Morbidity & Mortality: 2012 Chart Book on Cardiovascular, Lung, and Blood Diseases National Heart, Lung, and Blood Institute February, 2012
Morbidity & Mortality: 2012 Chart Book on Cardiovascular, Lung, and Blood Diseases National Heart, Lung, and Blood Institute February, 2012.
Dec 22, 2015
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Morbidity & Mortality: 2012 Chart Book on Cardiovascular, Lung, and
Blood Diseases
National Heart, Lung, and Blood Institute
February, 2012
Chapter 3 – Cardiovascular Diseases
2
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
3
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.
4
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.
5
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
6
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
7
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
8
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
9
* 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
10
* 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
11
Deaths/100,000 Population
* Non-Hispanic.
Chart 3–14 Death Rates for Heart Disease in Males by Age & Race/Ethnicity, U.S., 2008
12
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
13
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
14
Percent of Population
* Age-adjusted. MI: Myocardial infarction.
Chart 3–17 Prevalence of Acute Myocardial Infarction by Age & Sex, U.S., 1999–2008
15
Percent of Population
Age (Years)
Chart 3–18 Prevalence of Acute Myocardial Infarction by Age & Race, U.S., 1999–2008
16
Percent of Population
Age (Years)
Chart 3–19 Prevalence of Angina Pectoris by Age & Sex, U.S., 2001–2008
17
Percent of Population
Age (Years)
Chart 3–20 Prevalence of Angina Pectoris by Age & Race, U.S., 2001–2008
18
Percent of Population
Age (Years)
Chart 3–21 Emergency Department Visit Rates for CHD* by Sex, U.S., 1997–1999 to 2006–2008
19
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
20
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
21
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
22
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
23
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
24
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
25
Deaths in Thousands (Bar) Deaths/100,000 Population (Line)
Year
26
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
27
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
28
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
29
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
31
* 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
32
* 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
33
* 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
34
Percent of Population
* Age-adjusted. HF: Heart failure.
Chart 3–38 Hospitalization Rates for HF*, Ages 45–64 & ≥ 65, U.S., 1971–2009
35
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
36
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
37
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
38
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
39
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
40
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
41
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
42
Deaths/100,000 Population
Age (Years)* HF: Heart failure.
Chart 3–46 Age-Adjusted Death Rates for Cardiomyopathy by Race & Sex, U.S., 2008
43
Deaths/100,000 Population
Chart 3–47 Death Rates for Cardiomyopathy by Age, Race, & Sex, U.S., 2008
44
Deaths/100,000 Population
Age (Years)
Chart 3–48 Hospitalizations for AF* by Primary & Secondary Diagnosis, U.S., 1982–2009
45
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
46
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
47
Percent of Population
* Age-adjusted.
Chart 3–51 Prevalence of Stroke by Age & Sex, U.S., 1999–2008
48
Percent of Population
Age (Years)
Chart 3–52 Prevalence of Stroke by Age & Race, U.S., 1999–2008
49
Percent of Population
Age (Years)
Chart 3–53 ER* Visit Rates for Stroke by Age, U.S., 1997–1999 to 2006–2008
50
Visits/10,000 Population
Years* ER: Emergency Department.
Chart 3–54 Hospitalization Rates for Stroke,Ages 45–64 & ≥ 65, U.S., 1971–2009
51
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*
52
Year* Estimates are not available for 1976 and 1977. Break represents change in National Hospital Discharge Survey design in 1988.
Percent Discharged Dead
53
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*
54
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
55
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
56
Deaths/100,000 Population
* Non-Hispanic.
Chart 3–61 Death Rates for Stroke in Males by Age & Race/Ethnicity, U.S., 2008
57
Deaths/100,000 Population
* Non-Hispanic.
Age (Years)
Chart 3–62 Death Rates for Stroke in Females by Age & Race/Ethnicity, U.S., 2008
58
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
59
Deaths/100,000 Population
Chart 3–64 Age-Adjusted Death Rates* for Stroke by Country & Sex, Ages 35–74, 2006–
2009
60
* 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
61
* 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
62
* 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
63
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
64
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
65
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.
66
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.
67
* 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
68
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
70
Deaths/100,000 Population
Age (Years)
Chart 3–75 Percent of Deaths* From Congenital Malformations of Circulatory System, Age <1
Year
71
Percent of Deaths
Year
* US, 1940 - 2008.
Chart 3–76 Infant Mortality From Congenital Malformations of the Circulatory System by Race
72
Deaths/100,000 Live Births
Year
ICD-8 ICD-9 ICD-10
US, 1970 - 2008.* HD: Heart disease; CVD: Cardiovascular disease
73
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