Transcript Document

Heart Disease and Stroke
Statistics — 2004 Update
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Cardiovascular Disease Mortality Trends for
Males and Females
United
States: 1979-2001
Source: CDC/NCHS.
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Deaths From Diseases of the Heart
United States: 1900-2001
Source: CDC/NCHS.
p5
Hospital Discharges for
Cardiovascular Diseases
United States: 1970-2001
Note:
Hospital discharges include people both living and dead.
Source: CDC/NCHS.
p5
Percentage Breakdown of Deaths
from Cardiovascular Diseases
United States: 2001
Source: CDC/NCHS.
p5
Prevalence of Cardiovascular Diseases in
Americans Age 20 and Older by Age and Sex
NHANES III: 1988-94
Note:
These data include CHD, CHF, stroke and hypertension.
Source: CDC/NCHS.
p5
Leading Causes of Death for All
Males and Females
United States: 2001
A Total CVD
B Cancer
C Accidents
Source: CDC/NCHS.
D Chronic Lower Respiratory Diseases
E Diabetes Mellitus
F Alzheimer’s Disease
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Leading Causes of Death for
White Males and Females
United States: 2001
A
B
C
D
Total CVD
Cancer
Accidents
Chronic Lower Respiratory
Diseases
Source: CDC/NCHS.
E Diabetes Mellitus
F Alzheimer’s Disease
G Influenza and Pneumonia
p6
Leading Causes of Death for Black or
African-American Males and Females
United States: 2001
Source: CDC/NCHS.
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Leading Causes of Death for
Hispanic or Latino Males and Females
United States: 2001
A Diseases of the Heart, and Stroke
B Cancer
C Accidents
Source: CDC/NCHS.
D Assault (Homicide)
E Diabetes Mellitus
F Influenza and Pneumonia
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Leading Causes of Death for
Asian/Pacific Islander Males and Females
United States: 2001
A Diseases of the Heart,
and Stroke
B Cancer
C Accidents
Source: CDC/NCHS.
D Chronic Lower
Respiratory Diseases
E Influenza and Pneumonia
F Diabetes Mellitus
p7
Leading Causes of Death for American
Indian/Alaska Native Males and Females
United States: 2001
A Diseases of the Heart,
and Stroke
B Cancer
C Accidents
Source: CDC/NCHS.
D Chronic Liver Disease and
Cirrhosis
E Diabetes Mellitus
F Chronic Lower Respiratory
Diseases
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Age-Adjusted Death Rates for Coronary
Heart Disease, Stroke, and Lung and Breast
Cancer for White and Black Females
United States: 2001
Source: CDC/NCHS.
p7
Estimated 10-Year CHD Risk in 55-Year-Old
Adults According to Levels of Various Risk
Factors – Framingham Heart Study
A
B
C
D
Blood Pressure (mm Hg)
120/80
140/90
140/90
140/90
Total Cholesterol (mg/dL)
200
240
240
240
HDL Cholesterol (mg/dL)
50
50
40
40
Diabetes
No
No
Yes
Yes
Cigarettes
No
No
No
Yes
mm Hg = millimeters of mercury
mg/dL = milligrams per deciliter of blood
Source: Wilson PWF, et al. Circulation. 1998;97:1837-1847.
p11
Annual Number of Americans Having
Diagnosed Heart Attack by Age and Sex
ARIC: 1987-2000
Note:
These data don’t include silent myocardial infarctions.
Source: Extrapolated from rates in the NHLBI’s ARIC surveillance
study, 1987-2000.
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Annual Rate of First Heart Attacks
by Age, Sex and Race
ARIC: 1987-2000
Source: NHLBI’s ARIC surveillance study, 1987-2000.
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Prevalence of Coronary Heart Disease
by Age and Sex
NHANES III: 1988-94
Source: CDC/NCHS.
p12
Hospital Discharges for Coronary
Heart Disease by Sex
United States: 1970-2001
Note:
Hospital discharges include people both living and dead.
Source: CDC/NCHS.
p12
Risk for Stroke Mortality Among
Racial/Ethnic Groups Compared With
Non-Hispanic Whites, by Age
United States: 1997
Note:
Values greater than 1.0 indicate populations with higher relative risks.
Values less than 1.0 indicate lower relative risks.
Source: MMWR, Vol. 49, No. 5, Feb. 11, 2000, CDC/NCHS.
p16
Prevalence of Stroke by Age and Sex
NHANES III: 1988-94
Source: CDC/NCHS.
p16
Annual Rate of First Cerebral Infarction
by Age, Sex and Race
Greater Cincinnati/Northern Kentucky Stroke
Study: 1993-94
Source: Unpublished data from the GCNKSS.
p16
Annual Rate of First Intracerebral
Hemorrhage by Age, Sex and Race
Greater Cincinnati/Northern Kentucky Stroke
Study: 1993-94
Source: Unpublished data from the GCNKSS.
p16
Estimated 10-Year Stroke Risk in 55-YearOld Adults According to Levels of Various
Risk Factors – Framingham Heart Study
A
Systolic BP*
95-105
B
C
D
E
F
130-148 130-148 130-148 130-148 130-148
Diabetes
No
No
Yes
Yes
Yes
Yes
Cigarettes
No
No
No
Yes
Yes
Yes
Prior Atrial Fibrillation
No
No
No
No
Yes
Yes
Prior CVD
No
No
No
No
No
Yes
* Blood pressures are in millimeters of mercury (mm Hg).
Source: Wolf, PA, et al. Stroke. 1991;22:312-318.
p16
Prevalence of High Blood Pressure in
Americans Age 20 and Older by Age and Sex
NHANES IV: 1999-2000
Note:
NA = data not available. Prevalence estimates for women ages
20-34 are considered unreliable.
Source: Health, United States, 2003, CDC/NCHS.
p18
Age-Adjusted Prevalence Trends for High
Blood Pressure in Americans Ages 20-74 by
Race/Ethnicity, Sex and Survey
NHANES II & IV: 1976-80 and 1999-2000
Source: CDC/NCHS. Health, United States, 2003.
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Extent of Awareness, Treatment and
Control of High Blood Pressure by Age
NHANES IV: 1999-2000
Source: JAMA. 2003;290:199-206.
p19
Extent of Awareness, Treatment and
Control of High Blood Pressure by
Race/Ethnicity
NHANES IV: 1999-2000
Source: JAMA. 2003;290:199-206.
p19
Prevalence of Congestive Heart Failure
by Age and Sex
NHANES III: 1988-94
Source: CDC/NCHS.
p24
Hospital Discharges for Congestive
Heart Failure by Sex
United States: 1970-2001
Note:
Hospital discharges include people both living and dead.
Source: CDC/NCHS.
p24
Prevalence of High School Students Using
any Tobacco Product Within the Last 30
Days by Race/Ethnicity and Sex
United States: 2001
Source: YRBS, MMWR, Vol. 51, No. SS-4, June 28, 2002, CDC/NCHS.
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Prevalence of Current Smoking for Men
Ages 18-24 by Education and Race/Ethnicity
NHANES III: 1988-94
Source: JAMA. 1999;281:1006-1013.
p27
Prevalence of Current Smoking for Women
Ages 18-24 by Education and Race/Ethnicity
NHANES III: 1988-94
Source: JAMA. 1999;281:1006-1013.
p27
Trends in Mean Total Blood
Cholesterol Among Adolescents
Ages 12-17 by Sex, Race and Survey
NHES III, NHANES I & III: 1966-70, 1971-74, 1988-94
Source: CDC/NCHS. Prev Med. 1998;27:879-890.
p29
Prevalence of Students in Grades 9-12 Who
Participated in Sufficient Vigorous or
Moderate Physical Activity During the Past
7 Days by Race/Ethnicity and Sex
United States: 2001
Source: YRBS, MMWR, Vol. 51, No. SS-4, June 28, 2002, CDC/NCHS.
p31
Prevalence of Moderate or Vigorous
Physical Activity in Americans Age 20 and
Older by Sex, Race/Ethnicity and BMI
NHANES III: 1988-94
Note:
BMI indicates body mass index: weight in kilograms divided by
height in meters squared (kg/m2).
Source: CDC/NCHS.
p31
Leisure-time Physical Activity (PA)
Patterns Among Overweight Adults by
Race/Ethnicity and Sex
BRFSS: 1998
Source: MMWR, Vol. 49, No. 15, April 21, 2000, CDC/NCHS.
p31
Prevalence of Overweight Among Students
in Grades 9-12 by Sex and Race/Ethnicity
United States: 2001
Note:
Overweight is defined as BMI 95th percentile or higher by age and
sex of the CDC growth chart.
Source: YRBS, MMWR, Vol. 51, No. SS-4, June 28, 2002, CDC/NCHS.
p33
Age-Adjusted Prevalence of Obesity in
Americans Ages 20-74 by Sex and Survey
NHES, NHANES I, NHANES II, NHANES III, NHANES IV: 196062, 1971-74, 1976-80, 1988-94 and 1999-2000
Note:
Obesity is defined as a BMI of 30.0 or higher.
Source: CDC/NCHS.
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Age-Adjusted Prevalence of
Physician-Diagnosed Diabetes in Americans
Age 20 and Older by Sex and Race/Ethnicity
NHANES III: 1988-94
Source: Diabetes Care. 1998;21:518-524.
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Prevalence of Non-Insulin Dependent
(Type 2) Diabetes in Women Ages 25-64
by Education and Race/Ethnicity
NHANES III: 1988-94
Source: JAMA. 1998;280:356-362.
p35
Trend in Heart Transplants
UNOS: 1968-2002
Source: United Network for Organ Sharing (UNOS), scientific registry
data.
p40
Trends in Cardiovascular
Operations and Procedures
United States: 1979-2001
Source: CDC/NCHS.
p41
Estimated Direct and Indirect Costs
(in Billions of Dollars) of Cardiovascular
Diseases and Stroke
United States: 2004
* Totals do not add up due to rounding and overlap.
Source: All estimates prepared by Thomas Thom, NHLBI.
p42