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Heart Disease and Stroke Statistics- 2008 Update

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    • Heart failure incidence approaches 10 per 1,000 people, after the age of 65.  
    • It is estimated that 37.4% of the US population 20 years of age has prehypertension–including 41.9 million men and 27.8 million women.  
    • 1 in 3 U.S. adults has high blood pressure.  
    • In adults >55 years of age, the lifetime risk for stroke is greater than 1 in 6.  
    • Each year, approximately 60,000 more women than men have a stroke.  
    • Each year, about 780,000 people experience a new or recurrent stroke. About 600,000 of these are first attacks,and 180,000 are recurrent attacks.  
    • On average, every 40 seconds, someone in the United States has a stroke.  
    • It is estimated that 600,000 new myocardial infarction attacks and 320,000 recurrent attacks will occur annually.  
    • In 2005, there were 81,836,000 physician office visits with a primary diagnosis of cardiovascular disease.  
    • Trends in carotid endarterectomy procedures  
    • 2004 total cardiovascular disease age-adjusted death rates by state  
    • Cardiovascular disease mortality trends for males and females (U.S. 1979-2004)  
    • Incidence of cardiovascular disease by age and sex  
    • Cardiovascular disease and other major causes of death for all males and females  
    • Prevalence of stroke by age and sex  
    • Annual rate of first heart attacks by age, sex, and race  
    • From 1979 to 2005, the total number of inpatient cardiovascular operations and procedures increased 484% to 6,989,000 annually.  
    • According to the National Center for Health Statistics, the probability at birth of eventually dying from major cardiovascular disease is 47%.  
    • In 2005, approximately 469,000 coronary artery bypass procedures were performed on 261,000 patients in the U.S.  
    • From 1979 to 2005, the number of cardiac catheterizations increased 342% to 1,322,000 annually.  
    • In 2003, $4.4 billion ($6,577 per discharge) was paid to Medicare beneficiaries for heart failure.  
    • In 2003, $12.2 billion was paid to Medicare beneficiaries for in-hospital costs when cardiovascular disease was the principal diagnosis ($12,321 per discharge for acute myocardial infarction, $11,783 per discharge for…  
    • In 2003, $31.7 billion in payments were made to Medicare beneficiaries discharged from short-stay hospitals with a principal diagnosis of cardiovascular disease–an average of $8,966 per discharge.  
    • The number of ambulatory care visits to physician offices, hospital outpatient departments, and emergency departments for hypertension was 45.3 million for 2001-2002.  
    • In 2005, an estimated 103,000 inpatient endarterectomy procedures were performed in the U.S. Carotid endarterectomy is the most frequently performed surgical procedure to prevent stroke.  
    • The mean lifetime cost of ischemic stroke in the U.S. is an estimated $140,048. This cost includes inpatient care, rehabilitation, and follow-up care.  
    • In 2001, $3.7 billion was paid to Medicare beneficiaries that were discharged from short-stay hospitals for stroke ($6,037 per discharge).  
    • From 1979 to 2005, the number of inpatient discharges from short-stay hospitals with stroke as the first listed diagnosis increased 20%, to 895,000.  
    • 50-70% of stroke survivors regain functional independence. However, 15-30% are permanently disabled and 20% require institutional care at 3 months after onset.  
    • Of those who have a first stroke, within 5 years: 13% of men and 22% of women ages 40-69 have a recurrent stroke; and 23% of men and 28% of…  
    • The median survival time after a first stroke are: at 60-69 years of age–6.8 years for men and 7.4 years for women; at 70-79 years of age–5.4 years for men…  
    • Within 1 year of a first stroke, 21% of men and 24% of women 40 years of age and older, were dead.  
    • Within 5 years of a first stroke, 47% of men and 51% of women 40 years and older, were dead.  
    • Among those ages 45-64, 8-12% of ischemic strokes, and 37-38% of hemorrhagic strokes, result in death within 30 days.  
    • Those who have a transient ischemic attack have a 10-year stroke risk of 18.8% and a combined 10-year stroke, myocardial infarction, or vascular death risk of 42.8%.  
    • The prevalence of transient ischemic attack (a mini-stroke that lasts less than 24 hours) in men is estimated at 2.4% for those ages 65-69, and 3.6% for those ages 75-79.…  
    • The prevalence of silent cerebral infarction in those ages 55-64 is about 11%. Prevalence increases to 22% for those 65-69, 28% for those 70-74, 32% for those 75-79, 40% for…  
    • The percentage of persons with a first myocardial infarction who will have a stroke within 5 years is: 4% of men and 6% of women ages 40-69; and 6% of men…  
    • The percentage of persons with a first myocardial infarction who will have heart failure in 5 years is: 7% of men and 12% of women ages 40-69; and 22% of men…  
    • Of those who have a first myocardial infarction, 16% of men and 22% of women ages 40-69 have a recurrent myocardial infarction or fatal coronary heart disease within 5 years.  
    • People who survive the acute stage of a myocardial infarction have a chance of illness and death that is 1.5 to 15 times higher than the general population.  
    • People who have a myocardial infarction have a sudden death rate that is 4 to 6 times higher than the general population.  
    • Within 5 years of a first myocardial infarction, of those age 40 and older, 33% of men and 43% of women will die.  
    • Within one year of a first myocardial infarction 18% of men and 23% of women, 40 years and older, will die.  
    • On average, myocardial infarction causes an estimated 15 years of lost life.  
    • Around 83% of people who die from coronary heart disease are 65 years or older.  
    • Coronary heart disease was the cause of 1 out of 5 deaths in the U.S. in 2004.  
    • The lifetime risk of developing coronary heart disease after 40 years of age is 49% for men and 32% for women.  
    • In 2005, an estimated 6,989,000 inpatient cardiovascular operations and procedures were performed in the U.S.; 4.1 million were performed on males, and 2.9 million were performed on females.  
    • In 2005, the total inpatient hospital cost for cardiovascular disease was $71.2 billion, approximately 1/4 of the total cost of hospital care in the U.S.  
    • In 2005, cardiovascular disease ranked highest among all disease categories in hospital discharges.  
    • In 1999, 23% of nursing home residents 65 and older had a primary diagnosis of cardiovascular disease at admission.  
    • From 1979 to 2005, the number of inpatient discharges from short-stay hospitals with cardiovascular disease as the first-listed diagnosis increased 26% to 6,159,000 discharges. In 2005, cardiovascular disease ranked highest…  
    • The annual incidence of out-of-hospital cardiac arrests in the U.S. is 0.55/1,000 people–around 166,200.  
    • Every year, cardiovascular disease claims more lives than cancer, chronic lower respiratory diseases, accidents, and diabetes mellitus combined.  
    • Every year since 1900 (except 1918), cardiovascular disease accounted for more deaths than any other single or group of causes of death in the United States.  
    • The average annual rates of first cardiovascular events rise from 3 per 1000 men at 35 to 44 years of age to 74 per 1000 men at 85 to 94…  
    • An estimated 5.3 million American adults have heart failure.  
    • An estimated 16 million American adults have coronary heart disease.  
    • An estimated 73 million adult Americans have high blood pressure.  
    • According to the National Center for Health Statistics, if all major forms of cardiovascular disease were eliminated, life expectancy would rise by close to 7 years.  
    • In 2005, 2,125 heart transplantations were performed in the U.S.  
    • Hospital discharges for heart failure rose from 400,000 in 1979 to 1,084,000 in 2005–an increase of 171%.  
    • An estimated 80.7 million American adults (1 in 3) have 1 or more types of cardiovascular disease. Of these, 38.2 million are estimated to be 60 years of age or…  
    • An estimated 5,600,000 American adults have had a stroke.  
    • In 2004, stroke accounted for around 1 in 16 deaths in the U.S.  
    • The lifetime risk of developing congestive heart failure for men and women at age 40, is 1 in 5.  
    • When considered separately from cardiovascular disease, stroke is the 3rd leading cause of death in the U.S.  
    • Stroke is the leading cause of serious, long-term disability in the U.S.  
    • The lifetime risk of developing coronary heart disease after the age of 40 is 49% for men, and 32% for women.  
    • Approximately 1 in 3 adults has high blood pressure (HBP) which, if not properly diagnosed and treated, can lead to heart failure, heart attack, stroke, blindness, and kidney disease.  
    • Cardiovascular disease (CVD), including heart attack and stroke, remains the nation’s No. 1 killer of men and women, causing more than 36% of all deaths.  
    • In 2004, estimates of procedures performed for U.S. patients were: 1,285,000 inpatient angioplasty procedures; 427,000 inpatient bypass procedures; 1,471,000 inpatient diagnostic cardiac catheterizations; 68,000 inpatient implantable defibrillators; and 170,000 pacemaker…  
    • If all forms of cardiovascular disease were eliminated, life expectancy would rise by close to 7 years.  
    • In adults over 55 years, the lifetime risk of stroke is greater than 1 in 6.  
    • In 2004, stroke accounted for approximately 1 out of every 16 deaths in the U.S. Approximately 54% of stroke deaths in 2004 occurred out of the hospital.  
    • The prevalence of diabetes increased by 8.2% from 2000 to 2001. Since 1990, the prevalence of those diagnosed with diabetes increased 61%.  
    • Total hospital costs (inpatients, outpatients, and emergency department patients) projected for the year 2008 are estimated to be $140.1 billion. Cardiovascular disease costs more than any other diagnostic group.  
    • The total direct and indirect cost of CVD and stroke in the United States for 2008 is estimated at $448.5 billion. This figure includes health expenditures (direct costs, which include…  
    • Heart failure incidence approaches 10 per 1,000 of the U.S. population after 65 years of age.  
    • The estimated direct and indirect cost of heart failure in the U.S. for 2008 is $34.8 billion.  
    • The estimated direct and indirect cost of stroke for 2008 is $65.5 billion.  
    • The length of time to recover from a stroke depends on its severity. From 50% to 70% of stroke survivors regain functional independence, but 15% to 30% are permanently disabled,…  
    • Approximately 780,000 Americans each year experience a new or recurrent stroke. About 600,000 of these are first attacks, and 180,000 are recurrent attacks,  
    • In 2005, an estimated 1,271,000 inpatient angioplasty procedures, 469,000 inpatient bypass procedures, 1,322,000 inpatient diagnostic cardiac catheterizations, 91,000 inpatient implantable defibrillators, and 180,000 pacemaker procedures were performed for inpatients in the…  
    • The estimated direct and indirect cost of coronary heart disease for 2008 is $156.4 billion.  
    • For nonspecific chest pain, about 54.4% of hospital stays were for women 45 to 64 years of age. Women constituted 73.9% of nonspecific chest pain stays among patients 85 years of…  
    • For coronary atherosclerosis, 32.7% of hospital stays were for women among people 45 to 64 years of age; this figure increased to 60.7% of stays among those 85 years of…  
    • For myocardial infarction, 28.4% of hospital stays for people 45 to 64 years of age were for women, but 63.7% of stays for those 85 years of age were for…  
    • From 1979 to 2005, the number of inpatient discharges from short-stay hospitals with coronary heart disease as the first-listed diagnosis increased 5% to 1.8 million.  
    • The estimated direct and indirect cost of cardiovascular disease for 2008 is $448.5 billion.  
    • Between 1988 & 1994 and 1999 & 2004, use of pharmacological lipid-lowering treatment increased from 11.7% to 40.8%. Low-density lipoprotein cholesterol control increased from 4.0% to 25.1% among those with high…  
    • In 2004, 1 in 8 death certificates (284,365 deaths) in the U.S. mentions heart failure.  
    • Preliminary data from 2005 indicate that stroke accounted for about 1 of every 17 deaths in the U.S. On average, every 40 seconds someone in the U.S. has a stroke.…  
    • About every 26 seconds, an American will have a coronary event, and about every minute someone will die from one.  
    • It is estimated that an additional 175,000 silent first myocardial infarctions occur each year.  
    • In 2008, an estimated 770,000 Americans will have a new coronary attack, and about 430,000 will have a recurrent attack.  
    • Coronary heart disease caused 1 of every 5 deaths in the United States in 2004. Coronary heart disease mortality was 451,326.  
    • In 2004, 32% of deaths from cardiovascular disease occurred before the age of 75 years, which is well before the average life expectancy of 77.9 years.  
    • Close to 2,400 Americans die of cardiovascular disease each day–an average of 1 death every 37 seconds.  
    • Preliminary mortality data from 2005 shows that cardiovascular disease accounted for 35.2% (861,826) of all deaths in 2005, or 1 of every 2.8 deaths in the US.  
    • From 1994 to 2004, death rates from cardiovascular disease declined 24.7%.  
    • In 2004, the overall death rate from cardiovascular disease was 288 per 100,000.