Heart Disease and Stroke Statistics — 2006 Update

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Cardiovascular Disease Mortality Trends for Males and Females United States: * Source:CDC/NCHS. * Preliminary 0

Trends in Age-Adjusted Prevalence of Health Conditions, U.S. Adults Ages NHANES: to Source:Ann. Rev. of Nut. July Vol.24:

Trends in Cardiovascular Risk Factors in the U.S. Population Aged NHES: , NHANES: to Source:JAMA :

Age-Adjusted Death Rates for Coronary Heart Disease, Stroke, and Lung and Breast Cancer for White and Black Females United States: 2003* Source: CDC/NCHS and NHLBI. * Preliminary

Deaths From Diseases of the Heart* United States: 1900–2003* Note: Total CVD data are not available for much of the period covered by this chart. Source: CDC/NCHS. *Preliminary.

Hospital Discharges for Cardiovascular Diseases as First Listed Diagnosis United States: Note: Hospital discharges include people discharged both alive and dead. Source: CDC/NCHS and NHLBI.

Percentage Breakdown of Deaths From Cardiovascular Diseases United States:2003* 0.5% Heart Failure 0.4% Source: CDC/NCHS and NHLBI. *Preliminary Coronary Heart DiseaseStroke Heart FailureHigh Blood Pressure Diseases of the ArteriesCongenital Cardiovascular Defects Rheumatic Fever/Rheumatic Heart DiseaseOther

Prevalence of Cardiovascular Diseases in Americans Age 20 and Older by Age and Sex NHANES: Source: CDC/NCHS and NHLBI. These data include coronary heart disease, heart failure, stroke and hypertension.

Cardiovascular Disease Deaths vs. Cancer Deaths by Age United States: 2003 * Source: CDC/NCHS and NHLBI. *Preliminary

Three Leading Causes of Death: Total, < 85 and 85+ Deaths: Both Sexes United States: 2003 * Source: CDC/NCHS and NHLBI. *Preliminary Deaths All Ages<8585+ CVD Cancer COPD CVD Cancer COPD CVD Cancer Alzheimers

Three Leading Causes of Death: Total, < 85 and 85+ Deaths: Males United States: 2003 * Source: CDC/NCHS and NHLBI. *Preliminary All Ages< CVD Cancer Accidents CVD Cancer Accidents CVD Cancer COPD Deaths

Three Leading Causes of Death: Total, < 85 and 85+ Deaths: Females United States: 2003 * Source: CDC/NCHS and NHLBI. *Preliminary < 85 All Ages 85+ CVD Cancer COPD CVD Cancer COPD CVD Cancer Alzheimers Deaths

Deaths in Thousands Leading Causes of Death for All Males and Females United States: 2003* A Total CVD B Cancer C Accidents D Chronic Lower Respiratory Diseases E Diabetes Mellitus F Alzheimer’s Disease Source: CDC/NCHS and NHLBI. *Preliminary

Percent of Total Deaths Leading Causes of Death for White Males and Females United States: 2003* A Total CVD B Cancer C Accidents D Chronic Lower Respiratory Diseases E Diabetes Mellitus F Alzheimer’s Disease Source: CDC/NCHS and NHLBI. *Preliminary

Leading Causes of Death for Black or African-American Males and Females United States: 2003* A Total CVD B Cancer C Accidents D Assault (Homicide) E HIV(AIDS) F Diabetes Mellitus G Nephritis, Nephrotic Syndrome and Nephrosis Source: CDC/NCHS and NHLBI. *Preliminary Percent of Total Deaths

Leading Causes of Death for Hispanic or Latino Males and Females United States: 2002 A Diseases of the Heart, and Stroke B Cancer C Accidents D Diabetes Mellitus E Assault (Homicide) F Chronic Lower Respiratory Disease Source: CDC/NCHS. Percent of Total Deaths

Leading Causes of Death for Asian or Pacific Islander Males and Females United States: 2002 A Diseases of the Heart, and Stroke B Cancer C Accidents D Chronic Lower Respiratory Diseases E Diabetes Mellitus F Influenza and Pneumonia Source: CDC/NCHS. Percent of Total Deaths

Leading Causes of Death for American Indian or Alaska Native Males and Females United States: 2002 A Diseases of the Heart, and Stroke B Cancer C Accidents D Diabetes Mellitus E Chronic Liver Disease and Cirrhosis F Chronic Lower Respiratory Diseases Source: CDC/NCHS. Percent of Total Deaths

Estimated 10-Year CHD Risk in 55-Year-Old Adults According to Levels of Various Risk Factors Framingham Heart Study A B C D A B C D Blood Pressure (mm Hg)120/80140/90140/90140/90 Total Cholesterol (mg/dL) HDL Cholesterol (mg/dL) Diabetes No No Yes Yes Cigarettes No No No Yes mm Hg = millimeters of mercury mg/dL = milligrams per deciliter of blood Source:Circulation 1998;97:

Annual Number of Americans Having Diagnosed Heart Attack by Age and Sex ARIC: Source: Extrapolated from rates in the NHLBI’s ARIC surveillance study, These data don’t include silent MIs.

Annual Rate of First Heart Attacks by Age, Sex and Race ARIC: Source: NHLBI’s ARIC surveillance study,

Prevalence of Coronary Heart Disease by Age and Sex NHANES : Source: CDC/NCHS and NHLBI.

Hospital Discharges for Coronary Heart Disease by Sex United States: Note: Hospital discharges include people discharged both alive and dead. Source: National Hospital Discharge Survey, CDC/NCHS and NHLBI.

Trends in Carotid Endarterectomy Procedures United States: Source: CDC/NCHS and NHLBI.

Prevalence of Stroke by Age and Sex NHANES: Source: CDC/NCHS and NHLBI.

Annual Rate of First Cerebral Infarction by Age, Sex and Race Greater Cincinnati/Northern Kentucky Stroke Study: Source: Unpublished data from the GC/NKSS. Personal Communication with J.Broderick, MD and B. Kissela, MD.

Annual Rate of First Intracerebral Hemorrhage by Age, Sex and Race Greater Cincinnati/Northern Kentucky Stroke Study: Source: Stroke 2004;35:

Estimated 10-Year Stroke Risk in 55- Year-Old Adults According to Levels of Various Risk Factors Framingham Heart Study ABCDEF Systolic BP* DiabetesNoNoYesYesYesYes CigarettesNoNoNoYesYesYes Prior Atrial Fib.NoNoNoNoYes Yes Prior CVDNoNoNoNoNoYes Source: Stroke 1991;22: *BP in millimeters of mercury (mmHg)

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: Epidemiology 2001;12:456-60

Prevalence of High Blood Pressure in Americans by Age and Sex NHANES: Source: CDC/NCHS and NHLBI.

Extent of Awareness, Treatment and Control of High Blood Pressure by Race/Ethnicity NHANES : Source: MMWR. Vol. 54, No.1, Jan. 14, 2005 NH – non-Hispanic.

Age-Adjusted Prevalence Trends for High Blood Pressure in Americans Age 20 and older by Race/Ethnicity, Sex and Survey NHANES: and Source: Health, United States, CDC/NCHS. Data based on three measures of BP. NH – non-Hispanic. AA – African American.

Extent of Awareness, Treatment and Control of High Blood Pressure by Age NHANES: Source: MMWR. Vol. 54, No. 1, Jan. 14, 2005.

Prevalence of Heart Failure by Age and Sex NHANES: Source: CDC/NCHS and NHLBI.

Hospital Discharges for Heart Failure by Sex United States: Note: Hospital discharges include people discharged alive and dead. Source: National Hospital Discharge Survey, CDC/NCHS and NHLBI.

Prevalence of High School Students in Grades 9-12 Reporting Current Cigarette Smoking by Race/Ethnicity and Sex YRBS:2003 Source: MMWR, Vol. 53, (23), June 18, 2004, CDC/NCHS. NH – non-Hispanic.

Prevalence of Current Smoking for Americans Age 18 and Older by Race/Ethnicity and Sex NHIS:2004 Source: MMWR, Vol. 54, (44); Nov. 11, 2005, CDC/NCHS. NH – non-Hispanic.

Trends in Mean Total Blood Cholesterol Among Adolescents Ages by Race, Sex, and Survey NHES: ; NHANES: and Source: CDC/NCHS. Prev Med 1998;27:

Age-Adjusted Prevalence of Americans Age 20 and Older With LDL Cholesterol of 130 mg/dL or Higher, by Race/Ethnicity and Sex NHANES: Source: CDC/NCHS and NHLBI. NH – non-Hispanic.

Age-Adjusted Prevalence of Americans Age 20 and Older With HDL Cholesterol <40 mg/dL, by Race/Ethnicity and Sex NHANES: Source: CDC/NCHS and NHLBI. NH – non-Hispanic.

Trends in Mean Total Serum Cholesterol Among Adults Age 20 and Older, by Race/Ethnicity, Sex and Survey NHANES : and Source: CDC/NCHS. JAMA. Oct.12, Vol. 294, No. 14: NH – non-Hispanic. 0

Prevalence of Students in Grades 9-12 Who Participated in Sufficient Vigorous or Moderate Physical Activity During the Past 7 Days by Race/Ethnicity and Sex YRBS: 2003 Note: “Sufficient vigorous activity” is defined as activity causing sweating and hard breathing for at least 20 minutes on 3 or more of the 7 days. “Sufficient moderate activity” is defined as activities such as walking or bicycling lasting for at least 30 minutes on 5 or more of the 7 days. Source: MMWR, Vol. 53, No. SS-2, May 21, 2004, CDC. NH – non-Hispanic.

Prevalence of Leisure-Time Physical Inactivity Among Americans Age 18 and Older by Race/Ethnicity, and Sex BRFSS: 1994, 2000, 2004 Source: MMWR, Vol. 54, No. 39, Oct. 7, 2005, CDC. NH – non-Hispanic.

Prevalence of Overweight among Students in Grades 9-12 by Race/Ethnicity and Sex YRBS: 2003 Source: BMI 95 th percentile or higher. MMWR, Vol. 53,No. SS-2, May 21,2004, CDC. NH – non-Hispanic.

Age-Adjusted Prevalence of Obesity in Americans Ages by Sex and Survey NHES, ; NHANES, , , and Note: Obesity is defined as a BMI of 30.0 or higher. Source: Health, United States, 2004, CDC/NCHS.

Trends in Prevalence of Overweight Among U.S. Children and Adolescents by Age and Survey NHANES, , , and Source: Health, United States, CDC/NCHS.

Age-Adjusted Prevalence of Physician- Diagnosed Diabetes in Americans Age 20 and Older by Race/Ethnicity and Sex NHANES: Source: CDC/NCHS and NHLBI. NH – non-Hispanic.

Prevalence of Non-Insulin-Dependent (Type 2) Diabetes in Women* Ages by Race/Ethnicity and Education NHANES III: * Findings for men are similar but of lower magnitude. See Pathways by which SES and ethnicity influence CVD risk factors. Annals NY Academy of Science. 1999;896: Source: JAMA. 1998;280:

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

Trends in Cardiovascular Operations and Procedures United States: Source: CDC/NCHS and NHLBI. Note: Inpatient procedures only.

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: Follow-up Study** Source: Circulation 2004;110: ** Average of 13 years of follow-up. Note: Age and gender adjusted.

Estimated Direct and Indirect Costs of Major Cardiovascular Diseases and Stroke United States: 2006 Source: Heart Disease and Stroke Statistics – 2006 Update Coronary Heart Disease Stroke Hypertensive Disease Heart Failure Billions of Dollars