heart disease and stroke statistics — 2006 update

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  • Heart Disease and Stroke Statistics 2006 Update

  • Questions on statistics? mailto:[email protected] Audiovisual questions? mailto:[email protected] keep the red bar and logo attached to these slides.

  • Cardiovascular Disease Mortality Trends for Males and Females United States: 1979-2003*Source:CDC/NCHS. * Preliminary

  • Trends in Age-Adjusted Prevalence of Health Conditions, U.S. Adults Ages 20-74 NHANES:1971-74 to 1999-2000Source:Ann. Rev. of Nut. July 2004. Vol.24: 401-431

    Chart1

    484029

    474028

    562420

    652918

    Overweight/Obesity

    Hypertension

    High Blood Cholesterol

    Percent of Population

    OVERWT

    1960-621971-741976-801988-941999-2002

    Men10.712.212.820.628.1

    Women15.716.817.126.034.0

    Age-Adjusted Prevalence of Obesity* in Americans Ages 20-74 by Sex and Survey

    NHES and NHANES: 1960--62, 1971--74, 1976--80, 1988--94 and 1999-2002

    Source:Health US, 2004.

    Obesity is defined as BMI of 30 plus.

    &A

    Page &P

    OVERWT

    1960-62

    1971-74

    1976-80

    1988-94

    1999-2002

    Percent of Population

    cholchild

    Estimated Percentage of Children With Serum Cholesterol of 170 mg/dl or More, United States

    WhiteBlack

    Males 0-9 Years2940

    Females 0-9 Years3350

    Males 10-19 Years2534

    Females 10-19 Years2941

    Estimated Percentage of Children With Serum Cholesterol of 170 mg/dL

    or More, United States

    Trends in Mean Total Blood Cholesterol Among Adolescents Ages 12-17 by Sex and Race and Survey

    NHES:1966-70; NHANES:1971-74 and 1988-94

    1966-701971-741988-94

    White Males163163155

    Black Males171165166`

    White Females170166163

    Black Females172174168

    `

    cholchild

    &A

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    White

    Black

    Percent of Population

    diabetes

    1966-70

    1971-74

    1988-94

    Mean Total Blood Cholesterol

    Strokerace

    NH WhitesNH BlacksMexican Americans

    Men6.210.310.4

    Women4.712.611.3

    Age-Adjusted Prevalence of Physician-Diagnosed Diabetes in Americans Age 20 and Older by Sex and Race/Ethnicity

    NHANES: 1999-2002

    WhitesBlacksMexican Americans

    122.95.46.4

    Prevalence of Non-Insulin-Dependent (Type 2) Diabetes in Women Ages 25-64

    by Education and Race/Ethnicity

    NHANES III: 1988-94

    &A

    Page &P

    Strokerace

    NH Whites

    NH Blacks

    Mexican Americans

    Percent of Population

    Hdl&Ldl

    Whites

    Blacks

    Mexican Americans

    Years of Education

    Percent of Population

    smokhschool

    Relative Risk of Deaths due to StrokeCompared to Non-Hispanic Whites, by Race/Ethnicity and Age Groups, U.S., 1997

    Non-Hispanic BlacksAmerican Indians/ Alaska NativesAsian/Pacific IslandersHispanics

    35-444.01.91.31.3

    45-543.91.31.31.3

    55-643.01.51.41.2

    65-741.90.91.10.9

    75-841.20.81.00.6

    85+0.90.40.70.5

    Risk for Stroke Mortality Among Racial/Ethnic Groups Compared With Non-Hispanic Whites,

    by Age Groups

    United States: 1997

    smokhschool

    35-44

    45-54

    55-64

    65-74

    75-84

    85+

    Race/Ethnicity

    Relative Risk

    Metsyndr.

    Estiamted % of Americans Age 20 and Over with High-Risk LDL-Cholesterol of 130 mg/dL or More by Race and Sex

    MenWomen

    Total Population43.135.8

    NH Whites43.836.9

    NH Blacks36.034.5

    Mexican Americans43.731.3

    Age-Adjusted Prevalence of Americans Age 20 and Older With

    LDL-Cholesterol of 130 mg/dL or Higher by Race/Ethnicity and Sex

    United States:1999-2002

    MenWomen

    Total33.612.6

    NH Whites34.512.4

    NH Blacks22.711.3

    Mexican Americans34.415.4

    Estimated Age-Adjusted (2000) Prevalence of Adults Age 20 and Over With

    HDL-Cholesterol Under 40 mg/dL by Race and Sex

    United States: NHANES 1999-2002

    Metsyndr.

    Men

    Women

    Percent of Population

    PhysicAct.

    Men

    Women

    Percent of Population

    smokmf

    `NH WhitesNH BlacksHispanics

    Males23.319.319.1

    Females26.610.817.7

    Prevalence of High School Students in Grades 9-12 Reporting Current Cigarette Use

    Within the last 30 days by Race/Ethnicity and Sex

    YRBS: 2003

    &A

    Page &P

    smokmf

    Males

    Females

    Percent of Population

    NHANESrf

    CHD MortalityCVD MortalityTotal Mortality

    No MetS or DM2.65.314.4

    MetS w/o DM4.37.817.1

    MetS w/DM4.88.621.1

    DM only6.311.526.1

    Prior CVD10.916.730.0

    Prior CVD and DM17.028.144.1

    Total Mortality Rates in US Adults Age 30-75, with Metabolic Syndrome, With and Without Diabetes and Pre-Existing CVD

    NHANES1976-80 Follow-Up Study

    NHANESrf

    No MetS or DM

    MetS w/o DM

    MetS w/DM

    DM only

    Prior CVD

    Prior CVD and DM

    Deaths/1,000 Person Years

    oweight hs

    % of high school students who participated in vigorous or moderate physical physical activity in past 7 days

    NH White MalesNH White FemalesNH Black MalesNH Black FemalesHispanic MalesHispanic FemalesBMI

  • Trends in Cardiovascular Risk Factors in the U.S. Population Aged 20-74NHES: 1960-62, NHANES:1971-75 to 1999-2000Source:JAMA 2005. 293: 1868-74.

    Chart1

    33.628.227.21917

    30.833.126.314.814.9

    Smoking39.23629.326.4

    1.83.43.54.65

    1960-62

    1971-75

    1976-80

    1988-94

    1999-2000

    Percent of Population

    OVERWT

    1960-621971-741976-801988-941999-2002

    Men10.712.212.820.628.1

    Women15.716.817.126.034.0

    Age-Adjusted Prevalence of Obesity* in Americans Ages 20-74 by Sex and Survey

    NHES and NHANES: 1960--62, 1971--74, 1976--80, 1988--94 and 1999-2002

    Source:Health US, 2004.

    Obesity is defined as BMI of 30 plus.

    &A

    Page &P

    OVERWT

    1960-62

    1971-74

    1976-80

    1988-94

    1999-2002

    Percent of Population

    cholchild

    Estimated Percentage of Children With Serum Cholesterol of 170 mg/dl or More, United States

    WhiteBlack

    Males 0-9 Years2940

    Females 0-9 Years3350

    Males 10-19 Years2534

    Females 10-19 Years2941

    Estimated Percentage of Children With Serum Cholesterol of 170 mg/dL

    or More, United States

    Trends in Mean Total Serum Cholesterol Among Adolescents Ages 12-17 by Sex and Race and Survey

    NHES III, NHANES I, NHANES III: 1966-70, 1971-74 and 1988-94

    NHES IIINHANES INHANES III

    White Males163163155

    Black Males171165166`

    White Females170166163

    Black Females172174168

    `

    cholchild

    &A

    Page &P

    White

    Black

    Percent of Population

    diabetes

    NHES III

    NHANES I

    NHANES III

    Mean Total Serum Cholesterol

    Strokerace

    NH WhitesNH BlacksMexican Americans

    Men6.210.310.4

    Women4.712.611.3

    Age-Adjusted Prevalence of Physician-Diagnosed Diabetes in Americans Age 20 and Older by Sex and Race/Ethnicity

    NHANES: 1999-2002

    WhitesBlacksMexican Americans

    122.95.46.4

    Prevalence of Non-Insulin-Dependent (Type 2) Diabetes in Women Ages 25-64

    by Education and Race/Ethnicity

    NHANES III: 1988-94

    &A

    Page &P

    Strokerace

    NH Whites

    NH Blacks

    Mexican Americans

    Percent of Population

    Hdl&Ldl

    Whites

    Blacks

    Mexican Americans

    Years of Education

    Percent of Population

    smokhschool

    Relative Risk of Deaths due to StrokeCompared to Non-Hispanic Whites, by Race/Ethnicity and Age Groups, U.S., 1997

    Non-Hispanic BlacksAmerican Indians/ Alaska NativesAsian/Pacific IslandersHispanics

    35-444.01.91.31.3

    45-543.91.31.31.3

    55-643.01.51.41.2

    65-741.90.91.10.9

    75-841.20.81.00.6

    85+0.90.40.70.5

    Risk for Stroke Mortality Among Racial/Ethnic Groups Compared With Non-Hispanic Whites,

    by Age Groups

    United States: 1997

    smokhschool

    35-44

    45-54

    55-64

    65-74

    75-84

    85+

    Race/Ethnicity

    Relative Risk

    Metsyndr.

    Estiamted % of Americans Age 20 and Over with High-Risk LDL-Cholesterol of 130 mg/dL or More by Race and Sex

    MenWomen

    Total Population43.135.8

    NH Whites43.836.9

    NH Blacks36.034.5

    Mexican Americans43.731.3

    Age-Adjusted Prevalence of Americans Age 20 and Older With

    LDL-Cholesterol of 130 mg/dL or Higher by Race/Ethnicity and Sex

    United States:1999-2002

    MenWomen

    Total33.612.6

    NH Whites34.512.4

    NH Blacks22.711.3

    Mexican Americans34.415.4

    Estimated Age-Adjusted (2000) Prevalence of Adults Age 20 and Over With

    HDL-Cholesterol Under 40 mg/dL by Race and Sex

    United States: NHANES 1999-2002

    Metsyndr.

    Men

    Women

    Percent of Population

    PhysicAct.

    Men

    Women

    Percent of Population

    smokmf

    `NH WhitesNH BlacksHispanics

    Males23.319.319.1

    Females26.610.817.7

    Prevalence of High School Students in Grades 9-12 Reporting Current Cigarette Use

    Within the last 30 days by Race/Ethnicity and Sex

    YRBS: 2003

    &A

    Page &P

    smokmf

    Males

    Females

    Percent of Population

    NHANESrf

    CHD MortalityCVD MortalityTotal Mortality

    No MetS or DM2.65.314.4

    MetS w/o DM4.37.817.1

    MetS w/DM4.88.621.1

    DM only6.311.526.1

    Prior CVD10.916.730.0

    Prior CVD and DM17.028.144.1

    Total Mortality Rates in US Adults Age 30-75, with Metabolic Syndrome, With and Without Diabetes and Pre-Existing CVD

    NHANES II Follow-Up Study

    NHANESrf

    No MetS or DM

    MetS w/o DM

    MetS w/DM

    DM only

    Prior CVD

    Prior CVD and DM

    Deaths/1,000 Person Years

    oweight hs

    % of high school students who participated in vigorous or moderate physical physical activity in past 7 days

    NH White MalesNH White FemalesNH Black MalesNH Black FemalesHispanic MalesHispanic FemalesBMI

  • 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

    Chart2

    125.1160.3

    50.569.1

    42.239.3

    24.633.8

    White Females

    Black Females

    Per 100,000 Population

    USCVTREND

    CVDCVDCardiovascular Disease Mortality Trends for Males and FemalesCVDCVD

    MalesFemalesUnited States: 1979-2003MalesFemales

    7950046979497466

    8051049080506487

    81500484497481

    82495484492481

    83498494495491

    84491493487491

    8549149885487495

    86481498478495

    87475499472496

    88476504473501

    89456486453483

    9044847890445475

    91447479444477

    92444479441477

    93457500454498

    94452498449496

    9545550595452503

    96453506451504

    97450503448501

    98446504Actualadjusted443502

    99446513adjusted by 9-10 comparability ratio. (0.9981)445.024511.929445512adjusted

    00440506440.175505.661439.339504.70000439505adjusted

    01432499432.245498.863431.424497.915431498adjusted

    Source: Final mortality data, NCHS.433.827493.69002433.003492.752433493adjusted

    Numbers are in thousands.426.772483.84203 Prelim425.961482.92303426483adjusted

    CVD including congenital CV disease.

    CVDCVDCVDCVD

    White MalesWhite FemalesBlack MalesBlack Females

    794454184846

    80452435

    81444430

    82439430

    83441438

    84434437

    85433440

    864234405052

    874174405052

    884174435054White MalesWhite FemalesBlack MalesBlack Females

    893984254953903914204851

    903914204851913894204852

    913894204852923874204752

    923874204752933984384954

    933984384954943944364854

    943944364854953954425055

    953954425055963944424855

    963944424855973914404854

    973914404854983864394955

    983864394955993864474956

    993864474956003814394857

    03814394857

    Cardiovascular Disease Mortality Trends by Sex and Race

    United States: 1990-2000

    &A

    Page &P

    USCVTREND

    &A

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    Males

    Females

    Years

    Deaths in Thousands

    drwomencvcan

    Males

    Females

    Years

    Deaths in Thousands

    chdstrhypmor

    White Males

    White Females

    Black Males

    Black Females

    Year

    Deaths in Thousands

    DR FOR WOMEN, CV AND CANCER 1996(1940)DR FOR WOMEN, CV AND CANCER 2002CVD AND CANCER 2001

    WhitesBlacksWhite FemalesBlack FemalesTotalMalesFemales

    Coronary Heart Disease58.980.0Coronary Heart Disease125.1160.3CVD329.6391.4281.7

    Stroke22.939.2Stroke50.569.1Cancer196.0243.7164.7

    Breast Cancer19.826.5Lung Cancer42.239.3

    Lung Cancer28.027.6Breast Cancer24.633.8

    Age-Adjusted Death Rates for Coronary Heart Disease, Stroke, BreastAge-Adjusted Death Rates for Coronary Heart Disease, Stroke and LungAge-Adjusted Death Rates for Cardiovascular Disease and Cancer

    and Lung Cancer for White and Black Females(1940)and Breast Cancer for White and Black FemalesUnited States: 2001

    United States: 1996 Final MortalityUnited States: 2003 #

    # -Preliminary.

    &A

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    &A

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    Whites

    Blacks

    Per 100,000 Population

    White Females

    Black Females

    Per 100,000 Population

    Total

    Males

    Females

    Per 100,000 Population

    # OF HEART ATTACK & STROKE DEATHS, U.S. 1979-91# of stroke deaths# OF CHD DEATHS# of hyp deaths

    M CHDF CHDM STROKEF STROKEM STROKEF STROKEM CHDF CHDmf

    79307.286244.079551.36570.43999.497970.43999.4979307.286244.07913.78618.13

    80310.774254.981565.75569.973100.2528069.973100.25280310.774254.98113.94318.69

    81303.929251.229555.15866.42997.0758166.42997.07581303.929251.22913.82217.905

    82300.820251.966552.78663.85593.8558263.85593.85582300.82251.96613.5517.828

    83297.522254.970552.49262.84792.7518362.84792.75183297.522254.9713.80317.993

    84289.461251.827541.28861.69792.638461.69792.6384289.461251.82713.47817.863

    85286.181250.624536.80560.7892.278560.7892.2785286.181250.62413.50717.926

    86274.184246.545520.72959.16490.4798659.16490.47986274.184246.54513.03417.955

    87267.757244.381512.13859.06190.7748759.06190.77487267.757244.38113.38217.956

    88264.505245.087509.59259.75990.7588859.75990.75888264.505245.08713.39918.295

    89257.524240.497498.02157.32188.238957.32188.2389257.524240.49713.64818.466

    90252.597236.574489.17156.69787.3919056.69787.39190252.597236.57413.61419.004

    91249.736235.702485.43856.71486.7679156.71486.76791249.736235.70213.94719.387

    92246.913233.138480.0519256.64587.12492246.913233.13814.5220.09

    93250.362239.701490.0639359.04891.0693250.362239.70115.30621.438

    94245.350236.108481.4589460.22593.08194245.35236.10815.91522.287

    95244.819236.468481.2879561.56396.42895244.819236.46816.6623.321

    96242.036234.088476.124

    97237.332228.769466.101

    &A

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  • Deaths From Diseases of the Heart*United States: 19002003*

    Note: Total CVD data are not available for much of the period covered by this chart.

    Source: CDC/NCHS. *Preliminary.

    Chart1

    27.427

    35.252

    75.429

    101.429

    137.374

    188.554

    251.153

    312.333

    385.191

    424.329

    537.629

    585.751

    661.712

    712.087

    735.542

    716.215

    761.085

    771.169

    720.058

    737.563

    711

    684

    Deaths

    Years

    Deaths in Thousands

    Sheet1

    HIS cvd prevalence data 1979-94CVD mortality 1979-94CVD Mortality Trends*, 1979-94

    CVDCardiovascular Mortality*, United States: 1946 To Date

    HIS Prev.CVD46596915

    7996952850754249

    8099997655824777

    79-81474168198392960934907

    824726682978942651000147

    835033483992281701032638

    84525618498420075994513

    85527508598849180999976

    86518918697854685988491

    87525518797420090926079

    88537198897978891926061

    89504728994189592923416

    90510429092607993957598

    91533889192606194954720

    925482592923416

    935416893957598

    945556194950203

    * These data include congenital heart disease deaths.

    National Health Interview Survey CVD Prevalence Estimates*, 1986-94* These data include congenital heart disease deaths.

    * These data include RF/RHD, heart disease, hypertension and stroke. Hardening of the arteries,

    vericose veins and hemorrhoids are not included.

    Note: Data for 1979-81 represent an average and include congenital anomalies of the circulatory

    system.

    Diseases of the Heart

    CrudeDiseases of the Heartcvd

    RateDeaths (000)Deaths

    1900137.4190027Crude Death Rates for Diseases of the Heart: U.S. 1900 to DateM CHDF CHD

    5161.953579307.286244.079

    10158.9107580310.774254.981

    15163.91510181303.929251.229

    20159.62013782300.820251.966

    25184.82518983297.522254.970

    30214.23025184289.461251.827

    35245.43531285286.181250.624

    40291.94038586274.184246.545

    45321.54542487267.757244.381

    50355.55053875488264.505245.087

    55355.85558682589257.524240.497

    603696066293590252.597236.574

    65367.465712100091249.736235.702

    7036270736103392246.913233.138

    75336.27571699593250.362239.701

    8033680761100094245.350236.108

    853238577198895244.819236.468

    90289.59072092696242.036234.088

    94281.39573896197237.332228.769

    96733

    97727

    98725

    99725

    00711

    01700Diseases of the Heart (000)

    02697YearsDeaths

    03684190027

    Deaths From Diseases of the Heart*35

    United States: 190020031075

    101

    20137

    189

    30251

    312

    40385

    424

    50538

    586

    60662

    712

    70736

    716

    80761

    771

    90720

    738

    00711

    03684

    Note: In the years 1900-45 the ICDA codes were 90-95; for 1950-60 the codes were

    402-404, 410-443; for 1965 the codes were 402, 404, 410-443; for 1970-75 390-398, 402,

    410-429 and for 1980 to date the codes were 390-398, 402, 404-429.

    StrokeDeaths From StrokeDeaths From Stroke: United States 1979-96

    Deaths(000)Deaths From Stroke: United States, 1900-95YearsDeaths

    19002179169.488

    52380170.225

    104581163.504

    155882157.71

    208083155.598

    259184154.327

    3010485153.05

    3510986149.643

    4012087149.835

    4512988150.517

    5015789145.551

    5517490144.088

    6019491143.481

    6520192143.769

    7020793150.108

    7519494153.306

    8017095157.991

    85153Note: These deaths are as reported. No adjustments have been made for ICDA revisions.96160.431

    90144

    95158

    96160

    StrokeAge-adjusted

    Death Rates

    1900

    5

    10

    15

    20Age-Adjusted Death Rates For Stroke: U.S. 1940-93

    25

    30

    35

    40105

    4598.6

    5088.8

    5582.7

    6079.9

    6573.3

    7067.7

    7554.7

    8041.4

    8532.8

    9029.1

    9526.7

    Alzheimer's

    Total65+

    790.8570.653Alzheimer's Deaths: U.S. 1979-93

    801.3141.037

    811.7571.473

    822.6272.261

    834.4344.039

    846.255.846

    858.2587.819

    869.4268.984

    8711.31110.877

    8812.28111.842

    8913.1112.734

    9013.74413.391

    9114.11213.768

    9214.43514.088

    9316.75416.422

    &A

    Page &P

    Sheet1

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    &A

    Page &P

    Years

    Deaths

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    &A

    Page &P

    Years

    Deaths

    47416

    47266

    50334

    52561

    52750

    51891

    52551

    53719

    50472

    51042

    53388

    54825

    54168

    55561

    Years

    Thousands

    137.4

    161.9

    158.9

    163.9

    159.6

    184.8

    214.2

    245.4

    291.9

    321.5

    355.5

    355.8

    369

    367.4

    362

    336.2

    336

    323

    289.5

    281.3

    Years

    Per 100,000 Population

    Deaths(000)

    Years

    Deaths in Thousands

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    &A

    Page &P

    Years

    Per 100,000 Population

    00

    00

    00

    00

    00

    00

    00

    00

    00

    00

    00

    00

    00

    00

    00

    &A

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    Total

    65+

    Years

    Thousands

    Years

    Thousands

    Deaths

    Years

    Deaths in Thousands

  • Hospital Discharges for Cardiovascular Diseases as First Listed Diagnosis United States: 1970-2003Note: Hospital discharges include people discharged both alive and dead.Source: CDC/NCHS and NHLBI.

    Chart1

    3.34

    3.543

    3.86

    4.11

    4.304

    4.418

    4.585

    4.758

    4.766

    4.907

    5.14

    5.336

    5.488

    5.654

    5.593

    5.47

    5.563

    5.572

    5.296

    5.197

    5.161

    5.338

    5.597

    5.633

    5.779

    5.83

    6.107

    6.097

    6.272

    6.344

    6.294

    6.226

    6.373

    6.434

    Years

    Discharges in Millions

    CVD

    CVD (390-459)Hdis.MalesFemalesHospital Discharges* for Cardiovascular Diseases as First listed Diagnosis

    703.34United States: 1970-2003

    3.543

    3.86

    4.11

    4.304

    754.418

    4.585

    4.758

    4.766

    4.907792.4712.436

    805.14802.592.549

    5.336812.6792.657

    5.4882.7852.703

    5.6542.8962.758

    5.5932.8562.737

    855.47852.7832.686

    5.5632.8462.717

    5.5722.8682.704

    5.2962.7222.574

    5.1972.672.527

    905.161902.6682.493

    5.3382.7282.611

    5.5972.8662.73

    5.6332.8852.747

    5.7792.9062.873

    955.83952.9732.857

    6.1073.1013.006

    6.0973.1163.03

    6.272983.1393.133

    6.344794.907

    006.2943.1153.179805.14

    6.2263.0583.168815.336

    6.3733.2093.164825.488

    036.4343,2393.196835.654

    845.593

    NOTE: do not include congenital!855.47

    865.563

    875.572

    885.296

    895.197

    905.161

    915.338

    925.597

    935.633

    945.779

    955.83

    966.107

    976.097

    986.272

    996.344

    006.294

    See Above Chart

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    CVD

    Years

    Discharges in Millions

    stroke

    Hospital Discharges Where Stroke Was the First Listed Diagnosis

    United States: 1979-02

    YearMalesFemalesTotal

    79335411746

    80371425796

    368439807

    388446834

    407469876

    420477897

    85407499906

    398491889

    392503895

    336448784

    344447791

    90355453808

    371464835

    376450826

    387452839

    407478885

    95424501925

    438518956

    4615551017

    4575531010

    434527961

    00428553981

    391539931

    432509942

    03455510965

    Hospital Discharges Where Stroke Was the First Listed Diagnosis

    United States: 1979-2003

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    Males

    Females

    Years

    Discharges in Thousands

    CHF

    Hospital Discharges for CHF

    CHF Discharges

    -----------In thousands------

    MalesFemalesTotal

    708074155

    7986165

    98102200

    107111218

    121113234

    75122131253

    123143267

    143152296

    157173330

    174203377

    80176224401

    182240423

    195243439

    208255464

    228303531

    85247310557

    274308582

    269336605

    277357634

    304339643

    90315386701

    360405764

    373449822

    394481875

    390484874

    95378494872

    377493870

    431526957

    438540978

    430532962

    00418581999

    444551995

    441529970

    034715661,037

    Hospital Discharges*for Congestive Heart Failure by Sex

    United States: 1970-2003

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    #REF!

    Discharges in Millions

    HF

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    Males

    Females

    Years

    Discharges in Thousands

    chd

    Hospital Discharge Code=428 FL (1970-2003) Heart Failure

    MaleFemale

    197011,07111,238

    9,5199,157

    10,4909,276

    9,42910,090

    8,9249,555

    7510,3259,056

    7,4888,974

    6,2617,660

    5,3346,539

    MaleFemale

    79185214

    80190240

    195252

    207257Hospital discharges for Heart Failure by Sex

    221276United States: 1979-2003

    237317

    85259326

    287328

    282347

    289375

    312351

    90325397

    370417

    384456

    404491

    395492

    95384497

    381496

    436530

    442547

    434541

    00422586

    446554

    443530

    03496597

    chd

    Male

    Female

    Years

    Discharges in Thousands

    Hospital Discharges Where CHD Was the First Listed Diagnosis

    United States: 1979-2000

    (000)(000)

    YearMalesFemales

    70779597

    851628

    935693

    982725

    1030756

    751043789

    1087843

    1111852

    1110844

    1014724

    801049737

    1095765

    1160841

    1229852

    1044840

    851205846

    1250889

    1268901

    1220830

    1174819

    901151795

    1146806

    1247886

    1205872

    1219899

    951269858

    1325933

    1249840

    1263915

    1317945

    001274892

    1199891

    1249875

    031175834

    Hospital Discharges* for Coronary Heart Diasease by Sex

    United States: 1970-2003

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    Females

    Years

    Discharges in Thousands

  • Percentage Breakdown of Deaths From Cardiovascular DiseasesUnited States:2003*

  • Prevalence of Cardiovascular Diseases in Americans Age 20 and Older by Age and SexNHANES: 1999-2002Source: CDC/NCHS and NHLBI. These data include coronary heart disease, heart failure, stroke and hypertension.

    Chart1

    11.26.2

    22.917.6

    36.236.6

    52.956.5

    68.575

    77.886.4

    Males

    Females

    Ages

    Percent of Population

    Sheet1

    Prevalence of CVD, U.S. 1999-2002 NHANES

    AgeMalesFemales

    20-3411.26.2

    35-4422.917.6

    45-5436.236.6

    55-6452.956.5

    65-7468.575.0

    75+77.886.4

    Prevalence of Cardiovascular Diseases in Americans Age 20 and Older by Age and Sex

    United States: 1999-2002

    Sheet1

    Males

    Females

    Ages

    Percent of Population

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

    Chart1

    4.9453.278

    4.4163.872

    1715

    4649.637

    8095

    138141

    282167

    33880

    911555

    CVD

    Cancer

    Deaths in Thousands

    Sheet1

    CVD/can/age

    CVDCancer

    85>85

    5-1411CVDCancerCVDCancer

    15-2422

  • Three Leading Causes of Death: Total, < 85 and 85+ Deaths: Both SexesUnited States: 2003 *Source: CDC/NCHS and NHLBI. *PreliminaryDeathsAll Ages
  • Three Leading Causes of Death: Total, < 85 and 85+ Deaths: MalesUnited States: 2003 *Source: CDC/NCHS and NHLBI. *PreliminaryAll Ages< 8585+CVD Cancer Accidents CVD Cancer Accidents CVD Cancer COPDDeaths

  • Three Leading Causes of Death: Total, < 85 and 85+ Deaths: FemalesUnited States: 2003 *Source: CDC/NCHS and NHLBI. *Preliminary< 85All Ages85+ CVD Cancer COPD CVD Cancer COPD CVD Cancer Alzheimers

    Deaths

  • Deaths in ThousandsLeading Causes of Death for All Males and Females United States: 2003*A Total CVDB CancerC AccidentsD Chronic Lower Respiratory DiseasesE Diabetes MellitusF Alzheimers DiseaseSource: CDC/NCHS and NHLBI. *Preliminary

  • Percent of Total Deaths Leading Causes of Death for White Males and FemalesUnited States: 2003*A Total CVDB CancerC AccidentsD Chronic Lower Respiratory DiseasesE Diabetes MellitusF Alzheimers DiseaseSource: CDC/NCHS and NHLBI. *Preliminary

  • Leading Causes of Death for Blackor African-American Males and FemalesUnited States: 2003*A Total CVDB CancerC AccidentsD Assault (Homicide)E HIV(AIDS)F Diabetes MellitusG Nephritis, Nephrotic Syndrome and NephrosisSource: CDC/NCHS and NHLBI. *PreliminaryPercent of Total Deaths

  • Leading Causes of Death for Hispanic or Latino Males and FemalesUnited States: 2002A Diseases of the Heart, and StrokeB CancerC AccidentsD Diabetes Mellitus E Assault (Homicide)F Chronic Lower Respiratory DiseaseSource: CDC/NCHS.Percent of Total Deaths

  • Leading Causes of Death for Asian or Pacific Islander Males and FemalesUnited States: 2002A Diseases of the Heart, and StrokeB CancerC AccidentsD Chronic Lower Respiratory DiseasesE Diabetes MellitusF Influenza and PneumoniaSource: CDC/NCHS.Percent of Total Deaths

  • Leading Causes of Death for AmericanIndian or Alaska Native Males and FemalesUnited States: 2002A Diseases of the Heart, and StrokeB CancerC AccidentsD Diabetes MellitusE Chronic Liver Disease and CirrhosisF Chronic Lower Respiratory DiseasesSource: CDC/NCHS.Percent of Total Deaths

  • Estimated 10-Year CHD Risk in 55-Year-Old Adults According to Levels of Various Risk FactorsFramingham Heart Study

    A B C DBlood Pressure (mm Hg)120/80140/90140/90140/90Total Cholesterol (mg/dL) 200 240 240 240HDL Cholesterol (mg/dL) 50 50 40 40Diabetes No No Yes YesCigarettes No No No Yesmm Hg = millimeters of mercurymg/dL = milligrams per deciliter of bloodSource:Circulation 1998;97:1837-1847.

    Chart15

    55

    138

    2520

    3727

    Men

    Women

    Estimated 10-Year Rate (%)

    Sheet1

    CVDCVD2001 CVD total mortalityLCD BLACK M/F, 2001LCD AM. INDIAN M/F, 2001AgesMenWomenMenWomenNHES IIINHANES INHANES III

    MalesFemales145,908141,80125-442.02.8A2.61.1Non-Hispanic WhitesNon-Hispanic BlacksMexican AmericansWhite Males163163155% of Men using PA to lose weight% of Men meeting PA guidelines% of Women using PA to lose weight% of Women meeting PA guidelinesNumber of TransplantsEST. COST OF CV DISEASES 2004

    1979500469MALESFEMALESMALESFEMALES45-546.75.5B4.02.0Black Males171165166Whites66.522.863.520.1196823

    80510490Coronary Heart Disease54502,18954CVD+cong.A33.5CVD+cong.A40.1D of H/St.A24.4D of H/St.A25.455-6413.18.4C5.43.5Awareness69.573.957.8White Females170166163Blacks70.122.662.816.9197010Heart Disease238.6

    81500484Stroke18163,53818CancerB22.4CancerB20.8CancerB17.1CancerB19.165-7417.711.1D8.46.3Treatment60.163.040.3Black Females172174168Hispanics63.817.152.714.3197522Coronary Heart Disease133.2

    82495484Congestive Heart Failure652,8286AccidentsC5.9DiabetesF5.1Acc.C14.0Acc.C8.275+18.616.1E14.819.1Control, Treated55.644.644.0Others68.423.063.520.6198057Stroke53.6

    83498494High Blood Pressure546,7655Assault(Homicide)D4.6Nephritis, etc.G2.9C. Liver D.D4.8DiabetesE6.7F22.427.0Control, All Hypertensives33.428.117.7Trends in Mean Total Blood Cholesterol Among Adolescents Ages 12-17 by Sex and Race and Survey1985719Hypertensive Disease55.5

    84491493Diseases of the Arteries439,4044HIV(Aids)E3.7AccidentsC2.8DiabetesE4.3C. Lower res.D.F4.1Prevalence of Coronary Heart Disease by Age and SexNHES III, NHANES I, NHANES III: 1966-70, 1971-74 and 1988-94Leisure-time Physical Activity (PA) Patterns Among Overweight Adults by Race/Ethnicity and Sex19902,107Congestive Heart Failure28.8

    85491498Rheumatic Fever/Rheumatic Heart Disease0.43,4890.4NHANES III: 1988-94Estimated 10 Year Stroke Risk in 55 Year Old AdultsBRFSS: 199819952,363Total CVD*368.4

    86481498Congenital Cardiovascular Defects0.44,1090.4Leading Causes of Death for Black or African American Males and FemalesLeading Causes of Death for American Indian/Alaska Native Males and FemlaesAccording to Levels of Various Risk FactorsExtent of Awareness, Treatment and Control of High Blood Pressure by Race/Ethnicity20002,199

    87475499Other13118,78613United States: 2001United States: 2001Framingham Heart StudyNHANES IV: 1999-200020022,154Estimated Direct and Indirect Costs (in Billions of Dollars) of Cardiovascular Diseases and Stroke

    88476504100.8931,108100.0United States: 2004

    89456486Trend in Heart Transplants

    90448478Percentage Breakdown of Deaths From Cardiovascular DiseasesUnitedStates: 1968-2002

    91447479United States:2001

    92444479

    93457500

    94452498

    95455505

    96453506

    97450503

    98446504

    99446513

    00439507Non-Hispanic WhitesNon-Hispanic BlacksMexican Americans

    01432499YearMalesFemales12% of high school students who participated in vigorous or moderate physical physical activity in past 7 daysMen5.47.68.1

    70779597Whites76.644.218.2Women4.79.511.4

    Cardiovascular Disease Mortality Trends for Males and FemalesMales71851628Blacks26.724.116.4Non-Hispanic White MalesNon-Hispanic White FemalesNon-Hispanic Black MalesNon-Hispanic Black FemalesHispanic MalesHispanic FemalesMalesFemales

    United States: 1979-2001Males72935693ABCDEFCHF PREVALENCEMexican Americans34.317.317.5Vigorous73.759.872.447.868.852.4Non-Hispanic Whites12.45.3Prevalence of Age-Adjusted (2000) Physician-Diagnosed Diabetes in Americans Age 20 and Older by Sex and Race/Ethnicity

    73982725Blood Pressure*95-105138-148138-148138-148138-148138-148MalesFemalesModerate29.824.723.716.525.918.5Non-Hispanic Blacks17.514.6NHANES III: 1988-94 NHANES III

    741030756DiabetesNoNoYesYesYesYes20-240.10.1Prevalence of Current Smoking for Men Ages 18-24 by Education and Race/EthnicityHispanics21.38.8

    751043789Cigarette SmokingNoNoNoYesYesYes25-340.10.1NHANES III: 1988-94Prevalence of Students in Grades 9-12 Who Participated in Sufficient Vigorousu.s. 1979-00

    Prevalence of CVD, U.S. 1988-94 NHANES III761087843Prior AFNoNoNoNoYesYes35-440.70.5or Moderate Physical Activity During the Past 7 Days by Race/Ethnicity and SexPercentage of Overweight Among Students in Grades 9-12 by Sex and Race/EthnicityCatheterizationsOpen-HeartBypassPTCAEndarterectomyPacemakers

    771111852Prior CVDNoNoNoNoNoYes45-541.81.3United States: 2001United States: 200119792991721145442

    AgeMalesFemales78111084455-646.23.4803501971375544

    20-245.54.6791014724* - Closest ranges for women are : 95-104 and 115-124.65-746.86.6814162221597326

    25-3410.44.280104973775+9.89.7824732401708231

    35-4417.413.6811095765MenWomen835122601919525

    45-5434.228.982116084120-349.80.0Prevalence of Congestive Heart Failure by Age and Sex8457627820210339

    55-6451.048.183122985235-4417.116.0NHANES III: 1988-948569030823010740

    65-7465.265.284104484045-5432.330.5867863702848332

    75+70.779.085120584655-6444.153.0878794093321568189

    86125088965-7459.970.38894445735321170120

    Females87126890175+68.884.18999846836824370107

    Prevalence of Cardiovascular Diseases in Americans Age 20 and Older by Age and SexFemales8812208309010465013922666897

    NHANES III :1988-94MenWomen891174819Prevalence of High Blood Pressure in Americans Age 20 and Over by Age and Sex91105751840730367121

    DR FOR WOMEN, CV AND CANCER 2001A55901151795United States: 1999-200092108459046836791113

    LCD HISPANIC M/F, 2001B138911146806WhitesBlacksMexican Americans93107860648536989123

    White FemalesBlack Females63,31747,082C252092124788612

  • Annual Number of Americans Having Diagnosed Heart Attack by Age and SexARIC: 1987-2000

    Source: Extrapolated from rates in the NHLBIs ARIC surveillance study, 1987-2000. These data dont include silent MIs.

    Chart1

    3400010000

    25000088000

    410000372000

    Men

    Women

    Ages

    New and Recurrent Attacks

    HYPPRSEX

    1976-801988-941999-001976-801988-94

    Non-Hispanic White Men45.025.628.9Non-Hispanic White Men34.225.2OLD!

    Non-Hispanic White Women33.719.724.7Non-Hispanic White Women25.920.5

    Non-Hispanic Black Men50.736.538.0Non-Hispanic Black Men44.836.7

    Non-Hispanic Black Women51.136.441.0Non-Hispanic Black Women46.736.6

    Mexican Men25.625.930.6Mexican-American Men31.024.2

    Mexican Women22.522.325.0Mexican-American Women31.422.4

    Age-Adjusted Prevalence Trends for High Blood Pressure in Americans, Ages 2074 by Race/Ethnicity, Sex and SurveyAge-Adjusted Prevalence Trends for High Blood Pressure, Ages 2074 by Race/Ethnicity, Sex and Survey

    NHANES II, III & IV: 1976-80, 1988-94 and 1999-2000United States: 197680 and 1988-94

    1988-94

    MenWomen

    Non-Hispanic Whites25.220.5

    Non-Hispanic Blacks36.736.6

    Hispanics24.222.4

    Estimated Age-Adjusted(2000) Prevalence for High Blood Pressure in Adults Ages 20-74 By Sex and Race

    United States: 1988-94

    MenWomenMenWomen

    20-348.110.6WRONG!20-349.80.0

    35-4414.329.535-4417.116.0

    45-5429.144.345-5432.330.5

    55-6443.058.055-6444.153.0

    65-7454.965.265-7459.970.3

    75+59.071.375+68.884.1

    Prevalence of High Blood Pressure in Americans Age 20 and Over by Age and SexPrevalence of High Blood Pressure in Americans Age 20 and Over by Age and Sex

    United States: 1999-2000NHANES IV: 1999-2000

    MenWomen

    20-3411.15.8

    35-4421.318.1

    45-5434.134.0

    55-6446.655.5

    65-7460.974.0

    75+69.283.4

    Prevalence of High Blood Pressure in Americans Age 20 and Over by Age and Sex

    NHANES: 1999-2002

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    HYPPRSEX

    Non-Hispanic Whites

    Non-Hispanic Blacks

    Hispanics

    Percent of Population

    HYPREV

    1976-80

    1988-94

    Percent of Population

    HYPAWARE

    Men

    Women

    Ages

    Percent of Population

    strokeprev

    Men

    Women

    Ages

    Percent of Population

    INCHA

    1976-80

    1988-94

    1999-00

    Percent of Population

    FHSrisk

    Men

    Women

    Ages

    Percent of Population

    MenWomen

    1960-6241.334.9

    1971-7443.935.8

    1976-8045.135.8

    1988-9426.421.5

    Estimated Age-Adjusted (2000 Standard) Prevalence for High Blood Pressure, Ages 2074 by Sex and Survey

    United States: 196062, 197174, 197680, to 198894

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    1960-62

    1971-74

    1976-80

    1988-94

    Percent of Population

    1976-801988-941991-94

    On Medication, Controlled102818-3940-5960+

    On Medication, Uncontrolled2126Awareness51.873.369.8

    Not on Medication2017Treatment27.762.962.7

    Unaware4929Control, Treated51.966.443.7

    Awareness Treatment and Control Rates for High Blood PressureControl, All Hypertensives14.441.627.4

    United States: 1976-80 and 1988-94

    Extent of Awareness, Treatment and Control of High Blood Pressure by Age

    NHANES IV: 1999-2000

    1976-801988-911991-94

    Awareness51.073.068.4

    Treatment31.055.053.6Non-Hispanic WhitesNon-Hispanic BlacksMexican Americans

    Control10.029.027.4

    Awareness69.573.957.8

    Treatment60.163.040.3

    High Blood Pressure* Awareness, Treatment and Control RatesControl, Treated55.644.644.0

    United States: 1976-94Control, All Hypertensives33.428.117.7

    Extent of Awareness, Treatment and Control of High Blood Pressure by Race/Ethnicity

    NHANES IV: 1999-2000

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    1976-80

    1988-94

    Percent of People With High Blood Pressure

    1976-80

    1988-91

    1991-94

    Percent of People With HBP

    51.873.369.8

    27.762.962.7

    51.966.443.7

    14.441.627.4

    18-39

    40-59

    60+

    Percent of Population

    69.573.957.8

    60.16340.3

    55.644.644

    33.428.117.7

    Non-Hispanic Whites

    Non-Hispanic Blacks

    Mexican Americans

    Percent of Population

    Stroke Prevalence NHANES 1999-2002

    AgesMenWomen

    20-340.40.3

    35-441.10.8

    45-541.22.1

    55-643.13.0

    65-746.66.3

    75+12.011.5

    Prevalence of Stroke by Age and Sex

    NHANES: 1999-2002

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    `

    Men

    Women

    Ages

    Percent of Population

    MenWomen

    29-4434,00010,000

    45-64250,00088,000

    65+410,000372,000

    Annual Number of Americans Having Diagnosed Heart Attack by Age and Sex

    ARIC: 1987 - 2000

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    Men

    Women

    Ages

    New and Recurrent Attacks

    MenWomen

    A55MenWomen

    B138A2.61.1

    C2520B4.02.0

    D3727C5.43.5

    D8.46.3

    Estimated 10-Year CHD Risk in 55 Year-Old AdultsE14.819.1

    According to Levels of Various Risk Factors - Framingham Heart StudyF22.427.0

    Framingham Heart Study

    Estimated 10 Year Stroke Risk in 55 Year Old Adults

    According to Levels of Various Risk Factors

    Framingham Heart Study

    ABCD

    Blood Pressure120/80140/90140/90140/90

    Cholesterol200240240240

    HDL-C50504040

    DiabetesNoNoYesYesABCDEF

    CigarettesNoNoNoYesBlood Pressure*95-105138-148138-148138-148138-148138-148

    DiabetesNoNoYesYesYesYes

    Source: PWF Wilson, et al., "Prediction of Coronary Heart Disease Using Risk Factor Categories",Cigarette SmokingNoNoNoYesYesYes

    Circulation 97:1837-47, 1998.Prior AFNoNoNoNoYesYes

    Prior CVDNoNoNoNoNoYes

    * - Closest ranges for women are : 95-104 and 115-124.

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    Men

    Women

    Estimated 10-Year Rate (%)

    Men

    Women

    Estimated 10-Year Rate (%)

  • Annual Rate of First Heart Attacksby Age, Sex and RaceARIC: 1987-2000Source: NHLBIs ARIC surveillance study, 1987-2000.

    Chart4

    1.081.530.250.73

    3.454.241.062.15

    7.167.782.745.67

    11.9713.96.369.3

    White Men

    Black Men

    White Women

    Black Women

    Ages

    Per 1,000 Persons

    Sheet1

    CVDCVD2001 CVD total mortalityLCD BLACK M/F, 2001LCD AM. INDIAN M/F, 2001AgesMenWomenMenWomenNHES IIINHANES INHANES III

    MalesFemales145,908141,80125-442.02.8A2.61.1Non-Hispanic WhitesNon-Hispanic BlacksMexican AmericansWhite Males163163155% of Men using PA to lose weight% of Men meeting PA guidelines% of Women using PA to lose weight% of Women meeting PA guidelinesNumber of TransplantsEST. COST OF CV DISEASES 2004

    1979500469MALESFEMALESMALESFEMALES45-546.75.5B4.02.0Black Males171165166Whites66.522.863.520.1196823

    80510490Coronary Heart Disease54502,18954CVD+cong.A33.5CVD+cong.A40.1D of H/St.A24.4D of H/St.A25.455-6413.18.4C5.43.5Awareness69.573.957.8White Females170166163Blacks70.122.662.816.9197010Heart Disease238.6

    81500484Stroke18163,53818CancerB22.4CancerB20.8CancerB17.1CancerB19.165-7417.711.1D8.46.3Treatment60.163.040.3Black Females172174168Hispanics63.817.152.714.3197522Coronary Heart Disease133.2

    82495484Congestive Heart Failure652,8286AccidentsC5.9DiabetesF5.1Acc.C14.0Acc.C8.275+18.616.1E14.819.1Control, Treated55.644.644.0Others68.423.063.520.6198057Stroke53.6

    83498494High Blood Pressure546,7655Assault(Homicide)D4.6Nephritis, etc.G2.9C. Liver D.D4.8DiabetesE6.7F22.427.0Control, All Hypertensives33.428.117.7Trends in Mean Total Blood Cholesterol Among Adolescents Ages 12-17 by Sex and Race and Survey1985719Hypertensive Disease55.5

    84491493Diseases of the Arteries439,4044HIV(Aids)E3.7AccidentsC2.8DiabetesE4.3C. Lower res.D.F4.1Prevalence of Coronary Heart Disease by Age and SexNHES III, NHANES I, NHANES III: 1966-70, 1971-74 and 1988-94Leisure-time Physical Activity (PA) Patterns Among Overweight Adults by Race/Ethnicity and Sex19902,107Congestive Heart Failure28.8

    85491498Rheumatic Fever/Rheumatic Heart Disease0.43,4890.4NHANES III: 1988-94Estimated 10 Year Stroke Risk in 55 Year Old AdultsBRFSS: 199819952,363Total CVD*368.4

    86481498Congenital Cardiovascular Defects0.44,1090.4Leading Causes of Death for Black or African American Males and FemalesLeading Causes of Death for American Indian/Alaska Native Males and FemlaesAccording to Levels of Various Risk FactorsExtent of Awareness, Treatment and Control of High Blood Pressure by Race/Ethnicity20002,199

    87475499Other13118,78613United States: 2001United States: 2001Framingham Heart StudyNHANES IV: 1999-200020022,154Estimated Direct and Indirect Costs (in Billions of Dollars) of Cardiovascular Diseases and Stroke

    88476504100.8931,108100.0United States: 2004

    89456486Trend in Heart Transplants

    90448478Percentage Breakdown of Deaths From Cardiovascular DiseasesUnitedStates: 1968-2002

    91447479United States:2001

    92444479

    93457500

    94452498

    95455505

    96453506

    97450503

    98446504

    99446513

    00439507Non-Hispanic WhitesNon-Hispanic BlacksMexican Americans

    01432499YearMalesFemales12% of high school students who participated in vigorous or moderate physical physical activity in past 7 daysMen5.47.68.1

    70779597Whites76.644.218.2Women4.79.511.4

    Cardiovascular Disease Mortality Trends for Males and FemalesMales71851628Blacks26.724.116.4Non-Hispanic White MalesNon-Hispanic White FemalesNon-Hispanic Black MalesNon-Hispanic Black FemalesHispanic MalesHispanic FemalesMalesFemales

    United States: 1979-2001Males72935693ABCDEFCHF PREVALENCEMexican Americans34.317.317.5Vigorous73.759.872.447.868.852.4Non-Hispanic Whites12.45.3Prevalence of Age-Adjusted (2000) Physician-Diagnosed Diabetes in Americans Age 20 and Older by Sex and Race/Ethnicity

    73982725Blood Pressure*95-105138-148138-148138-148138-148138-148MalesFemalesModerate29.824.723.716.525.918.5Non-Hispanic Blacks17.514.6NHANES III: 1988-94 NHANES III

    741030756DiabetesNoNoYesYesYesYes20-240.10.1Prevalence of Current Smoking for Men Ages 18-24 by Education and Race/EthnicityHispanics21.38.8

    751043789Cigarette SmokingNoNoNoYesYesYes25-340.10.1NHANES III: 1988-94Prevalence of Students in Grades 9-12 Who Participated in Sufficient Vigorousu.s. 1979-00

    Prevalence of CVD, U.S. 1988-94 NHANES III761087843Prior AFNoNoNoNoYesYes35-440.70.5or Moderate Physical Activity During the Past 7 Days by Race/Ethnicity and SexPercentage of Overweight Among Students in Grades 9-12 by Sex and Race/EthnicityCatheterizationsOpen-HeartBypassPTCAEndarterectomyPacemakers

    771111852Prior CVDNoNoNoNoNoYes45-541.81.3United States: 2001United States: 200119792991721145442

    AgeMalesFemales78111084455-646.23.4803501971375544

    20-245.54.6791014724* - Closest ranges for women are : 95-104 and 115-124.65-746.86.6814162221597326

    25-3410.44.280104973775+9.89.7824732401708231

    35-4417.413.6811095765MenWomen835122601919525

    45-5434.228.982116084120-349.80.0Prevalence of Congestive Heart Failure by Age and Sex8457627820210339

    55-6451.048.183122985235-4417.116.0NHANES III: 1988-948569030823010740

    65-7465.265.284104484045-5432.330.5867863702848332

    75+70.779.085120584655-6444.153.0878794093321568189

    86125088965-7459.970.38894445735321170120

    Females87126890175+68.884.18999846836824370107

    Prevalence of Cardiovascular Diseases in Americans Age 20 and Older by Age and SexFemales8812208309010465013922666897

    NHANES III :1988-94MenWomen891174819Prevalence of High Blood Pressure in Americans Age 20 and Over by Age and Sex91105751840730367121

    DR FOR WOMEN, CV AND CANCER 2001A55901151795United States: 1999-200092108459046836791113

    LCD HISPANIC M/F, 2001B138911146806WhitesBlacksMexican Americans93107860648536989123

    White FemalesBlack Females63,31747,082C252092124788612

  • Prevalence of Coronary Heart Disease by Age and SexNHANES :1999-2002Source: CDC/NCHS and NHLBI.

    Chart1

    00.3

    1.40.2

    31.6

    11.63.6

    11.56.3

    16.810.3

    Men

    Women

    Ages

    Percent of Population

    Sheet1

    AgesMenWomen

    20-340.00.3

    35-441.40.2

    45-543.01.6

    55-6411.63.6

    65-7411.56.3

    75+16.810.3

    Prevalence of Coronary Heart Disease by Age and Sex

    NHANES: 1999-2002

    Sheet1

    Men

    Women

    Ages

    Percent of Population

  • Hospital Discharges for Coronary Heart Disease by Sex United States: 1970-2003Note: Hospital discharges include people discharged both alive and dead.Source: National Hospital Discharge Survey, CDC/NCHS and NHLBI.

    Chart1

    779597

    851628

    935693

    982725

    1030756

    1043789

    1087843

    1111852

    1110844

    1014724

    1049737

    1095765

    1160841

    1229852

    1044840

    1205846

    1250889

    1268901

    1220830

    1174819

    1151795

    1146806

    1247886

    1205872

    1219899

    1269858

    1325933

    1249840

    1263915

    1317945

    1274892

    1199891

    1249875

    1175834

    Males

    Females

    Years

    Discharges in Thousands

    CVD

    CVD (390-459)Hdis.MalesFemalesHospital Discharges* for Cardiovascular Diseases as First listed Diagnosis

    703.34United States: 1970-2003

    3.543

    3.86

    4.11

    4.304

    754.418

    4.585

    4.758

    4.766

    4.907792.4712.436

    805.14802.592.549

    5.336812.6792.657

    5.4882.7852.703

    5.6542.8962.758

    5.5932.8562.737

    855.47852.7832.686

    5.5632.8462.717

    5.5722.8682.704

    5.2962.7222.574

    5.1972.672.527

    905.161902.6682.493

    5.3382.7282.611

    5.5972.8662.73

    5.6332.8852.747

    5.7792.9062.873

    955.83952.9732.857

    6.1073.1013.006

    6.0973.1163.03

    6.272983.1393.133

    6.344794.907

    006.2943.1153.179805.14

    6.2263.0583.168815.336

    6.3733.2093.164825.488

    036.4343,2393.196835.654

    845.593

    NOTE: do not include congenital!855.47

    865.563

    875.572

    885.296

    895.197

    905.161

    915.338

    925.597

    935.633

    945.779

    955.83

    966.107

    976.097

    986.272

    996.344

    006.294

    See Above Chart

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    CVD

    Years

    Discharges in Millions

    stroke

    Hospital Discharges Where Stroke Was the First Listed Diagnosis

    United States: 1979-02

    YearMalesFemalesTotal

    79335411746

    80371425796

    368439807

    388446834

    407469876

    420477897

    85407499906

    398491889

    392503895

    336448784

    344447791

    90355453808

    371464835

    376450826

    387452839

    407478885

    95424501925

    438518956

    4615551017

    4575531010

    434527961

    00428553981

    391539931

    432509942

    03455510965

    Hospital Discharges Where Stroke Was the First Listed Diagnosis

    United States: 1979-2003

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    stroke

    Males

    Females

    Years

    Discharges in Thousands

    CHF

    Hospital Discharges for CHF

    CHF Discharges

    -----------In thousands------

    MalesFemalesTotal

    708074155

    7986165

    98102200

    107111218

    121113234

    75122131253

    123143267

    143152296

    157173330

    174203377

    80176224401

    182240423

    195243439

    208255464

    228303531

    85247310557

    274308582

    269336605

    277357634

    304339643

    90315386701

    360405764

    373449822

    394481875

    390484874

    95378494872

    377493870

    431526957

    438540978

    430532962

    00418581999

    444551995

    441529970

    034715661,037

    Hospital Discharges*for Congestive Heart Failure by Sex

    United States: 1970-2003

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    CHF

    1

    &A

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    #REF!

    Discharges in Millions

    HF

    Males

    Females

    Years

    Discharges in Thousands

    chd

    Hospital Discharge Code=428 FL (1970-2003) Heart Failure

    MaleFemale

    197011,07111,238

    9,5199,157

    10,4909,276

    9,42910,090

    8,9249,555

    7510,3259,056

    7,4888,974

    6,2617,660

    5,3346,539

    MaleFemale

    79185214

    80190240

    195252

    207257Hospital discharges for Heart Failure by Sex

    221276United States: 1979-2003

    237317

    85259326

    287328

    282347

    289375

    312351

    90325397

    370417

    384456

    404491

    395492

    95384497

    381496

    436530

    442547

    434541

    00422586

    446554

    443530

    03496597

    chd

    Male

    Female

    Years

    Discharges in Thousands

    Hospital Discharges Where CHD Was the First Listed Diagnosis

    United States: 1979-2000

    (000)(000)

    YearMalesFemales

    70779597

    851628

    935693

    982725

    1030756

    751043789

    1087843

    1111852

    1110844

    1014724

    801049737

    1095765

    1160841

    1229852

    1044840

    851205846

    1250889

    1268901

    1220830

    1174819

    901151795

    1146806

    1247886

    1205872

    1219899

    951269858

    1325933

    1249840

    1263915

    1317945

    001274892

    1199891

    1249875

    031175834

    Hospital Discharges* for Coronary Heart Diasease by Sex

    United States: 1970-2003

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    Males

    Females

    Years

    Discharges in Thousands

  • Trends in Carotid Endarterectomy Procedures United States: 1979-2003Source: CDC/NCHS and NHLBI.

    Chart1

    54

    55

    73

    82

    95

    103

    107

    83

    81

    70

    70

    68

    67

    91

    89

    108

    132

    130

    144

    121

    131

    124

    128

    134

    117

    Endarterectomy

    Years

    Procedures in Thousands

    CVOP

    est. cv oper. & proc

    u.s. 1979-01 (000)Trends in Cardiovascular Operations and Procedures

    CatheterizationsOpen-HeartBypassPTCAEndarterectomyPacemakersUnited States: 1979-2001

    792991721145442

    803501971375544

    4162221597326

    4732401708231

    5122601919525

    57627820210339

    8569030823010740

    786370284958332

    8794093321568189

    94445735321170120

    99846836824370107

    9010465013922666897

    105751840730367121

    108459046836791113

    107860648536989123

    1122628501404108139

    951137722573419132136

    1241759598482130155

    1194760607447144145

    1291734553539121170

    1359753571601131162

    001318686519561124152

    1314690516571128177

    1463709515657134199

    031414666467664117197

    est. cv oper. & procEndarterectomy

    u.s. 1979-03 (000)7954

    CatheterizationsOpen-HeartBypassPTCACarotid EndarterectomyPacemakers8055

    79299172114544273

    80350197137554482

    856903082301074095

    9010465013922666897103

    95113772257341913213685107

    00131868651956112415283

    01131469051657112817781

    02146370951565713419970

    03141466646766411719770

    9068

    67

    Trends in Cardiovascular Operations and Procedures91

    United States: 1979-200389

    108

    95132

    130

    144

    121

    131

    00124

    128

    134

    03117

    Trends in Carotid Endarterectomy Procedures

    United States: 1979-2003

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    Page &P

    CVOP

    Catheterizations

    Open-Heart

    Bypass

    PTCA

    Endarterectomy

    Pacemakers

    Years

    Procedures in Thousands

    Catheterizations

    Open-Heart

    Bypass

    PTCA

    Carotid Endarterectomy

    Pacemakers

    Years

    Procedures in Thousands

    Endarterectomy

    Years

    Procedures in Thousands

  • Prevalence of Stroke by Age and SexNHANES: 1999-2002Source: CDC/NCHS and NHLBI.

    Chart1

    0.40.34

    1.10.8

    1.22.1

    3.13

    6.66.3

    1211.5

    Men

    Women

    Ages

    Percent of Population

    HYPPRSEX

    1976-801988-941999-001976-801988-94

    Non-Hispanic White Men45.025.628.9Non-Hispanic White Men34.225.2OLD!

    Non-Hispanic White Women33.719.724.7Non-Hispanic White Women25.920.5

    Non-Hispanic Black Men50.736.538.0Non-Hispanic Black Men44.836.7

    Non-Hispanic Black Women51.136.441.0Non-Hispanic Black Women46.736.6

    Mexican Men25.625.930.6Mexican-American Men31.024.2

    Mexican Women22.522.325.0Mexican-American Women31.422.4

    Age-Adjusted Prevalence Trends for High Blood Pressure in Americans, Ages 2074 by Race/Ethnicity, Sex and SurveyAge-Adjusted Prevalence Trends for High Blood Pressure, Ages 2074 by Race/Ethnicity, Sex and Survey

    NHANES II, III & IV: 1976-80, 1988-94 and 1999-2000United States: 197680 and 1988-94

    1988-94

    MenWomen

    Non-Hispanic Whites25.220.5

    Non-Hispanic Blacks36.736.6

    Hispanics24.222.4

    Estimated Age-Adjusted(2000) Prevalence for High Blood Pressure in Adults Ages 20-74 By Sex and Race

    United States: 1988-94

    MenWomenMenWomen

    20-348.110.6WRONG!20-349.80.0

    35-4414.329.535-4417.116.0

    45-5429.144.345-5432.330.5

    55-6443.058.055-6444.153.0

    65-7454.965.265-7459.970.3

    75+59.071.375+68.884.1

    Prevalence of High Blood Pressure in Americans Age 20 and Over by Age and SexPrevalence of High Blood Pressure in Americans Age 20 and Over by Age and Sex

    United States: 1999-2000NHANES IV: 1999-2000

    MenWomen

    20-3411.15.8

    35-4421.318.1

    45-5434.134.0

    55-6446.655.5

    65-7460.974.0

    75+69.283.4

    Prevalence of High Blood Pressure in Americans Age 20 and Over by Age and Sex

    NHANES: 1999-2002

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    HYPPRSEX

    Non-Hispanic Whites

    Non-Hispanic Blacks

    Hispanics

    Percent of Population

    HYPREV

    1976-80

    1988-94

    Percent of Population

    HYPAWARE

    Men

    Women

    Ages

    Percent of Population

    strokeprev

    Men

    Women

    Ages

    Percent of Population

    INCHA

    1976-80

    1988-94

    1999-00

    Percent of Population

    FHSrisk

    Men

    Women

    Ages

    Percent of Population

    MenWomen

    1960-6241.334.9

    1971-7443.935.8

    1976-8045.135.8

    1988-9426.421.5

    Estimated Age-Adjusted (2000 Standard) Prevalence for High Blood Pressure, Ages 2074 by Sex and Survey

    United States: 196062, 197174, 197680, to 198894

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    Page &P

    1960-62

    1971-74

    1976-80

    1988-94

    Percent of Population

    1976-801988-941991-94

    On Medication, Controlled102818-3940-5960+

    On Medication, Uncontrolled2126Awareness51.873.369.8

    Not on Medication2017Treatment27.762.962.7

    Unaware4929Control, Treated51.966.443.7

    Awareness Treatment and Control Rates for High Blood PressureControl, All Hypertensives14.441.627.4

    United States: 1976-80 and 1988-94

    Extent of Awareness, Treatment and Control of High Blood Pressure by Age

    NHANES IV: 1999-2000

    1976-801988-911991-94

    Awareness51.073.068.4

    Treatment31.055.053.6Non-Hispanic WhitesNon-Hispanic BlacksMexican Americans

    Control10.029.027.4

    Awareness69.573.957.8

    Treatment60.163.040.3

    High Blood Pressure* Awareness, Treatment and Control RatesControl, Treated55.644.644.0

    United States: 1976-94Control, All Hypertensives33.428.117.7

    Extent of Awareness, Treatment and Control of High Blood Pressure by Race/Ethnicity

    NHANES IV: 1999-2000

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    Page &P

    &A

    Page &P

    1976-80

    1988-94

    Percent of People With High Blood Pressure

    1976-80

    1988-91

    1991-94

    Percent of People With HBP

    51.873.369.8

    27.762.962.7

    51.966.443.7

    14.441.627.4

    18-39

    40-59

    60+

    Percent of Population

    69.573.957.8

    60.16340.3

    55.644.644

    33.428.117.7

    Non-Hispanic Whites

    Non-Hispanic Blacks

    Mexican Americans

    Percent of Population

    Stroke Prevalence NHANES 1999-2002

    AgesMenWomen

    20-340.40.3

    35-441.10.8

    45-541.22.1

    55-643.13.0

    65-746.66.3

    75+12.011.5

    Prevalence of Stroke by Age and Sex

    NHANES: 1999-2002

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    `

    Men

    Women

    Ages

    Percent of Population

    MenWomen

    29-4434,00010,000

    45-64250,00088,000

    65+410,000372,000

    Annual Number of Americans Having Diagnosed Heart Attack by Age and Sex

    ARIC: 1987 - 2000

    &A

    Page &P

    Men

    Women

    Ages

    New and Recurrent Attacks in Thousands

    MenWomen

    A55MenWomen

    B138A2.61.1

    C2520B4.02.0

    D3727C5.43.5

    D8.46.3

    Estimated 10-Year CHD Risk in 55 Year-Old AdultsE14.819.1

    According to Levels of Various Risk Factors - Framingham Heart StudyF22.427.0

    Framingham Heart Study

    Estimated 10 Year Stroke Risk in 55 Year Old Adults

    According to Levels of Various Risk Factors

    Framingham Heart Study

    ABCD

    Blood Pressure120/80140/90140/90140/90

    Cholesterol200240240240

    HDL-C50504040

    DiabetesNoNoYesYesABCDEF

    CigarettesNoNoNoYesBlood Pressure*95-105138-148138-148138-148138-148138-148

    DiabetesNoNoYesYesYesYes

    Source: PWF Wilson, et al., "Prediction of Coronary Heart Disease Using Risk Factor Categories",Cigarette SmokingNoNoNoYesYesYes

    Circulation 97:1837-47, 1998.Prior AFNoNoNoNoYesYes

    Prior CVDNoNoNoNoNoYes

    * - Closest ranges for women are : 95-104 and 115-124.

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    Men

    Women

    Estimated 10-Year Rate (%)

    Men

    Women

    Estimated 10-Year Rate (%)

  • Annual Rate of First Cerebral Infarction by Age, Sex and RaceGreater Cincinnati/Northern Kentucky Stroke Study: 1993-94Source: Unpublished data from the GC/NKSS. Personal Communication with J.Broderick, MD and B. Kissela, MD.

    Chart1

    0.0240.0320.0470.125

    0.1480.10.1340.443

    1.4190.762.1212.481

    2.5811.5994.8574.566

    6.6724.17910.4289.757

    11.78711.30223.2613.479

    16.80316.45224.69121.829

    White Males

    White Females

    Black Males

    Black Females

    Ages

    Per 1,000 Persons

    brodinc

    Est.

    MenIncidence

    AgePOP 2000rate/100,000000

    0-34

    35-44

    45-54

    55-64

    65-74

    75-84

    85+

    First-Ever Cerebral Infarction (exludes TIA's) per 100,000 PopulationFirst-Ever Intracerebral Hemorrhage per 100,000 Population

    AgeBMWMBFWFAgeBMWMBFWF

    0-344.72.412.53.20-344.70.71.11.8

    35-4413.414.844.310.035-4413.44.625.35.6

    45-54212.1141.9248.176.045-5486.616.720.16.2

    55-64485.7258.1456.6159.955-6491.431.458.128.0

    65-741042.8667.2975.7417.965-74225.585.2100.160.9

    75-842326.01178.71347.91130.275-84188.6139.4207.4131.5

    85+2469.11680.32182.91645.285+130.0222.4102.7182.8

    Age-adj286.7168.1245.2131.1Age-adj49.521.429.917.8

    AgesWhite MalesWhite FemalesBlack MalesBlack FemalesAgeWhite MalesWhite FemalesBlack MalesBlack Females

    0-340.00.00.00.10-340.00.00.00.0

    35-440.10.10.10.435-440.00.10.10.3

    45-541.40.82.12.545-540.20.10.90.2

    55-642.61.64.94.655-640.30.30.90.6

    65-746.74.210.49.865-740.90.62.31.0

    75-8411.811.323.313.575-841.41.31.22.1

    85+16.816.524.721.885+2.21.81.31.0

    Annual Rate of First Cerebral InfarctionAnnual Rate of First Intracerebral Hemorrhage

    Greater Cincinnati/ Northern Kentucky Stroke Study : 1993-94Greater Cincinnati/ Northern Kentucky Stroke Study : 1993-94

    Stroke SubtypeThrid TrimesterAround DeliveryPuerperium

    Ischemic Stroke2.233.88.3

    Intracerebral Hemorrhage0.395.011.7

    Subarachnoid Hemorrhage0.846.91.8

    Risk of Third Trimester, Peri- and Post-Partum Period Versus Risk

    of Nonpregnant Women and First 2 Trimesters

    brodinc

    White Males

    White Females

    Black Males

    Black Females

    Ages

    Per 1,000 Persons

    aricinc

    White Males

    White Females

    Black Males

    Black Females

    Ages

    Per 1,000 Persons

    Ischemic Stroke

    Intracerebral Hemorrhage

    Subarachnoid Hemorrhage

    Pregnancy Duration

    Relative Risk by Stroke Subtype

    1987-2000 ARIC Estimated Incidence for CHD.

    ARIC and CHS Incidence Estimates for First Strokes

    White MenBlack MenWhite WomenBlack Women

    White MenBlack MenWhite WomenBlack Women45-540.752.360.651.34

    35-441.081.530.250.7355-641.474.050.923.66

    45-543.454.241.062.1565-7411.818.095.7714.10

    55-647.167.782.745.6775+27.8920.0021.9517.82

    65-7411.9713.906.369.30

    Annual Rate of First Heart Attacks by Age, Sex and Race

    United States: 19872000

    ARIC and CHS Incidence Estimates for Stroke

    White MenBlack MenWhite WomenBlack Women

    45-541.122.820.721.61

    55-641.795.900.964.40

    65-7414.2010.106.8016.50

    75+24.4022.7023.4020.40

    Annual Rate of First and Recurrent Strokes by Age, Sex and Race

    United States: 1987-94 and 1989-96

    White Men

    Black Men

    White Women

    Black Women

    Ages

    Per 1,000 Persons

    White Men

    Black Men

    White Women

    Black Women

    Ages

    Per 1,000 Persons

  • Annual Rate of First Intracerebral Hemorrhage by Age, Sex and RaceGreater Cincinnati/Northern Kentucky Stroke Study: 1993-94Source: Stroke 2004;35:426-431.

  • Estimated 10-Year Stroke Risk in 55-Year-Old Adults According to Levels of Various Risk Factors Framingham Heart StudyABCDEFSystolic BP*95-105130-148130-148130-148130-148130-148DiabetesNoNoYesYesYesYesCigarettesNoNoNoYesYesYesPrior Atrial Fib.NoNoNoNoYes YesPrior CVDNoNoNoNoNoYesSource: Stroke 1991;22:312-318.*BP in millimeters of mercury (mmHg)

    Chart2

    2.61.1

    42

    5.43.5

    8.46.3

    14.819.1

    22.427

    Men

    Women

    Estimated 10-Year Rate (%)

    Sheet1

    CVDCVD2001 CVD total mortalityLCD BLACK M/F, 2001LCD AM. INDIAN M/F, 2001AgesMenWomenMenWomenNHES IIINHANES INHANES III

    MalesFemales145,908141,80125-442.02.8A2.61.1Non-Hispanic WhitesNon-Hispanic BlacksMexican AmericansWhite Males163163155% of Men using PA to lose weight% of Men meeting PA guidelines% of Women using PA to lose weight% of Women meeting PA guidelinesNumber of TransplantsEST. COST OF CV DISEASES 2004

    1979500469MALESFEMALESMALESFEMALES45-546.75.5B4.02.0Black Males171165166Whites66.522.863.520.1196823

    80510490Coronary Heart Disease54502,18954CVD+cong.A33.5CVD+cong.A40.1D of H/St.A24.4D of H/St.A25.455-6413.18.4C5.43.5Awareness69.573.957.8White Females170166163Blacks70.122.662.816.9197010Heart Disease238.6

    81500484Stroke18163,53818CancerB22.4CancerB20.8CancerB17.1CancerB19.165-7417.711.1D8.46.3Treatment60.163.040.3Black Females172174168Hispanics63.817.152.714.3197522Coronary Heart Disease133.2

    82495484Congestive Heart Failure652,8286AccidentsC5.9DiabetesF5.1Acc.C14.0Acc.C8.275+18.616.1E14.819.1Control, Treated55.644.644.0Others68.423.063.520.6198057Stroke53.6

    83498494High Blood Pressure546,7655Assault(Homicide)D4.6Nephritis, etc.G2.9C. Liver D.D4.8DiabetesE6.7F22.427.0Control, All Hypertensives33.428.117.7Trends in Mean Total Blood Cholesterol Among Adolescents Ages 12-17 by Sex and Race and Survey1985719Hypertensive Disease55.5

    84491493Diseases of the Arteries439,4044HIV(Aids)E3.7AccidentsC2.8DiabetesE4.3C. Lower res.D.F4.1Prevalence of Coronary Heart Disease by Age and SexNHES III, NHANES I, NHANES III: 1966-70, 1971-74 and 1988-94Leisure-time Physical Activity (PA) Patterns Among Overweight Adults by Race/Ethnicity and Sex19902,107Congestive Heart Failure28.8

    85491498Rheumatic Fever/Rheumatic Heart Disease0.43,4890.4NHANES III: 1988-94Estimated 10 Year Stroke Risk in 55 Year Old AdultsBRFSS: 199819952,363Total CVD*368.4

    86481498Congenital Cardiovascular Defects0.44,1090.4Leading Causes of Death for Black or African American Males and FemalesLeading Causes of Death for American Indian/Alaska Native Males and FemlaesAccording to Levels of Various Risk FactorsExtent of Awareness, Treatment and Control of High Blood Pressure by Race/Ethnicity20002,199

    87475499Other13118,78613United States: 2001United States: 2001Framingham Heart StudyNHANES IV: 1999-200020022,154Estimated Direct and Indirect Costs (in Billions of Dollars) of Cardiovascular Diseases and Stroke

    88476504100.8931,108100.0United States: 2004

    89456486Trend in Heart Transplants

    90448478Percentage Breakdown of Deaths From Cardiovascular DiseasesUnitedStates: 1968-2002

    91447479United States:2001

    92444479

    93457500

    94452498

    95455505

    96453506

    97450503

    98446504

    99446513

    00439507Non-Hispanic WhitesNon-Hispanic BlacksMexican Americans

    01432499YearMalesFemales12% of high school students who participated in vigorous or moderate physical physical activity in past 7 daysMen5.47.68.1

    70779597Whites76.644.218.2Women4.79.511.4

    Cardiovascular Disease Mortality Trends for Males and FemalesMales71851628Blacks26.724.116.4Non-Hispanic White MalesNon-Hispanic White FemalesNon-Hispanic Black MalesNon-Hispanic Black FemalesHispanic MalesHispanic FemalesMalesFemales

    United States: 1979-2001Males72935693ABCDEFCHF PREVALENCEMexican Americans34.317.317.5Vigorous73.759.872.447.868.852.4Non-Hispanic Whites12.45.3Prevalence of Age-Adjusted (2000) Physician-Diagnosed Diabetes in Americans Age 20 and Older by Sex and Race/Ethnicity

    73982725Blood Pressure*95-105138-148138-148138-148138-148138-148MalesFemalesModerate29.824.723.716.525.918.5Non-Hispanic Blacks17.514.6NHANES III: 1988-94 NHANES III

    741030756DiabetesNoNoYesYesYesYes20-240.10.1Prevalence of Current Smoking for Men Ages 18-24 by Education and Race/EthnicityHispanics21.38.8

    751043789Cigarette SmokingNoNoNoYesYesYes25-340.10.1NHANES III: 1988-94Prevalence of Students in Grades 9-12 Who Participated in Sufficient Vigorousu.s. 1979-00

    Prevalence of CVD, U.S. 1988-94 NHANES III761087843Prior AFNoNoNoNoYesYes35-440.70.5or Moderate Physical Activity During the Past 7 Days by Race/Ethnicity and SexPercentage of Overweight Among Students in Grades 9-12 by Sex and Race/EthnicityCatheterizationsOpen-HeartBypassPTCAEndarterectomyPacemakers

    771111852Prior CVDNoNoNoNoNoYes45-541.81.3United States: 2001United States: 200119792991721145442

    AgeMalesFemales78111084455-646.23.4803501971375544

    20-245.54.6791014724* - Closest ranges for women are : 95-104 and 115-124.65-746.86.6814162221597326

    25-3410.44.280104973775+9.89.7824732401708231

    35-4417.413.6811095765MenWomen835122601919525

    45-5434.228.982116084120-349.80.0Prevalence of Congestive Heart Failure by Age and Sex8457627820210339

    55-6451.048.183122985235-4417.116.0NHANES III: 1988-948569030823010740

    65-7465.265.284104484045-5432.330.5867863702848332

    75+70.779.085120584655-6444.153.0878794093321568189

    86125088965-7459.970.38894445735321170120

    Females87126890175+68.884.18999846836824370107

    Prevalence of Cardiovascular Diseases in Americans Age 20 and Older by Age and SexFemales8812208309010465013922666897

    NHANES III :1988-94MenWomen891174819Prevalence of High Blood Pressure in Americans Age 20 and Over by Age and Sex91105751840730367121

    DR FOR WOMEN, CV AND CANCER 2001A55901151795United States: 1999-200092108459046836791113

    LCD HISPANIC M/F, 2001B138911146806WhitesBlacksMexican Americans93107860648536989123

    White FemalesBlack Females63,31747,082C252092124788612

  • 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 TrimestersSource: Epidemiology 2001;12:456-60

    Chart1

    2.20.30.8

    33.89546.9

    8.311.71.8

    Ischemic Stroke

    Intracerebral Hemorrhage

    Subarachnoid Hemorrhage

    Pregnancy Duration

    Relative Risk by Stroke Subtype

    brodinc

    First-Ever Cerebral Infarction (exludes TIA's) per 100,000 PopulationFirst-Ever Intracerebral Hemorrhage per 100,000 Population

    AgeBMWMBFWFAgeBMWMBFWF

    0-344.72.412.53.20-344.70.71.11.8

    35-4413.414.844.310.035-4413.44.625.35.6

    45-54212.1141.9248.176.045-5486.616.720.16.2

    55-64485.7258.1456.6159.955-6491.431.458.128.0

    65-741042.8667.2975.7417.965-74225.585.2100.160.9

    75-842326.01178.71347.91130.275-84188.6139.4207.4131.5

    85+2469.11680.32182.91645.285+130.0222.4102.7182.8

    Age-adj286.7168.1245.2131.1Age-adj49.521.429.917.8

    AgesWhite MalesWhite FemalesBlack MalesBlack FemalesAgeWhite MalesWhite FemalesBlack MalesBlack Females

    0-340.00.00.00.10-340.00.00.00.0

    35-440.10.10.10.435-440.00.10.10.3

    45-541.40.82.12.545-540.20.10.90.2

    55-642.61.64.94.655-640.30.30.90.6

    65-746.74.210.49.865-740.90.62.31.0

    75-8411.811.323.313.575-841.41.31.22.1

    85+16.816.524.721.885+2.21.81.31.0

    Annual Rate of First Cerebral InfarctionAnnual Rate of First Intracerebral Hemorrhage

    Greater Cincinnati/ Northern Kentucky Stroke Study : 1993-94Greater Cincinnati/ Northern Kentucky Stroke Study : 1993-94

    Stroke SubtypeThird TrimesterAround DeliveryPuerperium

    Ischemic Stroke2.233.88.3

    Intracerebral Hemorrhage0.395.011.7

    Subarachnoid Hemorrhage0.846.91.8

    Risk of Third Trimester, Peri- and Post-Partum Period Versus Risk

    of Nonpregnant Women and First 2 Trimesters

    brodinc

    White Males

    White Females

    Black Males

    Black Females

    Ages

    Per 1,000 Persons

    aricinc

    White Males

    White Females

    Black Males

    Black Females

    Ages

    Per 1,000 Persons

    Ischemic Stroke

    Intracerebral Hemorrhage

    Subarachnoid Hemorrhage

    Pregnancy Duration

    Relative Risk by Stroke Subtype

    1987-2000 ARIC Estimated Incidence for CHD.

    ARIC and CHS Incidence Estimates for First Strokes

    White MenBlack MenWhite WomenBlack Women

    White MenBlack MenWhite WomenBlack Women45-540.752.360.651.34

    35-441.081.530.250.7355-641.474.050.923.66

    45-543.454.241.062.1565-7411.818.095.7714.10

    55-647.167.782.745.6775+27.8920.0021.9517.82

    65-7411.9713.906.369.30

    Annual Rate of First Heart Attacks by Age, Sex and Race

    United States: 19872000

    ARIC and CHS Incidence Estimates for Stroke

    White MenBlack MenWhite WomenBlack Women

    45-541.122.820.721.61

    55-641.795.900.964.40

    65-7414.2010.106.8016.50

    75+24.4022.7023.4020.40

    Annual Rate of First and Recurrent Strokes by Age, Sex and Race

    United States: 1987-94 and 1989-96

    White Men

    Black Men

    White Women

    Black Women

    Ages

    Per 1,000 Persons

    White Men

    Black Men

    White Women

    Black Women

    Ages

    Per 1,000 Persons

  • Prevalence of High Blood Pressure in Americans by Age and SexNHANES: 1999-2002Source: CDC/NCHS and NHLBI.

    Chart2

    11.15.8

    21.318.1

    34.134

    46.655.5

    60.974

    69.283.4

    Men

    Women

    Ages

    Percent of Population

    HYPPRSEX

    1976-801988-941999-001976-801988-94

    Non-Hispanic White Men45.025.628.9Non-Hispanic White Men34.225.2OLD!

    Non-Hispanic White Women33.719.724.7Non-Hispanic White Women25.920.5

    Non-Hispanic Black Men50.736.538.0Non-Hispanic Black Men44.836.7

    Non-Hispanic Black Women51.136.441.0Non-Hispanic Black Women46.736.6

    Mexican Men25.625.930.6Mexican-American Men31.024.2

    Mexican Women22.522.325.0Mexican-American Women31.422.4

    Age-Adjusted Prevalence Trends for High Blood Pressure in Americans, Ages 2074 by Race/Ethnicity, Sex and SurveyAge-Adjusted Prevalence Trends for High Blood Pressure, Ages 2074 by Race/Ethnicity, Sex and Survey

    NHANES II, III & IV: 1976-80, 1988-94 and 1999-2000United States: 197680 and 1988-94

    1988-94

    MenWomen

    Non-Hispanic Whites25.220.5

    Non-Hispanic Blacks36.736.6

    Hispanics24.222.4

    Estimated Age-Adjusted(2000) Prevalence for High Blood Pressure in Adults Ages 20-74 By Sex and Race

    United States: 1988-94

    MenWomenMenWomen

    20-348.110.6WRONG!20-349.80.0

    35-4414.329.535-4417.116.0

    45-5429.144.345-5432.330.5

    55-6443.058.055-6444.153.0

    65-7454.965.265-7459.970.3

    75+59.071.375+68.884.1

    Prevalence of High Blood Pressure in Americans Age 20 and Over by Age and SexPrevalence of High Blood Pressure in Americans Age 20 and Over by Age and Sex

    United States: 1999-2000NHANES IV: 1999-2000

    MenWomen

    20-3411.15.8

    35-4421.318.1

    45-5434.134.0

    55-6446.655.5

    65-7460.974.0

    75+69.283.4

    Prevalence of High Blood Pressure in Americans Age 20 and Over by Age and Sex

    NHANES: 1999-2002

    &A

    Page &P

    HYPPRSEX

    Non-Hispanic Whites

    Non-Hispanic Blacks

    Hispanics

    Percent of Population

    HYPREV

    1976-80

    1988-94

    Percent of Population

    HYPAWARE

    Men

    Women

    Ages

    Percent of Population

    strokeprev

    Men

    Women

    Ages

    Percent of Population

    INCHA

    1976-80

    1988-94

    1999-00

    Percent of Population

    FHSrisk

    Men

    Women

    Ages

    Percent of Population

    MenWomen

    1960-6241.334.9

    1971-7443.935.8

    1976-8045.135.8

    1988-9426.421.5

    Estimated Age-Adjusted (2000 Standard) Prevalence for High Blood Pressure, Ages 2074 by Sex and Survey

    United States: 196062, 197174, 197680, to 198894

    &A

    Page &P

    1960-62

    1971-74

    1976-80

    1988-94

    Percent of Population

    1976-801988-941991-94

    On Medication, Controlled102818-3940-5960+

    On Medication, Uncontrolled2126Awareness51.873.369.8

    Not on Medication2017Treatment27.762.962.7

    Unaware4929Control, Treated51.966.443.7

    Awareness Treatment and Control Rates for High Blood PressureControl, All Hypertensives14.441.627.4

    United States: 1976-80 and 1988-94

    Extent of Awareness, Treatment and Control of High Blood Pressure by Age

    NHANES IV: 1999-2000

    1976-801988-911991-94

    Awareness51.073.068.4

    Treatment31.055.053.6Non-Hispanic WhitesNon-Hispanic BlacksMexican Americans

    Control10.029.027.4

    Awareness69.573.957.8

    Treatment60.163.040.3

    High Blood Pressure* Awareness, Treatment and Control RatesControl, Treated55.644.644.0

    United States: 1976-94Control, All Hypertensives33.428.117.7

    Extent of Awareness, Treatment and Control of High Blood Pressure by Race/Ethnicity

    NHANES IV: 1999-2000

    &A

    Page &P

    &A

    Page &P

    1976-80

    1988-94

    Percent of People With High Blood Pressure

    1976-80

    1988-91

    1991-94

    Percent of People With HBP

    51.873.369.8

    27.762.962.7

    51.966.443.7

    14.441.627.4

    18-39

    40-59

    60+

    Percent of Population

    69.573.957.8

    60.16340.3

    55.644.644

    33.428.117.7

    Non-Hispanic Whites

    Non-Hispanic Blacks

    Mexican Americans

    Percent of Population

    Stroke Prevalence NHANES 1999-2002

    AgesMenWomen

    20-340.10.3

    35-441.10.8

    45-541.22.1

    55-643.13.0

    65-746.66.3

    75+12.011.5

    Prevalence of Stroke by Age and Sex

    NHANES: 1999-2002

    &A

    Page &P

    `

    Men

    Women

    Ages

    Percent of Population

    MenWomen

    29-4434,00010,000

    45-64250,00088,000

    65+410,000372,000

    Annual Number of Americans Having Diagnosed Heart Attack by Age and Sex

    ARIC: 1987 - 2000

    &A

    Page &P

    Men

    Women

    Ages

    New and Recurrent Attacks in Thousands

    MenWomen

    A55MenWomen

    B138A2.61.1

    C2520B4.02.0

    D3727C5.43.5

    D8.46.3

    Estimated 10-Year CHD Risk in 55 Year-Old AdultsE14.819.1

    According to Levels of Various Risk Factors - Framingham Heart StudyF22.427.0

    Framingham Heart Study

    Estimated 10 Year Stroke Risk in 55 Year Old Adults

    According to Levels of Various Risk Factors

    Framingham Heart Study

    ABCD

    Blood Pressure120/80140/90140/90140/90

    Cholesterol200240240240

    HDL-C50504040

    DiabetesNoNoYesYesABCDEF

    CigarettesNoNoNoYesBlood Pressure*95-105138-148138-148138-148138-148138-148

    DiabetesNoNoYesYesYesYes

    Source: PWF Wilson, et al., "Prediction of Coronary Heart Disease Using Risk Factor Categories",Cigarette SmokingNoNoNoYesYesYes

    Circulation 97:1837-47, 1998.Prior AFNoNoNoNoYesYes

    Prior CVDNoNoNoNoNoYes

    * - Closest ranges for women are : 95-104 and 115-124.

    &A

    Page &P

    Men

    Women

    Estimated 10-Year Rate (%)

    Men

    Women

    Estimated 10-Year Rate (%)

  • Extent of Awareness, Treatment and Control of High Blood Pressure by Race/EthnicityNHANES : 1999-2002Source: MMWR. Vol. 54, No.1, Jan. 14, 2005 NH non-Hispanic.

    Chart1

    62.970.349.8

    48.655.434.9

    29.829.817.3

    NH Whites

    NH Blacks

    Mexican Americans

    Percent of Population

    OVERWT

    1960-621971-741976-801988-941999-2002

    Men10.712.212.820.628.1

    Women15.716.817.126.034.0

    Age-Adjusted Prevalence of Obesity* in Americans Ages 20-74 by Sex and Survey

    NHES and NHANES: 1960--62, 1971--74, 1976--80, 1988--94 and 1999-2002

    Source:Health US, 2004.

    Obesity is defined as BMI of 30 plus.

    &A

    Page &P

    OVERWT

    1960-62

    1971-74

    1976-80

    1988-94

    1999-2002

    Percent of Population

    cholchild

    Estimated Percentage of Children With Serum Cholesterol of 170 mg/dl or More, United States

    WhiteBlack

    Males 0-9 Years2940

    Females 0-9 Years3350

    Males 10-19 Years2534

    Females 10-19 Years2941

    Estimated Percentage of Children With Serum Cholesterol of 170 mg/dL

    or More, United States

    Trends in Mean Total Serum Cholesterol Among Adolescents Ages 12-17 by Sex and Race and Survey

    NHES III, NHANES I, NHANES III: 1966-70, 1971-74 and 1988-94

    NHES IIINHANES INHANES III

    White Males163163155

    Black Males171165166`

    White Females170166163

    Black Females172174168

    `

    cholchild

    &A

    Page &P

    White

    Black

    Percent of Population

    diabetes

    NHES III

    NHANES I

    NHANES III

    Mean Total Serum Cholesterol

    Strokerace

    NH WhitesNH BlacksMexican Americans

    Men6.210.310.4

    Women4.712.611.3

    Age-Adjusted Prevalence of Physician-Diagnosed Diabetes in Americans Age 20 and Older by Sex and Race/Ethnicity

    NHANES: 1999-2002

    WhitesBlacksMexican Americans

    122.95.46.4

    Prevalence of Non-Insulin-Dependent (Type 2) Diabetes in Women Ages 25-64

    byEducation and Race/Ethnicity

    NHANES III: 1988-94

    &A

    Page &P

    Strokerace

    NH Whites

    NH Blacks

    Mexican Americans

    Percent of Population

    Hdl&Ldl

    Whites

    Blacks

    Mexican Americans

    Years of Education

    Percent of Population

    smokhschool

    Relative Risk of Deaths due to StrokeCompared to Non-Hispanic Whites, by Race/Ethnicity and Age Groups, U.S., 1997

    Non-Hispanic BlacksAmerican Indians/ Alaska NativesAsian/Pacific IslandersHispanics

    35-444.01.91.31.3

    45-543.91.31.31.3

    55-643.01.51.41.2

    65-741.90.91.10.9

    75-841.20.81.00.6

    85+0.90.40.70.5

    Risk for Stroke Mortality Among Racial/Ethnic Groups Compared With Non-Hispanic Whites,

    by Age Groups

    United States: 1997

    smokhschool

    35-44

    45-54

    55-64

    65-74

    75-84

    85+

    Race/Ethnicity

    Relative Risk

    Metsyndr.

    Estiamted % of Americans Age 20 and Over with High-Risk LDL-Cholesterol of 130 mg/dL or More by Race and Sex

    MenWomen

    Total Population43.135.8

    NH Whites43.836.9

    NH Blacks36.034.5

    Mexican Americans43.731.3

    Age-Adjusted Prevalence of Americans Age 20 and Older With

    LDL-Cholesterol of 130 mg/dL or Higher by Race/Ethnicity and Sex

    United States:1999-2002

    MenWomen

    Total33.612.6

    NH Whites34.512.4

    NH Blacks22.711.3

    Mexican Americans34.415.4

    Estimated Age-Adjusted (2000) Prevalence of Adults Age 20 and Over With

    HDL-Cholesterol Under 40 mg/dL by Race and Sex

    United States: NHANES 1999-2002

    Metsyndr.

    Men

    Women

    Percent of Population

    PhysicAct.

    Men

    Women

    Percent of Population

    smokmf

    `NH WhitesNH BlacksHispanics

    Males23.319.319.1

    Females26.610.817.7

    Prevalence of High School Students in Grades 9-12 Reporting Current Cigarette Use

    Within the last 30 days by Race/Ethnicity and Sex

    YRBS: 2003

    &A

    Page &P

    smokmf

    Males

    Females

    Percent of Population

    NHANESrf

    CHD MortalityCVD MortalityTotal Mortality

    No MetS or DM2.65.314.4

    MetS w/o DM4.37.817.1

    MetS w/DM4.88.621.1

    DM only6.311.526.1

    Prior CVD10.916.730.0

    Prior CVD and DM17.028.144.1

    Total Mortality Rates in US Adults Age 30-75, with Metabolic Syndrome, With and Without Diabetes and Pre-Existing CVD

    NHANES II Follow-Up Study

    NHANESrf

    No MetS or DM

    MetS w/o DM

    MetS w/DM

    DM only

    Prior CVD

    Prior CVD and DM

    Deaths/1,000 Person Years

    oweight hs

    % of high school students who participated in vigorous or moderate physical physical activity in past 7 days

    NH White MalesNH White FemalesNH Black MalesNH Black FemalesHispanic MalesHispanic FemalesBMI

  • Age-Adjusted Prevalence Trends for High Blood Pressure in Americans Age 20 and older by Race/Ethnicity, Sex and SurveyNHANES: 1988-94 and 1999-2002Source: Health, United States, 2004. CDC/NCHS. Data based on three measures of BP. NH non-Hispanic. AA African American.

    Chart1

    25.627.5

    22.928.4

    37.540.4

    38.243.4

    26.926.7

    2527.8

    1988-94

    1999-02

    Percent of Population

    Sheet1 (2)

    1988-941999-02

    NH White-Only Men25.627.5

    NH White- Only Women22.928.4

    NH Black or AA Men37.540.4

    NH Black or AA Women38.243.4

    Mexican Men26.926.7

    Mexican Women25.027.8

    Age-Adjusted Prevalence Trends for High Blood Pressure in Americans,

    Ages 20 and Over by Race/Ethnicity, Sex and Survey

    NHANES:1988-94 and 1999-2002

    Sheet1 (2)

    1988-94

    1999-02

    Percent of Population

    Sheet1

    1976-801988-941999-00

    Non-Hispanic White Men45.025.628.9

    Non-Hispanic White Women33.719.724.7

    Non-Hispanic Black Men50.736.538.0

    Non-Hispanic Black W