Endarterectomy Procedures (United States: 1979-2004). Source: NCHS and NHLBI.

31. Prevalence of stroke by age and sex (NHANES: 1999-2004). Source: NCHS and NHLBI.

32. Annual rate of first cerebral infarction by age, sex and race (Greater Cincinnati/Northern Kentucky Stroke Study: 1993-94). Source: Unpublished data from the GC/NKSS; Kissela et al., Stroke. 2004;35:426-31.

33. Annual rate of first intracerebral hemorrhage by age, sex and race (Greater Cincinnati/Northern Kentucky Stroke Study: 1993-94). Source: Kissela et al., Stroke. 2004;35:426-31.

34. ABCDEF Systolic BP*95-105130-148130-148130-148130-148130-148 DiabetesNoNoYesYesYesYes CigarettesNoNoNoYesYesYes Prior Atrial Fib.NoNoNoNoYes Yes Prior CVDNoNoNoNoNoYes 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. *BP in millimeters of mercury (mmHg)

35. Risk of stroke in women in the third trimester, peri- and post- partum period versus risk of nonpregnant women and women in the first 2 trimesters. Source: Salonen et al., Epidemiology. 2001;12:456-60.

36. Prevalence of high blood pressure in Adults by age and sex (NHANES: 1999-2004). Source: NCHS and NHLBI.

37. Extent of awareness, treatment and control of high blood pressure by age (NHANES : 1999-2004.) Source: NCHS and NHLBI.

38. Age-adjusted prevalence trends for high blood pressure in Adults age 20 and older by race/ethnicity, sex and survey (NHANES: 1988-94 and 1999-2004). Source: NCHS and NHLBI.

39. Extent of Awareness, Treatment and Control of High Blood Pressure by Race/Ethnicity (NHANES: 1999-2004). Source: NCHS and NHLBI.

40. Prevalence of heart failure by age and sex (NHANES: 1999-2004). Source: NCHS and NHLBI.

41. Note: Hospital discharges include people discharged alive, dead and status unknown.. Hospital discharges for heart failure by sex (United States: 1979-2004). Source: NHDS, NCHS and NHLBI.

42. Incidence of Heart Failure* by age and sex. (FHS: 1980-2003). Source: NHLBI. * HF based on physicians review of medical records and strict diagnostic criteria.

43. Prevalence of high school students in grades 9-12 reporting current cigarette smoking by race/ethnicity and sex. (YRBS:2005). Source: MMWR. 2006;55:SS-5. June 9, 2006.. NH – non-Hispanic.

44. Prevalence of current smoking for Adults age 18 and older by race/ethnicity and sex (NHIS:2004). Source: MMWR. 2004;54:1121-24. NH – non-Hispanic.

45. Trends in mean total blood cholesterol among adolescents ages 12-17 by race, sex, and survey (NHES: 1966-70; NHANES: 1971-74 and 1988-94). Source: NCHS and NHLBI.

46. Age-adjusted prevalence of Adults age 20 and older with LDL cholesterol of 130 mg/dL or higher, by race/ethnicity and sex (NHANES: 2003-2004). Source: NCHS and NHLBI. NH – non-Hispanic.

47. Age-adjusted prevalence of Adults age 20 and older with HDL cholesterol <40 mg/dL, by race/ethnicity and sex (NHANES: 2003-2004). Source: NCHS and NHLBI. NH – non-Hispanic.

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

49. 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 students in grades 9-12 who met currently recommended levels of physical activity during the past 7 days by race/ethnicity and sex (YRBS: 2005). Source: MMWR. 2006;55:No. SS-5. NH – non-Hispanic.

50. Prevalence of leisure-time physical inactivity among adults age 18 and older by race/ethnicity, and sex. (BRFSS: 1994 and 2004). Source: MMWR, 2005;54:No. 39. NH – non-Hispanic.

51. Prevalence of overweight among students in grades 9-12 by race/ethnicity and sex (YRBS: 2005). Source: BMI 95 th percentile or higher. MMWR. 2006 55: No. SS-5. NH – non-Hispanic.

52. Note: Obesity is defined as a BMI of 30.0 or higher. 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 2001-2004). Source: Health, United States, 2006, unpublished data. NCHS.

53. Trends in prevalence of overweight among U.S. children and adolescents by age and survey (NHANES, 1971-74, 1976-80, 1988-94 and 2001-2004). Source: Health, United States, 2006, unpublished data. NCHS.

54. Age-adjusted prevalence of physician-diagnosed diabetes in Adults age 18 and older by race/ethnicity and sex (NHANES: 1999-2004). Source: NCHS and NHLBI. NH – non-Hispanic.

55. Prevalence of Non-Insulin-Dependent (Type 2) diabetes in Adults age 18+ by Race/Ethnicity, and Years of Education (NHANES: 1999-2004). Source: NCHS and NHLBI.

56. Trends in Heart Transplants (UNOS: 1970-2005). Source: United Network for OrganSharing (UNOS), scientific registry data.

57. Trends in Cardiovascular Operations and Procedures (United States: 1979-2004). Source: NCHS and NHLBI. Note: Inpatient procedures only.

58. Mortality rates in U.S. adults, age 30-75, with metabolic syndrome (MetS), with and without diabetes mellitus (DM) and pre-existing CVD (NHANES II: 1976-80 Follow-up Study). ** Source: Malik et al., Circulation. 2004;110:1245-50. ** Average of 13 years of follow-up. Note: Age and gender adjusted. ** Average of 13 years of follow-up. Note: Age and gender adjusted.

59. Estimated direct and indirect costs of major cardiovascular diseases and stroke (United States: 2007). Source: NHLBI.