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Cardiovascular Disease in Women Module I: Epidemiology

Cardiovascular Disease in Women Module I: Epidemiology

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Page 1: Cardiovascular Disease in Women Module I: Epidemiology

Cardiovascular Disease in WomenModule I: Epidemiology

Page 2: Cardiovascular Disease in Women Module I: Epidemiology

Module I: Epidemiology

Statistics on Women and Cardiovascular Disease Comparisons to Men Age Differences Among Women Racial and Ethnic Group Differences

Page 3: Cardiovascular Disease in Women Module I: Epidemiology

CVD and Other Major Causes of Death for Women in the United States: 2004

0

100,000

200,000

300,000

400,000

500,000

Total CVD CHD Cancer Stroke Asthma +COPD

Source: Adapted from American Heart Association 2008

Page 4: Cardiovascular Disease in Women Module I: Epidemiology

Congestive Heart Failure: Gender Differences Compared to men, women with heart failure are:

Older More likely to have hypertension More likely to have diabetes More likely to have diastolic dysfunction

Knowledge of diastolic dysfunction prognosis and treatment is limited

Trials of congestive heart failure treatments have included mainly men

Source: Stromberg 2003

Page 5: Cardiovascular Disease in Women Module I: Epidemiology

Cardiovascular Disease Mortality: U.S. Males and Females 1980-2004

400,000

450,000

500,000

550,000

1980 1985 1990 1995 2000 2004

MenWomen

Source: Adapted from American Heart Association 2008

Page 6: Cardiovascular Disease in Women Module I: Epidemiology

Annual Numbers of U.S. Adults Diagnosed with Myocardial Infarction and Fatal CHD by Age and Sex Categories: 1987-2004

0

100,000

200,000

300,000

35-44 45-64 65-74 75+

MenWomen

Source: Adapted from American Heart Association 2008

Age in Years

Page 7: Cardiovascular Disease in Women Module I: Epidemiology

Acute MI Mortality by Age and Sex

0

5

10

15

20

25

30

<50 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89

Age

Death During Hospitalization

(%)

Men

Women

Source: Adapted from Vaccarino 1999

Page 8: Cardiovascular Disease in Women Module I: Epidemiology

Racial and Ethnic Groups

Cardiovascular disease is the leading cause of death for African Americans, Latinos, Asian Americans, Pacific Islanders, and American Indians

African American women are at the highest risk for death from heart disease among all racial, ethnic, and gender groups

Source: American Heart Association 2004

Page 9: Cardiovascular Disease in Women Module I: Epidemiology

Major Causes of Death for White Women: U.S. 2004

0.0

10.0

20.0

30.0

40.0

Diseases ofthe Heart and

Stroke

Cancer Asthma +COPD

Alzheimer'sDisease

Source: Adapted from American Heart Association 2008

Percentof TotalDeaths

Page 10: Cardiovascular Disease in Women Module I: Epidemiology

African Americans

African American women are at highest risk for death from heart disease among all race, ethnic, and gender groups

African Americans with established CHD are at high risk for cardiac death

The risk of death and morbidity from CHD attributable to HTN is higher in African Americans

Sources: American Heart Association 2004, Mosca 2004, ATP III 2002, American Heart Association 2008

Page 11: Cardiovascular Disease in Women Module I: Epidemiology

Major Causes of Death for Black /African American Women: U.S. 2004

0.0

10.0

20.0

30.0

40.0

Diseases ofthe Heart and

Stroke

Cancer DiabetesMellitus

KidneyDisease

Source: Adapted from American Heart Association 2008

Percentof TotalDeaths

Page 12: Cardiovascular Disease in Women Module I: Epidemiology

Age-adjusted Death Rates for Leading Causes of Death in White and Black/African American Women: U.S. 2004

0

50

100

150

CHD Stroke LungCancer

BreastCancer

Black/AfricanAmerican WomenWhite Women

Source: Adapted from American Heart Association 2008

Per100,000Population

Page 13: Cardiovascular Disease in Women Module I: Epidemiology

Latinas

Latinas have higher rates of many risk factors for heart disease, including obesity, physical inactivity, metabolic syndrome, diabetes, and hypertension, than white women

It is estimated that over 50% of Latinas born in the year 2000 will develop diabetes. CHD is the leading cause of death in diabetics.

Sources: American Heart Association 2004, Narayan 2003

Page 14: Cardiovascular Disease in Women Module I: Epidemiology

Major Causes of Death for Hispanic/Latina Women: U.S. 2004

0.0

10.0

20.0

30.0

40.0

Diseases ofthe Heart and

Stroke

Cancer DiabetesMellitus

Accidents

Source: Adapted from American Heart Association 2008

Percentof TotalDeaths

Page 15: Cardiovascular Disease in Women Module I: Epidemiology

Asian Americans and Pacific Islanders

There is limited information on the prevention and treatment of heart disease in Asian Americans and Pacific Islanders

The risk of heart disease varies between different ethnic groups within the Asian American community

South Asians have been reported to have a high prevalence of heart disease at young ages, in part because of a high prevalence of metabolic syndrome

Source: ATP III 2002

Page 16: Cardiovascular Disease in Women Module I: Epidemiology

Major Causes of Death for Asian American and Pacific Islander Women: U.S. 2004

0.0

10.0

20.0

30.0

40.0

Diseases ofthe Heart and

Stroke

Cancer DiabetesMellitus

Accidents

Source: Adapted from American Heart Association 2008

Percentof TotalDeaths

Page 17: Cardiovascular Disease in Women Module I: Epidemiology

American Indians

Cardiovascular disease rates vary among American Indian communities

Unlike other ethnic groups, the incidence of CHD is increasing among American Indians

Source: ATP III 2002

Page 18: Cardiovascular Disease in Women Module I: Epidemiology

Major Causes of Death for American Indian and Alaska Native Women: U.S. 2004

0.0

10.0

20.0

30.0

40.0

Diseases ofthe Heart and

Stroke

Cancer Accidents DiabetesMellitus

Source: Adapted from American Heart Association 2008

Percentof TotalDeaths

Page 19: Cardiovascular Disease in Women Module I: Epidemiology

Summary

Among U.S. women, cardiovascular disease is the leading cause of death

Among U.S. women, cardiovascular disease is the leading cause of death for whites, African Americans, Latinas, Asian Americans, Pacific Islanders, and American Indians

Source: American Heart Association 2008

Page 20: Cardiovascular Disease in Women Module I: Epidemiology

Summary

Mortality from CVD has decreased more for men in the past 20 years than for women

Over 10,000 women under age 45 suffer an acute myocardial infarction every year

Source: American Heart Association 2008

Page 21: Cardiovascular Disease in Women Module I: Epidemiology

Cardiovascular Disease in WomenModule I: Epidemiology

Page 22: Cardiovascular Disease in Women Module I: Epidemiology

Module I: Epidemiology

Statistics on Women and Cardiovascular Disease Comparisons to Men Age Differences Among Women Racial and Ethnic Group Differences

Page 23: Cardiovascular Disease in Women Module I: Epidemiology

CVD and Other Major Causes of Death for Women in the United States: 2004

0

100,000

200,000

300,000

400,000

500,000

Total CVD CHD Cancer Stroke Asthma +COPD

Source: Adapted from American Heart Association 2008

Page 24: Cardiovascular Disease in Women Module I: Epidemiology

Congestive Heart Failure: Gender Differences Compared to men, women with heart failure are:

Older More likely to have hypertension More likely to have diabetes More likely to have diastolic dysfunction

Knowledge of diastolic dysfunction prognosis and treatment is limited

Trials of congestive heart failure treatments have included mainly men

Source: Stromberg 2003

Page 25: Cardiovascular Disease in Women Module I: Epidemiology

Cardiovascular Disease Mortality: U.S. Males and Females 1980-2004

400,000

450,000

500,000

550,000

1980 1985 1990 1995 2000 2004

MenWomen

Source: Adapted from American Heart Association 2008

Page 26: Cardiovascular Disease in Women Module I: Epidemiology

Annual Numbers of U.S. Adults Diagnosed with Myocardial Infarction and Fatal CHD by Age and Sex Categories: 1987-2004

0

100,000

200,000

300,000

35-44 45-64 65-74 75+

MenWomen

Source: Adapted from American Heart Association 2008

Age in Years

Page 27: Cardiovascular Disease in Women Module I: Epidemiology

Acute MI Mortality by Age and Sex

0

5

10

15

20

25

30

<50 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89

Age

Death During Hospitalization

(%)

Men

Women

Source: Adapted from Vaccarino 1999

Page 28: Cardiovascular Disease in Women Module I: Epidemiology

Racial and Ethnic Groups

Cardiovascular disease is the leading cause of death for African Americans, Latinos, Asian Americans, Pacific Islanders, and American Indians

African American women are at the highest risk for death from heart disease among all racial, ethnic, and gender groups

Source: American Heart Association 2004

Page 29: Cardiovascular Disease in Women Module I: Epidemiology

Major Causes of Death for White Women: U.S. 2004

0.0

10.0

20.0

30.0

40.0

Diseases ofthe Heart and

Stroke

Cancer Asthma +COPD

Alzheimer'sDisease

Source: Adapted from American Heart Association 2008

Percentof TotalDeaths

Page 30: Cardiovascular Disease in Women Module I: Epidemiology

African Americans

African American women are at highest risk for death from heart disease among all race, ethnic, and gender groups

African Americans with established CHD are at high risk for cardiac death

The risk of death and morbidity from CHD attributable to HTN is higher in African Americans

Sources: American Heart Association 2004, Mosca 2004, ATP III 2002, American Heart Association 2008

Page 31: Cardiovascular Disease in Women Module I: Epidemiology

Major Causes of Death for Black /African American Women: U.S. 2004

0.0

10.0

20.0

30.0

40.0

Diseases ofthe Heart and

Stroke

Cancer DiabetesMellitus

KidneyDisease

Source: Adapted from American Heart Association 2008

Percentof TotalDeaths

Page 32: Cardiovascular Disease in Women Module I: Epidemiology

Age-adjusted Death Rates for Leading Causes of Death in White and Black/African American Women: U.S. 2004

0

50

100

150

CHD Stroke LungCancer

BreastCancer

Black/AfricanAmerican WomenWhite Women

Source: Adapted from American Heart Association 2008

Per100,000Population

Page 33: Cardiovascular Disease in Women Module I: Epidemiology

Latinas

Latinas have higher rates of many risk factors for heart disease, including obesity, physical inactivity, metabolic syndrome, diabetes, and hypertension, than white women

It is estimated that over 50% of Latinas born in the year 2000 will develop diabetes. CHD is the leading cause of death in diabetics.

Sources: American Heart Association 2004, Narayan 2003

Page 34: Cardiovascular Disease in Women Module I: Epidemiology

Major Causes of Death for Hispanic/Latina Women: U.S. 2004

0.0

10.0

20.0

30.0

40.0

Diseases ofthe Heart and

Stroke

Cancer DiabetesMellitus

Accidents

Source: Adapted from American Heart Association 2008

Percentof TotalDeaths

Page 35: Cardiovascular Disease in Women Module I: Epidemiology

Asian Americans and Pacific Islanders

There is limited information on the prevention and treatment of heart disease in Asian Americans and Pacific Islanders

The risk of heart disease varies between different ethnic groups within the Asian American community

South Asians have been reported to have a high prevalence of heart disease at young ages, in part because of a high prevalence of metabolic syndrome

Source: ATP III 2002

Page 36: Cardiovascular Disease in Women Module I: Epidemiology

Major Causes of Death for Asian American and Pacific Islander Women: U.S. 2004

0.0

10.0

20.0

30.0

40.0

Diseases ofthe Heart and

Stroke

Cancer DiabetesMellitus

Accidents

Source: Adapted from American Heart Association 2008

Percentof TotalDeaths

Page 37: Cardiovascular Disease in Women Module I: Epidemiology

American Indians

Cardiovascular disease rates vary among American Indian communities

Unlike other ethnic groups, the incidence of CHD is increasing among American Indians

Source: ATP III 2002

Page 38: Cardiovascular Disease in Women Module I: Epidemiology

Major Causes of Death for American Indian and Alaska Native Women: U.S. 2004

0.0

10.0

20.0

30.0

40.0

Diseases ofthe Heart and

Stroke

Cancer Accidents DiabetesMellitus

Source: Adapted from American Heart Association 2008

Percentof TotalDeaths

Page 39: Cardiovascular Disease in Women Module I: Epidemiology

Summary

Among U.S. women, cardiovascular disease is the leading cause of death

Among U.S. women, cardiovascular disease is the leading cause of death for whites, African Americans, Latinas, Asian Americans, Pacific Islanders , and American Indians

Source: American Heart Association 2008

Page 40: Cardiovascular Disease in Women Module I: Epidemiology

Summary

Mortality from CVD has decreased more for men in the past 20 years than for women

Over 10,000 women under age 45 suffer an acute myocardial infarction every year

Source: American Heart Association 2008

Page 41: Cardiovascular Disease in Women Module I: Epidemiology

Cardiovascular Disease in WomenModule I: Epidemiology

Page 42: Cardiovascular Disease in Women Module I: Epidemiology

Module I: Epidemiology

Statistics on Women and Cardiovascular Disease Comparisons to Men Age Differences Among Women Racial and Ethnic Group Differences

Page 43: Cardiovascular Disease in Women Module I: Epidemiology

CVD and Other Major Causes of Death for Women in the United States: 2004

0

100,000

200,000

300,000

400,000

500,000

Total CVD CHD Cancer Stroke Asthma +COPD

Source: Adapted from American Heart Association 2008

Page 44: Cardiovascular Disease in Women Module I: Epidemiology

Congestive Heart Failure: Gender Differences Compared to men, women with heart failure are:

Older More likely to have hypertension More likely to have diabetes More likely to have diastolic dysfunction

Knowledge of diastolic dysfunction prognosis and treatment is limited

Trials of congestive heart failure treatments have included mainly men

Source: Stromberg 2003

Page 45: Cardiovascular Disease in Women Module I: Epidemiology

Cardiovascular Disease Mortality: U.S. Males and Females 1980-2004

400,000

450,000

500,000

550,000

1980 1985 1990 1995 2000 2004

MenWomen

Source: Adapted from American Heart Association 2008

Page 46: Cardiovascular Disease in Women Module I: Epidemiology

Annual Numbers of U.S. Adults Diagnosed with Myocardial Infarction and Fatal CHD by Age and Sex Categories: 1987-2004

0

100,000

200,000

300,000

35-44 45-64 65-74 75+

MenWomen

Source: Adapted from American Heart Association 2008

Age in Years

Page 47: Cardiovascular Disease in Women Module I: Epidemiology

Acute MI Mortality by Age and Sex

0

5

10

15

20

25

30

<50 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89

Age

Death During Hospitalization

(%)

Men

Women

Source: Adapted from Vaccarino 1999

Page 48: Cardiovascular Disease in Women Module I: Epidemiology

Racial and Ethnic Groups

Cardiovascular disease is the leading cause of death for African Americans, Latinos, Asian Americans, Pacific Islanders, and American Indians

African American women are at the highest risk for death from heart disease among all racial, ethnic, and gender groups

Source: American Heart Association 2004

Page 49: Cardiovascular Disease in Women Module I: Epidemiology

Major Causes of Death for White Women: U.S. 2004

0.0

10.0

20.0

30.0

40.0

Diseases ofthe Heart and

Stroke

Cancer Asthma +COPD

Alzheimer'sDisease

Source: Adapted from American Heart Association 2008

Percentof TotalDeaths

Page 50: Cardiovascular Disease in Women Module I: Epidemiology

African Americans

African American women are at highest risk for death from heart disease among all race, ethnic, and gender groups

African Americans with established CHD are at high risk for cardiac death

The risk of death and morbidity from CHD attributable to HTN is higher in African Americans

Sources: American Heart Association 2004, Mosca 2004, ATP III 2002, American Heart Association 2008

Page 51: Cardiovascular Disease in Women Module I: Epidemiology

Major Causes of Death for Black /African American Women: U.S. 2004

0.0

10.0

20.0

30.0

40.0

Diseases ofthe Heart and

Stroke

Cancer DiabetesMellitus

KidneyDisease

Source: Adapted from American Heart Association 2008

Percentof TotalDeaths

Page 52: Cardiovascular Disease in Women Module I: Epidemiology

Age-adjusted Death Rates for Leading Causes of Death in White and Black/African American Women: U.S. 2004

0

50

100

150

CHD Stroke LungCancer

BreastCancer

Black/AfricanAmerican WomenWhite Women

Source: Adapted from American Heart Association 2008

Per100,000Population

Page 53: Cardiovascular Disease in Women Module I: Epidemiology

Latinas

Latinas have higher rates of many risk factors for heart disease, including obesity, physical inactivity, metabolic syndrome, diabetes, and hypertension, than white women

It is estimated that over 50% of Latinas born in the year 2000 will develop diabetes. CHD is the leading cause of death in diabetics.

Sources: American Heart Association 2004, Narayan 2003

Page 54: Cardiovascular Disease in Women Module I: Epidemiology

Major Causes of Death for Hispanic/Latina Women: U.S. 2004

0.0

10.0

20.0

30.0

40.0

Diseases ofthe Heart and

Stroke

Cancer DiabetesMellitus

Accidents

Source: Adapted from American Heart Association 2008

Percentof TotalDeaths

Page 55: Cardiovascular Disease in Women Module I: Epidemiology

Asian Americans and Pacific Islanders

There is limited information on the prevention and treatment of heart disease in Asian Americans and Pacific Islanders

The risk of heart disease varies between different ethnic groups within the Asian American community

South Asians have been reported to have a high prevalence of heart disease at young ages, in part because of a high prevalence of metabolic syndrome

Source: ATP III 2002

Page 56: Cardiovascular Disease in Women Module I: Epidemiology

Major Causes of Death for Asian American and Pacific Islander Women: U.S. 2004

0.0

10.0

20.0

30.0

40.0

Diseases ofthe Heart and

Stroke

Cancer DiabetesMellitus

Accidents

Source: Adapted from American Heart Association 2008

Percentof TotalDeaths

Page 57: Cardiovascular Disease in Women Module I: Epidemiology

American Indians

Cardiovascular disease rates vary among American Indian communities

Unlike other ethnic groups, the incidence of CHD is increasing among American Indians

Source: ATP III 2002

Page 58: Cardiovascular Disease in Women Module I: Epidemiology

Major Causes of Death for American Indian and Alaska Native Women: U.S. 2004

0.0

10.0

20.0

30.0

40.0

Diseases ofthe Heart and

Stroke

Cancer Accidents DiabetesMellitus

Source: Adapted from American Heart Association 2008

Percentof TotalDeaths

Page 59: Cardiovascular Disease in Women Module I: Epidemiology

Summary

Among U.S. women, cardiovascular disease is the leading cause of death

Among U.S. women, cardiovascular disease is the leading cause of death for whites, African Americans, Latinas, Asian Americans, Pacific Islanders , and American Indians

Source: American Heart Association 2008

Page 60: Cardiovascular Disease in Women Module I: Epidemiology

Summary

Mortality from CVD has decreased more for men in the past 20 years than for women

Over 10,000 women under age 45 suffer an acute myocardial infarction or die of CHD every year

Source: American Heart Association 2008