Morbidity & Mortality: 2012 Chart Book on Cardiovascular, Lung, and

Blood Diseases

National Heart, Lung, and Blood Institute

February, 2012

Chapter 3 – Cardiovascular Diseases

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The term cardiovascular diseases is used here to mean: Diseases and congenital malformations of the circulatory system as

coded in the ICD.- Coronary heart disease- Heart failure- Cardiomyopathy- Atrial fibrillation- Cerebrovascular disease (stroke)- Hypertensive disease- Peripheral artery disease- Congenital malformations of the circulatory system

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Chart 3–1 Deaths From Cardiovascular Diseases, Percent by Subgroup, U.S., 2008

Coronary Heart Disease49.9%

Other CardiovascularDiseases 15.6%

Stroke16.5%

Diseases of Arteries 3.4%

Heart Failure(Underlying)* 7.0%

Hypertensive Diseases7.5%

* Heart failure as an underlying cause or otherwise mentioned on the death certificate accounted for 35% (281,437) of total CVD deaths. Total deaths = 811,940 (100%), including 3,415 due to congenital CVD defects. Compiled from Vital Statistics of the United States, NCHS.

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Chart 3–2 Deaths From Heart Disease, Percent by Subgroup, U.S., 2008

Rheumatic/Congenital8.0%

Acute Myocardial Infarction 21.6%

Cardiomyopathy 1.0%

Rhythmic 5.7%

Hypertensive9.2%

Other Coronary Heart Disease

43.8%

Heart Failure(Underlying)* 6.9%

Other 3.9%

* Heart failure as an underlying cause or otherwise mentioned on the death certificate accounted for 45% (281,437) of total heart disease deaths. Total deaths = 619,574 (100%), including 2,746 due to congenital CVD defects. Compiled from Vital Statistics of the United States, NCHS.

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Chart 3–3 Deaths From Stroke, Percent by Subgroup, U.S., 2008

Unspecified52.7%

Other Hemorrhage20.7%

Subarachnoid Hemorrhage 4.1%

Cerebral Infarction4.9%

Other Cerebrovascular

17.6%

* Compiled from Vital Statistics of the United States, NCHS.

Total Deaths = 134,148 (100%)

Chart 3–5 Change in Age-Adjusted Death Rates* for CV and Non-CV Diseases, U.S., 1950–2008

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Percent Change

Year* The comparability ratio 1.0502 was applied to death rates reported for 1979–1998. CV: Cardiovascular.

ICD-6 ICD-7 ICD-8 ICD-9 ICD-10

Chart 3–9 Deaths & Age-Adjusted Death Rates for Cardiovascular Diseases, U.S., 1979–2008

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Year

Deaths in Thousands (Bar) Deaths/100,000 Population (Line)

Chart 3–10 Percent of All Deaths Due to Cardiovascular Diseases* by Age, U.S., 2008

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Percent of All Deaths

Age (Years)

* Includes congenital malformations of the circulatory system.

Chart 3–11 Death Rates* for Cardiovascular Diseases by State, U.S., 2005–2007

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* Age-adjusted. Excludes congenital malformations of the circulatory system.

Deaths/100,000 Population

Chart 3–12 Percent Decline in CVD* Death Rates by State, U.S.,1996-1998, 2005-2007

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* CVD: Cardiovascular diseases. Excludes congenital malformations of circulatory system. Age-adjusted.

Percent Decline

Chart 3–13 Age-Adjusted Death Rates for Heart Disease by Race/Ethnicity & Sex, U.S., 2008

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Deaths/100,000 Population

* Non-Hispanic.

Chart 3–14 Death Rates for Heart Disease in Males by Age & Race/Ethnicity, U.S., 2008

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Deaths/100,000 Population

Age (Years)* Non-Hispanic.

Chart 3–15 Death Rates for Heart Disease in Females by Age & Race/Ethnicity, U.S., 2008

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Deaths/100,000 Population

Age (Years)* Non-Hispanic.

Chart 3–16 Prevalence* of Acute MI by Race & Sex, Ages 25–74, U.S.,1971–1975 to 2005–2008

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Percent of Population

* Age-adjusted. MI: Myocardial infarction.

Chart 3–17 Prevalence of Acute Myocardial Infarction by Age & Sex, U.S., 1999–2008

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Percent of Population

Age (Years)

Chart 3–18 Prevalence of Acute Myocardial Infarction by Age & Race, U.S., 1999–2008

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Percent of Population

Age (Years)

Chart 3–19 Prevalence of Angina Pectoris by Age & Sex, U.S., 2001–2008

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Percent of Population

Age (Years)

Chart 3–20 Prevalence of Angina Pectoris by Age & Race, U.S., 2001–2008

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Percent of Population

Age (Years)

Chart 3–21 Emergency Department Visit Rates for CHD* by Sex, U.S., 1997–1999 to 2006–2008

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Visits/10,000 Population

Years* CHD: Coronary heart disease.

Chart 3–22 Hospitalization Rates for Acute MI*, Ages 45–64 & ≥ 65, U.S., 1965–2009

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Year* MI: Myocardial infarction. Break represents change in National Hospital Discharge Survey design in 1988.

Hospitalizations/10,000 Population

Ages (Years):

Chart 3–23 Hospital Case-Fatality Rates for Acute MI*, Ages < 65 & ≥ 65, U.S., 1970–2009

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Year* MI: Myocardial infarction. Break represents change in National Hospital Discharge Survey design in 1988.

Percent Discharged Dead

Chart 3–24 Age-Adjusted Death Rates for CHD*, Actual & Expected, U.S., 1950–2008

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Deaths/100,000 Population

Year

* CHD: Coronary heart disease.

Chart 3–25 Age-Adjusted Death Rates for CHD by Race/Ethnicity & Sex, U.S., 1999–2008

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Deaths/100,000 Population

Male Female

Year

-*White -*Black -Hispanic -American Indian -Asian

CHD: Coronary heart disease.* Non-Hispanic.

Chart 3–26 Age-Adjusted Death Rates for CHD by Race & Sex, U.S., 1950–2008

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Deaths/100,000 Population

Year CHD: Coronary heart disease. * Nonwhite from 1950 to 1967.

ICD-6 ICD-7 ICD-8 ICD-9 ICD-10

Chart 3–27 Deaths & Age-Adjusted Death Rates for Coronary Heart Disease, U.S., 1980–2008

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Deaths in Thousands (Bar) Deaths/100,000 Population (Line)

Year

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Chart 3–29 Percent Decline Annually in CHD Death Rates by Age, Race, Sex, US., 1998-2008

CHD: Coronary heart disease.

Black Male

WhiteMale

Black Female

WhiteFemale

Age (Y

ears)

Chart 3-30 Age-Adjusted Death Rates for CHD by Race/Ethnicity & Sex, U.S., 2008

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Deaths/100,000 Population

CHD: Coronary heart disease.* Non-Hispanic.

Chart 3–31 Death Rates for CHD in Males by Age & Race/Ethnicity, U.S., 2008

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Deaths/100,000 Population

Age (Years) CHD: Coronary heart disease.* Non-Hispanic.

Chart 3–32 Death Rates for CHD in Females by Age & Race/Ethnicity, U.S., 2008

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Deaths/100,000 Population

Age (Years) CHD: Coronary heart disease.* Non-Hispanic.

Chart 3–33 Age-Adjusted Death Rates for CHD* by State, U.S., 2005–2007

30 * CHD: Coronary heart disease.

Deaths/100,000 Population

Chart 3–34 Age-Adjusted Death Rates* for CHD by Country & Sex, Ages 35–74, 2006–2009

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* Age-adjusted to European standard. Data for years indicated in parentheses. CHD: Coronary heart disease.

Chart 3–35 Change in Death Rates* for CHD in Males by Country, Ages 35–74, 1999–2009

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* Age-adjusted to European standard. Data for years indicated in parentheses. CHD: Coronary heart disease. Based on log-linear regression of actual rates.

Chart 3–36 Change in Death Rates* for CHD in Females by Country, Ages 35–74, 1999–2009

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* Age-adjusted to European standard. Data for years indicated in parentheses. CHD: Coronary heart disease. Based on log-linear regression of actual rates.

Chart 3–37 Prevalence* of HF by Race & Sex, Ages 25–74, U.S.,1988–1994 to 2005–2008

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Percent of Population

* Age-adjusted. HF: Heart failure.

Chart 3–38 Hospitalization Rates for HF*, Ages 45–64 & ≥ 65, U.S., 1971–2009

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Year* HF: Heart failure. Break represents change in National Hospital Discharge Survey design in 1988.

Hospitalizations/10,000 Population

Chart 3–39 Hospital Case-Fatality Rates for HF*, Ages 45–64 & ≥ 65, U.S., 1980–2009

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Year* HF: Heart failure. Break represents change in National Hospital Discharge Survey design in 1988.

Percent Discharged Dead

Chart 3–40 Death Rates* for HF as the Underlying Cause by Race & Sex, U.S., 1981–2008

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Year

Deaths/100,000 Population

* Age-adjusted. HF: Heart failure. Break represents revisions to US death certificate in 1989.

ICD-9 ICD-10

Chart 3–41 Age-Adjusted Death Rates for Any-Mention HF* by Race & Sex, U.S., 1981–2008

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Year

Deaths/100,000 Population

* HF: Heart failure. Break represents revisions to US death certificate in 1989.

ICD-9 ICD-10

Chart 3–42 Death Rates for HF as the Underlying Cause by Race/Ethnicity & Sex, U.S., 2008

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Deaths/100,000 Population

Age-adjusted. HF: Heart failure.* Non-Hispanic.

Chart 3–43 Death Rates for Any Mention of HF by Race/Ethnicity & Sex, U.S., 2008

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Deaths/100,000 Population

Age-adjusted. HF: Heart failure.* Non-Hispanic.

Chart 3–44 Death Rates for HF* as the Underlying Cause by Age, Race, & Sex. U.S., 2008

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Deaths/100,000 Population

Age (Years)* HF: Heart failure.

Chart 3–45 Death Rates for Any Mention of HF* by Age, Race, & Sex, U.S., 2008

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Deaths/100,000 Population

Age (Years)* HF: Heart failure.

Chart 3–46 Age-Adjusted Death Rates for Cardiomyopathy by Race & Sex, U.S., 2008

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Deaths/100,000 Population

Chart 3–47 Death Rates for Cardiomyopathy by Age, Race, & Sex, U.S., 2008

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Deaths/100,000 Population

Age (Years)

Chart 3–48 Hospitalizations for AF* by Primary & Secondary Diagnosis, U.S., 1982–2009

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Hospitalizations (Thousands)

Year* AF: Atrial fibrillation. Break represents change in National Hospital Discharge Survey design in 1988.

Chart 3–49 Hospitalization Rates for Atrial Fibrillation by Age, U.S., 1982–2009

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Hospitalizations/10,000 Population

Year* Break represents change in National Hospital Discharge Survey design in 1988.

Chart 3–50 Prevalence of Stroke by Race & Sex, Ages 25–74, U.S., 1971–1975 to 2005–2008

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Percent of Population

* Age-adjusted.

Chart 3–51 Prevalence of Stroke by Age & Sex, U.S., 1999–2008

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Percent of Population

Age (Years)

Chart 3–52 Prevalence of Stroke by Age & Race, U.S., 1999–2008

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Percent of Population

Age (Years)

Chart 3–53 ER* Visit Rates for Stroke by Age, U.S., 1997–1999 to 2006–2008

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Visits/10,000 Population

Years* ER: Emergency Department.

Chart 3–54 Hospitalization Rates for Stroke,Ages 45–64 & ≥ 65, U.S., 1971–2009

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Hospitalizations/10,000 Population

Year

* Break represents change in National Hospital Discharge Survey design in 1988.

Chart 3–55 Hospital Case-Fatality Rate for Stroke, Ages < 65 & ≥ 65, U.S., 1971–2009*

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Year* Estimates are not available for 1976 and 1977. Break represents change in National Hospital Discharge Survey design in 1988.

Percent Discharged Dead

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Deaths/100,000 Population

Year* Nonwhite from 1950 to 1967.

ICD-6 ICD-7 ICD-8 ICD-9 ICD-10

Chart 3–56 Age-Adjusted Death Rates for Stroke by Race & Sex, U.S., 1950–2008

Chart 3-57 Deaths & Age-Adjusted Death Rates for Stroke, U.S., 1979–2008*

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Deaths in Thousands (Bar) Deaths/100,000 Population (Line)

Year

* The comparability ratio 1.0502 was applied to the deaths and rates reported in vital statistics for 1979–1998.

Chart 3–58 Age-Adjusted Death Rates for Stroke by Race/Ethnicity & Sex, U.S., 1999–2008

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Deaths/100,000 Population

Male Female

Year

-*White -*Black -American Indian -Hispanic -Asian

* Non-Hispanic.

Chart 3–60 Age-Adjusted Death Rates for Stroke by Race/Ethnicity and Sex, U.S., 2008

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Deaths/100,000 Population

* Non-Hispanic.

Chart 3–61 Death Rates for Stroke in Males by Age & Race/Ethnicity, U.S., 2008

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Deaths/100,000 Population

* Non-Hispanic.

Age (Years)

Chart 3–62 Death Rates for Stroke in Females by Age & Race/Ethnicity, U.S., 2008

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Deaths/100,000 Population

Age (Years) Data unreliable for American Indian females aged 45-54 years.* Non-Hispanic.

Chart 3-63 Age-Adjusted Death Rates for Stroke by State, U.S., 2005–2007

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Deaths/100,000 Population

Chart 3–64 Age-Adjusted Death Rates* for Stroke by Country & Sex, Ages 35–74, 2006–

2009

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* Age-adjusted to European standard. Data for years indicated in parentheses.

Chart 3–65 Change in Death Rates* for Stroke in Males by Country, Ages 35–74, 1999–2009

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* Age-adjusted to European standard. Data for years indicated in parentheses. Based on log-linear regression of actual rates

Chart 3–66 Change in Death Rates* for Stroke in Females by Country, Ages 35–74, 1999–2009

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* Age-adjusted to European standard. Data for years indicated in parentheses. Based on log-linear regression of actual rates

Chart 3–67 Prevalence of Hypertension* & Prehypertension by Age, U.S., 1999–2008

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Percent of Population

Age (Years)* Hypertension: systolic BP ≥140 mmHg, or diastolic BP ≥ 90 mmHg, or on medication. Prehypertension: systolic BP 120–139 mmHg or diastolic BP 80–89 mmHg.

Chart 3–68 Hypertension by Race/Ethnicity & Sex, Ages 20–74, U.S.,1999–2008

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Percent of Population

Age-adjusted prevalence. Hypertension: systolic BP ≥140 mmHg, diastolic BP ≥90 mmHg, or on medication.* Non-Hispanic.

Chart 3–69 Hypertension by Race/Ethnicity & Sex, Ages 20–74, U.S., 1976–2008

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Percent of Population

Age-adjusted prevalence. Hypertension: systolic BP ≥140 mmHg, diastolic BP ≥90 mmHg, or on medication.* Non-Hispanic.

Chart 3–70 Hypertensive* Population Aware, Treated, & Controlled, Ages 18–74, U.S.

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Percent of Hypertensive Population

Years* Hypertension: systolic BP ≥160 mmHg, or diastolic BP ≥ 95 mmHg, or on medication. For years 1971-1974 to 2005-2008.

Chart 3–71 Hypertensive* Population Aware, Treated, & Controlled, Ages 18–74, U.S.

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* Hypertension: systolic BP ≥ 140 mmHg, or diastolic BP ≥ 90 mmHg, or on medication. For years 1976-1980 to 2005-2008.

Percent of Hypertensive Population

Years

Chart 3–72 ER* Visit Rates for Hypertension by Age, U.S., 1997–1999 to 2006–2008

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Visits/10,000 Population

Years* ER: Emergency Department.

Chart 3–73 Death Rates* for Diseases of the Arteries by Race & Sex, U.S., 2008

69

Deaths/100,000 Population

* Age-adjusted.

Chart 3–74 Death Rates for Diseases of the Arteries by Age, Race, & Sex, U.S., 2008

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Deaths/100,000 Population

Age (Years)

Chart 3–75 Percent of Deaths* From Congenital Malformations of Circulatory System, Age <1

Year

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Percent of Deaths

Year

* US, 1940 - 2008.

Chart 3–76 Infant Mortality From Congenital Malformations of the Circulatory System by Race

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Deaths/100,000 Live Births

Year

ICD-8 ICD-9 ICD-10

US, 1970 - 2008.* HD: Heart disease; CVD: Cardiovascular disease

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