heart disease and stroke statistics 2012 update

Heart Disease and Stroke Statistics

2012 Update

1

Additional charts may be downloaded directly from the online publication at: http://circ.ahajournals.org/lookup/doi/10.1161/CIR.0b013e31823ac046

Or at:

www.heart.org/statistics

The American Heart Association requests that this document be cited as follows: Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, Bravata DM, Dai S, Ford ES, Fox CS, Fullerton HJ, Gillespie C, Hailpern SM, Heit JA, Howard VJ, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Makuc DM, Marcus GM, Marelli A, Matchar DB, Moy CS, Mozaffarian D, Mussolino ME,

Nichol G, Paynter NP, Soliman EZ, Sorlie PD, Sotoodehnia N, Turan TN, Virani SS, Wong ND, Woo D, Turner MB; on behalf of the American Heart Association Statistics Committee and Stroke Statistics

Subcommittee. Heart disease and stroke statistics—2012 update: a report from the American Heart Association. Circulation. 2012: published online before print December 15, 2011,

10.1161/CIR.0b013e31823ac046.

If you have questions about statistics or any points made in the 2012 Statistical Update, please contact the American Heart Association National Center,

Office of Science & Medicine at [email protected].

Please direct all media inquiries to News Media Relations at [email protected] or 214-706-1173.

http://circ.ahajournals.org/lookup/doi/10.1161/CIR.0b013e31823ac046

http://www.heart.org/statistics

mailto:[email protected]

mailto:[email protected]

Prevalence (unadjusted) estimates for poor, intermediate and ideal cardiovascular health

for each of the 7 metrics of cardiovascular health in the AHA 2020 goals,

US children aged 12-19 years, NHANES 2007-2008

©2011 American Heart Association, Inc. All rights reserved.

Roger VL et al. Published online in Circulation Dec. 15, 2011

16.3 18.6

7.2

91.5

4.6 2.0 1.0

0.0

19.0

53.9

8.5

20.2

15.7 22.8

83.7

62.5

39.0

0.0

75.1 82.3

76.2

0.0

20.0

40.0

60.0

80.0

100.0

Current Smoking

Body Mass Index

Physical Activity

Healthy Diet Score

Total Cholesterol

Blood Pressure

Fasting Plasma Glucose

Perc

en

tag

e

Poor Intermediate Ideal

Age-standardized prevalence for poor, intermediate and ideal cardiovascular health

for each of the 7 metrics of cardiovascular health in the AHA 2020 goals,

among US adults >20 years of age, NHANES 2007-2008

24.1

34.1

47.5

79.0

14.0 14.2 7.9

3.0

34.0 13.0

20.7

39.2 42.0

40.1

72.9

31.9 39.5

0.3

46.8 43.8 52.0

0.0

20.0

40.0

60.0

80.0

100.0

Current Smoking

Body Mass Index

Physical Activity

Healthy Diet Score

Total Cholesterol

Blood Pressure

Fasting Plasma Glucose

Pe

rce

nta

ge

Poor Intermediate Ideal



14.2

39.3

72.6

80.1

9.7

37.2

71.9

86.7

0

10

20

30

40

50

60

70

80

90

100

20-39 40-59 60-79 80+

Perc

en

t o

f P

op

ula

tio

n

Men Women

Prevalence of CVD in adults ≥20 years of age by age and sex (NHANES: 2005–2008)

Source: NCHS and NHLBI. These data include CHD, HF, stroke, and hypertension.

©2011 American Heart Association, Inc. All rights reserved. Roger VL et al. Published online in Circulation Dec. 15, 2011


Deaths due to diseases of the heart (United States: 1900–2008)

0

200

400

600

800

1,000

1900 1910 1920 1930 1940 1950 1960 1970 1980 1990 2000 2008

Death

s in

Th

ou

san

ds

Years

Source: National Center for Health Statistics.

CVD and other major causes of death for all males and females (United States: 2008)

Source: NCHS and NHLBI. A indicates CVD plus congenital CVD; B, cancer; C, accidents; D, CLRD; E, diabetes; and F, Alzheimer's disease.


392,210

295,259

78,378

67,122

35,346

24,516

419,730

270,210

73,968

57,919

43,524 35,207

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

400,000

450,000

A B C D E F A B D F C E

Death

s

Males Females

Prevalence of stroke by age and sex (NHANES: 2005–2008)

0.3

1.6

7.2

14.5

0.5

2.4

8.2

14.8

0

2

4

6

8

10

12

14

16

18

20-39 40-59 60-79 80+

Perc

en

t o

f P

op

ula

tio

n

Age

Men Women

Source: NCHS and NHLBI.


Age-adjusted death rates for stroke by sex and race/ethnicity, 2008

Source: NCHS and NHLBI.


39.0

62.1

34.0

24.5

33.1

38.6

53.4

32.1

24.0

28.9

0

10

20

30

40

50

60

70

White Black Asian/Pacific Islander American Indian/Alaska Native

Hispanic

Death

Rate

per

100 0

00

Males Females

Prevalence of High Blood Pressure in adults ≥20 years of age

by age and sex (NHANES: 2005–2008)

11.1

25.1

37.1

54.0

64.0 66.7

6.8

19.0

35.2

53.3

69.3

78.5

0

10

20

30

40

50

60

70

80

90

20-34 35-44 45-54 55-64 65-74 75+

Perc

en

t o

f P

op

ula

tio

n

Age

Male Female

Source: NCHS and NHLBI. Hypertension is defined as SBP 140 mm Hg or DBP 90 mmHg, taking antihypertensive medication, or being told twice by a

physician or other professional that one has hypertension.


Age-Adjusted Prevalence Trends for High Blood Pressure in Adults, ≥20 years of age by

race/ethnicity, sex and survey (NHANES:1988-1994, 1999-2004 and 2005-2008)

25.6

22.9

37.5 38.2

26.9

25.0

28.3 28.2

38.6

41.5

25.7 26.8

30.5

27.7

40.2

42.9

24.6 25.0

0

5

10

15

20

25

30

35

40

45

50

NH White Men NH White Women NH Black Men NH Black Women Mexican American Men

Mexican American Women

Perc

en

t o

f P

op

ula

tio

n

1988-1994 1999-2004 2005-2008

Source: NCHS and NHLBI. NH indicates non-Hispanic.


Trends in mean total serum cholesterol among adolescents 12–17 years of age by race,

sex, and survey year (NHANES: 1988–1994*, 1999–2004 and 2005-2008)

163

165 166

174

159

161

163 163

158

160

154

157

161 162

155

158

140

145

150

155

160

165

170

175

180

NH White Males NH Black Males NH White Females

NH Black Females Mex. Am. Males Mex. Am. Females

Mean

To

tal B

loo

d C

ho

leste

rol

1988-94 1999-2004 2005-2008

Source: NCHS and NHLBI. NH indicates non-Hispanic. Mex. Am. indicates Mexican American. * Data for Mexican Americans not available.


Trends in mean total serum cholesterol among adults ages ≥20 by race and survey year,

(NHANES: 1988–1994, 1999–2004 and 2005–2008)

206

204 205

203

198

201

198

192

201

180

185

190

195

200

205

210

NH White NH Black Mexican American

Mean

Seru

m T

ota

l C

ho

leste

rol

1988-94 1999-2004 2005-2008



Age-adjusted prevalence of physician-diagnosed diabetes in adults ≥20 years of age

by race/ethnicity and sex (NHANES: 2005–2008)

6.8 6.5

14.3 14.7

11.0

12.7

0

2

4

6

8

10

12

14

16

Male Female

Perc

en

t o

f P

op

ula

tio

n

NH White NH Black Mexican American



Trends in diabetes prevalence in adults ≥20 years of age, by sex

(NHANES: 1988–1994 and 2005–2008)

5.4

3.4

7.9

4.1

5.4

2.5

8.2

2.3

0

1

2

3

4

5

6

7

8

9

Physician Diagnosed 1988-94 Undiagnosed 1988-94 Physician Diagnosed 2005-08 Undiagnosed 2005-08

Perc

en

t o

f P

op

ula

tio

n

Male Female

Source: NCHS, NHLBI.


Prevalence of students in grades 9–12 who met currently recommended levels of

physical activity during the past 7 days by race/ethnicity and sex (YRBSS: 2009)

47.3

31.3

43.3

21.9

41.3

24.9

0

5

10

15

20

25

30

35

40

45

50

Male Female

Perc

en

t o

f P

op

ula

tio

n

NH White NH Black Hispanic

Currently recommended levels is defined as activity that increased their heart rate and made them breathe hard some of the time for a total of at least

60 minutes per day on 5 of the 7 days preceding the survey. Source: MMWR Surveill Summ. 2010;59:1–142. NH indicates non-Hispanic.


Prevalence of meeting the 2008 Federal Physical Activity Guidelines

among adults ≥18 years of age by race/ethnicity and sex (NHIS: 2010)


26.7

19.1

24.6

11.2

18.8

9.8

0

5

10

15

20

25

30

Men Women

Perc

en

t o

f P

op

ula

tio

n


NH indicates non-Hispanic. Percents are age-adjusted. Meeting the 2008 Federal PA Guidelines is defined as engaging in moderate leisure-time

physical activity for at least 150 minutes per week or vigorous activity at last 75 minutes per week or an equivalent combination.

Prevalence of students in grades 9 to 12 reporting current cigarette use

by sex and race/ethnicity (YRBSS, 2009)

22.3

10.7

19.4

22.8

8.4

16.7

0

5

10

15

20

25


Perc

en

t o

f th

e P

op

ula

tio

n

Males Females

Source: MMWR Surveill Summ. 2010;59:1–142.NH indicates non-Hispanic.


Prevalence of current smoking for adults > 18 years of age

by race/ethnicity and sex (NHIS: 2007-2009)

All percentages are age-adjusted. NH indicates non-Hispanic. *Includes both Hispanics and non-Hispanics. Data derived from Centers for Disease

Control and Prevention/National Center for Health Statistics, Health Data Interactive.


22.9

18.9

23.6

17.0 17.9

9.3

15.4

5.4

26.8

19.9

0

5

10

15

20

25

30

Men Women

Pe

rce

nt

of

Po

pu

lati

on

NH White NH Black Hispanic Asian* American Indian/Alaska Native*


4.0

6.1 6.5

5.0

11.3

10.5

15.9 16.0

17.4 17.9

0

2

4

6

8

10

12

14

16

18

20

6-11 12-19

Pe

rce

nt

of

Po

pu

lati

on

Age (Years)

1971-1974 1976-1980 1988-1994 1999-2002 2005-2008

Trends in the prevalence of obesity among US children and adolescents by age and

survey year (National Health and Nutrition Examination Survey: 1971-1974, 1976-1980,

1988-1994, 1999-2002 and 2005–2008)

Data derived from Health, United States, 2010: With Special Feature on Death and Dying. NCHS, 2011.



Age-adjusted prevalence of obesity in adults 20–74 years of age, by sex and survey year

(NHES: 1960–62; NHANES: 1971–74, 1976–80, 1988–94, 1999-2002 and 2005-08)

10.7

15.7

12.2

16.8

12.8

17.1

20.6

26.0

28.1

34.0 33.3

36.2

0

5

10

15

20

25

30

35

40

Men Women

Perc

en

t o

f P

op

ula

tio

n

1960-62 1971-74 1976-80 1988-94 1999-2002 2005-08

Data derived from Health, United States, 2010: With Special Feature on Death and Dying. NCHS, 2011.

Trends in cardiovascular procedures, United States: 1979–2009

Note: Inpatient procedures only. Source: National Hospital Discharge Survey, NCHS, and NHLBI.


0

200

400

600

800

1000

1200

1400

1979 1980 1985 1990 1995 2000 2005 2009

Pro

ced

ure

s i

n T

ho

usan

ds

Years

Catheterizations Bypass PCI Carotid Endarterectomy Pacemakers

Direct and indirect costs (in billions of dollars)

of major cardiovascular diseases and stroke (United States: 2008)

Source: National Heart, Lung, and Blood Institute.


190.3

50.6

34.3

22.5

0

20

40

60

80

100

120

140

160

180

200

Heart disease Hypertension Stroke Other CVD

Bil

lio

ns o

f D

oll

ars

Projected Total Costs of CVD, 2015–2030 (in Billions 2008$) in the United States

564.9

121.1 132.4

44.6 69.1

197.8

704.7

153.2 156.9

57.0 87.1

250.5

886.2

194.1 186.7

74.1 111.2

320.0

1117.6

245.2 223.8

97.0 143.0

408.5

0

200

400

600

800

1000

1200

All CVD Hypertension CHD HF Stroke Other CVDs

To

tal D

oll

ars

(in

Billio

ns

)

2015 2020 2025 2030

Unpublished data tabulated by AHA using methods described in Circulation. 2011;123:933–944.


heart disease and stroke statistics 2012 update

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