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Heart Disease and Stroke Statistics — 2010 Update

Heart Disease and Stroke Statistics — 2010 Update . Questions on statistics? mailto:nancy.haase@heart.org Audio-visual questions? mailto:david.brentz@heart.org Please keep the red wave and logo attached to these slides. .

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Heart Disease and Stroke Statistics — 2010 Update

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  1. Heart Disease and Stroke Statistics — 2010 Update

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

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

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

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

  6. Deaths from cardiovascular disease(United States: 1900–2006). Source: NCHS and NHLBI.

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

  8. Percentage breakdown of deaths from cardiovascular diseases (United States: 2006)* - Not a true underlying cause.Source: NCHS.

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

  10. CVD deaths vs. cancer deaths by age. (United States: 2006). Source: NCHS.

  11. CVD and other major causes of death: both sexes.(United States: 2006).Source: NCHS and NHLBI.

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

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

  14. A CVD (I00-I99; Q20-Q28) B Cancer C Accidents D Chronic Lower Respiratory Diseases E Diabetes Mellitus F Alzheimer’s Disease CVD and other major causes of death for all males and females (United States: 2006).Source: NCHS and NHLBI.

  15. A CVD (I00-I99; Q20-28) B Cancer C Accidents D Chronic Lower Respiratory Diseases E Diabetes Mellitus F Alzheimer’s Disease CVD and other major causes of death for white males and females (United States: 2006).Source: NCHS and NHLBI.

  16. D Assault (Homicide) E Diabetes Mellitus F Nephritis, Nephrotic Syndrome and Nephrosis A CVD (I00-I99; Q20-Q28) B Cancer C Accidents CVD and other major causes of death for black males and females. (United States: 2006).Source: NCHS and NHLBI.

  17. A CVD (I00-I99) B Cancer C Accidents D Diabetes Mellitus E Assault (Homicide) F CLRD CVD and other major causes of death for Hispanic or Latino males and females (United States: 2006). Source: NCHS and NHLBI.

  18. D Chronic Lower Respiratory Diseases E Diabetes Mellitus F Influenza and Pneumonia A CVD (I00-I99) B Cancer C Accidents CVD and other major causes of death for Asian or Pacific Islander males and females(United States: 2006). Source: NCHS and NHLBI.

  19. A CVD (I00-I99) B Cancer C Accidents D Diabetes Mellitus E Chronic Liver Disease and Cirrhosis F Chronic Lower Respiratory Diseases CVD and other major causes of death for American Indian or Alaska Native males and females (United States: 2006).Source: NCHS and NHLBI.

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

  21. ABC D Age 50-54 50-54 50-54 50-54 HDL Cholesterol, mg/dL 45-49 45-49 35-34 35-34 Total Cholesterol (mg/dL) 160-199 200-239 200-239 200-239 Systolic BP mm/Hg, no treat. 120-129 130-139 130-139 130-139 Smoker No No No Yes Diabetes No No Yes Yes mm Hg = millimeters of mercury. mg/dL = milligrams per deciliter of blood Estimated 10-Year CVD risk in 50 to 54-year-old adults according to levels of various risk factors (Framingham Heart Study).Source: D’Agostino et al., Circulation. 2008;117:743-753.

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

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

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

  25. Hazard Ratios for CHD Events Associated With Coronary Calcium Scores: US Adults (Reference Group CAC=0 and Framingham Risk Scores <10%) Source: Greenland et al., JAMA. 2004;291(2):210-15.

  26. Mean Values of Carotid IMT for Different Carotid Artery Segments in Younger Adults by Race and Sex (Bogalusa Heart Study) Source: Urbina et al., Am J Card. 2002;90(9):953-58.

  27. Mean Values of Carotid IMT for Different Carotid Artery Segments in Older Adults by Race (MESA Heart Study) Source: Manolio et al., Atherosclerosis 2008;197(1):132-38.

  28. AB C D Blood Pressure (mm Hg) 120/80 140/90 140/90 140/90 Total Cholesterol (mg/dL) 200 240 240 240 HDL Cholesterol (mg/dL) 50 50 40 40 Diabetes No No Yes Yes Cigarettes No No No Yes mm Hg = millimeters of mercury. mg/dL = milligrams per deciliter of blood Estimated 10-Year CHD risk in 55-year-old adults according to levels of various risk factors (Framingham Heart Study).Source: Wilson et al., Circulation. 1998;97:1837-47.

  29. Annual number of U.S. Adults having diagnosed heart attack by age and sex (ARIC: 1987-2004 and CHS: 1989-2004). Source: NHLBI. Includes MI and fatal CHD but not silent MI’s.

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

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

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

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

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

  35. Hospital discharges for coronary heart disease by sex (United States: 1970-2006).Source: NHDS/NCHS. Note: Hospital discharges include people discharged alive, dead, and status unknown.

  36. Trends in Carotid Endarterectomy Procedures (United States: 1979-2006).Source: NHDS/NCHS and NHLBI.

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

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

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

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

  41. ABCDE F Systolic BP* 95-105 130-148 130-148 130-148 130-148 130-148 Diabetes No No Yes Yes Yes Yes Cigarettes No No No Yes Yes Yes Prior Atrial Fib. No No No No Yes Yes Prior CVD No No No No No Yes *Closest ranges for women are: 95-104 and 115-124. Estimated 10-year stroke risk in 55-year-old adults according to levels of various risk factors(FHS).Source: Wolf et al., Stroke.1991;22:312-318.

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

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

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

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

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

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

  48. Hospital discharges for heart failure by sex. (United States: 1979-2006).Source: NHDS/NCHS and NHLBI. Note: Hospital discharges include people discharged alive, dead and status unknown.

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