Heart Disease and

Stroke Statistics
2013 Update

Additional charts may be downloaded directly from the online publication at:
http://circ.ahajournals.org/lookup/doi/10.1161/CIR.0b013e31828124ad
Or at:
www.heart.org/statistics

The American Heart Association requests that this document be cited as follows:
Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB, Bravata DM, Dai S, Ford ES,
Fox CS, Franco S, Fullerton HJ, Gillespie C, Hailpern SM, Heit JA, Howard VJ, Huffman MD,
Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Magid D, Marcus GM, Marelli A,
Matchar DB, McGuire DK, Mohler ER, Moy CS, Mussolino ME, Nichol G, Paynter NP, Schreiner PJ,
Sorlie PD, Stein J, Turan TN, Virani SS, Wong ND, Woo D, Turner MB; on behalf of the American Heart
Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics
2013 update: a report from the American Heart Association. Circulation.2013: published online before print
December 12, 2012, 10.1161/CIR.0b013e31828124ad.

If you have questions about statistics or any points made in the 2013 Statistical Update,
please contact the American Heart Association National Center,
Office of Science & Medicine at statistics@heart.org.

Please direct all media inquiries to News Media Relations

at inquiries@heart.org or 214-706-1173.

Prevalence (unadjusted) estimates for poor, intermediate and ideal

cardiovascular health, US children aged 12-19 years
(NHANES 2009-2010)
100.0

0.0
8.5

36.1

80.0

Percentage

64.2
60.0

69.1

85.2

85.5

88.2

91.5
40.0
55.8
17.2
20.0

22.8
0.0
14.8

18.6

12.4
8.0

8.0

0.0

Current
Smoking

Body Mass
Index

Physical
Activity
Poor

2012 American Heart Association, Inc. All rights reserved.

Healthy Diet
Score*
Intermediate

11.7

1.8
0.1
Total
Blood PressureFasting Plasma
Cholesterol
Glucose
Ideal

*Healthy Diet Score reflects 2007-2008

NHANES data
Go AS et al. Published online in Circulation Dec. 12, 2012

Age-standardized prevalence for poor, intermediate and ideal

cardiovascular health, US adults 20 years of age
(NHANES 2009-2010)

100.0

0.3
20.7
31.3

80.0

41.1
47.3

44.3

Percentage

57.4
60.0

76.2

33.0

10.9

40.0

79.0
39.7

20.0

41.8
34.5

48.0

3.1
35.7
20.6

13.0

14.0

8.1

0.0
Current
Smoking

Body Mass
Index

Physical
Activity
Poor

2012 American Heart Association, Inc. All rights reserved.

Healthy Diet
Score*
Intermediate

Total
Blood PressureFasting Plasma
Cholesterol
Glucose
Ideal

*Healthy Diet Score reflects 2007-2008

NHANES data
Go AS et al. Published online in Circulation Dec. 12, 2012

Prevalence of CVD in adults 20 years of age

(NHANES: 20072010)
100
90

87.1
83.0

80
70.2

70.9

Percent of Population

70
60
50
40.0

40

34.4

30
20
12.8
10.1

10

0
20-39

40-59

60-79

80+

Age (Years)
Men

Women

Source: NCHS and NHLBI. These data include CHD, HF, stroke, and hypertension.
2012 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 12, 2012

Deaths due to diseases of the heart (United States: 19002009)

1,000

Deaths in Thousands

800

600

400

200

0
1900

1910

1920

1930

1940

1950

1960

1970

1980

1990

2000

2009

Years
Source: National Center for Health Statistics.
2012 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 12, 2012

CVD and other major causes of death (United States: 2009)

450,000
401,495
400,000 386,436

350,000
296,763

300,000

Deaths

270,865
250,000

200,000

150,000
75,022
100,000

72,234
65,119

55,103
42,999

35,054

50,000

23,900

33,651

0
A

Males

Females

Source: NCHS and NHLBI. A indicates CVD plus congenital CVD; B, cancer; C, accidents; D, CLRD; E, diabetes; and F, Alzheimer's disease.
2012 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 12, 2012

Prevalence of Stroke
(NHANES: 20072010)
18
16
13.9

Percent of Population

14

13.8

12
10
8
6.9
6.2

6
4
2.1

2.1

2
0.4

0.6

0
20-39

40-59

60-79

80+

Age (Years)

Men

Women

Source: NCHS and NHLBI.

2012 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 12, 2012

Age-adjusted death rates for stroke, 2009

70

60.1

60

50.2

Death Rate per 100 000

50

40

37.8

36.6
34.1
29.6

30

30.9

29.2

28.0
24.6

20

10

White

Black

Asian/Pacific Islander

Males

American
Indian/Alaska Native

Hispanic

Females

Source: NCHS and NHLBI.

2012 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 12, 2012

Prevalence of High Blood Pressure in adults 20 years of age

(NHANES: 20072010)
90
80.1
80
70.8

72.1

70

Percent of Population

63.9
60

52.0

52.0

50
37.7

40

34.0
30
24.4

17.6

20

10

9.1

6.7

0
20-34

35-44

45-54

55-64

65-74

75

Age (Years)

Male

Female

Source: NCHS and NHLBI. Hypertension is defined as SBP 140 mm Hg or DBP 90 mmHg, taking antihypertensive medication, or being told twice by a
physician or other professional that one has hypertension.
2012 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 12, 2012

Age-Adjusted Prevalence Trends for High Blood Pressure in Adults, 20 years of age
(NHANES:1988-1994, 1999-2004 and 2007-2010)
45

42.7
41.5

39.9
38.6

40

35

Percent of Population

38.2

37.5

30.3
28.3

30

28.2

25

26.9

27.4

25.6

25.7

26.8
25.5

25.0

26.0

22.9

20

15

10

0
NH White Men

NH White Women

NH Black Men

1988-1994

NH Black Women

1999-2004

Mexican American
Men

Mexican American
Women

2005-2010

Source: NCHS and NHLBI. NH indicates non-Hispanic.

2012 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 12, 2012

Trends in mean total serum cholesterol among adolescents 1217 years of age
(NHANES: 1976-1980*, 19881994*, 19992004 and 2007-2010)
180

174

175
172
171
170

Mean Total Blood Cholesterol

170
166

165

165

163 163

161

161

160

163

163

160

160

159

158
157

157

156

155

153

150

145

140
NH White Males

NH Black Males

NH White Females

1976-80

1988-94

NH Black Females

1999-2004

Mex. Am. Males

Mex. Am. Females

2005-2010

Source: NCHS and NHLBI. NH indicates non-Hispanic. Mex. Am. indicates Mexican American. * Data for Mexican Americans not available.
2012 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 12, 2012

Trends in mean total serum cholesterol among adults ages 20

(NHANES: 19881994, 19992004, 2003-2006 and 20072010)
210

206
205

Mean Serum Total Cholesterol

205

204

204

202
201

201

200

199

199

197

195

194

192

190

185
NH White

NH Black
1988-94

1999-2002

2003-2006

Mexican American
2007-2010

Source: NCHS and NHLBI. NH indicates non-Hispanic.

2012 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 12, 2012

Age-adjusted prevalence of physician-diagnosed diabetes in adults 20 years of age

(NHANES: 20072010)
18

16

15.4

14

13.5

Percent of Population

12.0

12

11.4

10

7.7
6.2

0
Male

Female
NH White

NH Black

Mexican American

Source: NCHS and NHLBI. NH indicates non-Hispanic.

2012 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 12, 2012

Trends in diabetes prevalence in adults 20 years of age

(NHANES: 19881994 and 20072010)
10
9

8.7
7.9

Percent of Population

7
6

5.4

5.4

4.7

4
3.4

2.5

2.3

2
1
0
Physician Diagnosed 1988-94

Undiagnosed 1988-94
Male

Physician Diagnosed 2007-10

Undiagnosed 2007-10

Female

Source: NCHS, NHLBI.

2012 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 12, 2012

Prevalence of students in grades 912 who met recommended levels of

physical activity on 5 of the past 7 days
(YRBSS: 2011)
70
62.1

60

57.1

57.1

Percent of Population

50
42.6

40
31.9

33

30

20

10

0
Male

Female

NH White

NH Black

Hispanic

Source: MMWR Surveill Summ.2012;61:1162. NH indicates non-Hispanic.

2012 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 12, 2012

Prevalence of meeting the 2008 Federal Physical Activity Guidelines

among adults 18 years of age
(NHIS 2010)
60
55.3

50

50.0

49.0

Percent of Population

44.2

40
34.6

36.2

30

20

10

0
Men

Women
NH White

NH Black

Hispanic

NH indicates non-Hispanic. Percents are age-adjusted. Meeting the 2008 Federal PA Guidelines is defined as engaging in moderate leisure-time
physical activity for at least 150 minutes per week or vigorous activity at last 75 minutes per week or an equivalent combination.
2012 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 12, 2012

Prevalence of students in grades 9 to 12 reporting current cigarette use

(YRBSS 2011)
25

21.5

Percent of the Population

20

19.4

18.9

15.2

15

13.7

10
7.4

0
NH White

NH Black

Males

Hispanic

Females

Source: MMWR Surveill Summ.2012;61:1162. NH indicates non-Hispanic.

2012 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 12, 2012

Prevalence of current smoking for adults 18 years of age

(NHIS 2008-2010)
30

25

23.9

24.6
23.7

Percent of Population

20.9

20.7

20
17.6

17.3
15.2

15

9.6

10

5.5

0
Men

NH White

NH Black

Women

Hispanic

Asian*

American Indian/Alaska Native*

All percentages are age-adjusted. NH indicates non-Hispanic. *Includes both Hispanics and non-Hispanics. Data derived from Centers for Disease
Control and Prevention/National Center for Health Statistics, Health Data Interactive.
2012 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 12, 2012

Trends in the prevalence of obesity among US children and adolescents

20
18.8
18.2
17.6

18

17
16.0

15.9

16

Percent of Population

14

12

11.3
10.5

10

8
6.5

6.1

5.0
4.0

0
6-11

1971-1974

1976-1980

12-19

1988-1994

1999-2002

2003-2006

2007-2010

Data derived from Health, United States, 2011. NCHS, 2011.

2012 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 12, 2012

Age-adjusted prevalence of obesity in adults 2074 years of age

40
36.1
34.4

35

30

34.0

28.1

Percent of Population

26.0

25
20.6

20
16.8

17.1

15.7

15
12.2

12.8

10.7

10

0
Men

1960-62

1971-74

Women

1976-80

1988-94

1999-2002

2007-2010

Data derived from Health, United States, 2011. NCHS, 2011.

2012 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 12, 2012

Trends in cardiovascular procedures, United States: 19792010

1400

1200

Procedures in Thousands

1000

800

600

400

200

0
1979

1980

1985

1990

1995

2000

2005

2010

Years
Catheterizations

Bypass

PCI

Carotid Endarterectomy

Pacemakers

Note: Inpatient procedures only. Source: National Hospital Discharge Survey, NCHS, and NHLBI.
2012 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 12, 2012

Direct and indirect costs (in billions of dollars)

of major cardiovascular diseases and stroke (United States: 2009)
250

Billions of Dollars

200

195.2

150

100

51.0

50

38.6
27.8

Heart disease

Hypertension

Stroke

Other CVD

Source: National Heart, Lung, and Blood Institute.

2012 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 12, 2012

Projected Total Costs of CVD, 20152030 (in Billions 2010$) in the United States
900
818.1

800
700
Total Dollars (in Billions)

621.6

600
500

389.0

470.3
338.2

400

293.6
358.0

258.0
222.5

200.3

300

195.6

155.0
106.4

200

119.1

149.2
77.7

81.1

100

42.9
32.4

46.8

95.6

57.5

61.4

91.4

170.4

70.0

51.3
38.0

All CVD

HBP

CHD

2015

CHF

2020

2025

Stroke

Other CVDs

HBP as Risk
Factor

2030

Unpublished data tabulated by AHA using methods described in Circulation. 2011;123:933944.

2012 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 12, 2012