Heart Disease and

Stroke Statistics
2014 Update

Additional charts may be downloaded directly from the online publication at:
http://circ.ahajournals.org/lookup/doi/10.1161/01.cir.0000441139.02102.80
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, Blaha MJ, Dai S, Ford ES, Fox CS, Franco S,
Fullerton HJ, Gillespie C, Hailpern SM, Heit JA, Howard VJ, Huffman MD, Judd SE, Kissela BM, Kittner SJ,
Lackland DT, Lichtman JH, Lisabeth LD, Mackey RH, Magid DJ, Marcus GM, Marelli A, Matchar DB, McGuire
DK, Mohler ER 3rd, Moy CS, Mussolino ME, Neumar RW, Nichol G, Pandey DK, Paynter NP, Reeves MJ,
Sorlie PD, Stein J, Towfighi A, 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
statistics2014 update: a report from the American Heart Association. Circulation. 2014: published online
December 18, 2013, 10.1161/01.cir.0000441139.02102.80.

If you have questions about statistics or any points made in the 2014 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

0.1
8.4

36.5

80.0

Percentage

64.2
60.0

69.5

85.2

85.7

87.9

91.5
40.0
55.3
17.2
20.0

22.4
0.0
14.8

18.6

12.5
8.2

8.1

0.0
Current
Smoking

Body Mass
Index

Physical
Activity
Poor

2013 American Heart Association, Inc. All rights reserved.

Healthy Diet
Score*

Intermediate

Total
Cholesterol

1.8
Blood
Pressure

12.0
0.1
Fasting
Plasma
Glucose

Ideal
Go AS et al. Published online in Circulation Dec. 18, 2013

Age-standardized prevalence for poor, intermediate and ideal

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

100.0

0.5

27.0

31.0
80.0

40.9

47.0

44.6

Percentage

57.5
60.0

76.3
33.2

10.9

40.0
72.5

20.0

39.7

41.5
34.4

48.2

3.2
35.8
20.5

13.3

13.9

Total
Cholesterol

Blood
Pressure

8.1

0.0
Current
Smoking

Body Mass
Index

Physical
Activity
Poor

2013 American Heart Association, Inc. All rights reserved.

Healthy Diet
Score*

Intermediate

Fasting
Plasma
Glucose

Ideal
Go AS et al. Published online in Circulation Dec. 18, 2013

Prevalence of CVD in adults 20 years of age

(NHANES: 20072010)
100
87.1

90
83.0
80
Percent of Population

70.2

70.9

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.
2013 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 18, 2013

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

Deaths in Thousands

1,000

800

600

400

200

0
1900

1910

1920

1930

1940

1950

1960

1970

1980

1990

2000

2010

Year
Source: National Center for Health Statistics.
2013 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 18, 2013

CVD and other major causes of death (United States: 2010)

450,000
400,332

400,000 387,318
350,000
301,037

Deaths

300,000

273,706

250,000
200,000
150,000
75,921

100,000

72,657
65,423

58,130
44,938

35,490

50,000

25,364

33,581

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.
2013 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 18, 2013

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.

2013 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 18, 2013

Age-adjusted death rates for stroke, 2010

60

56.6

49.6

Death Rate per 100 000

50

40

37.6

37.2
35.2

33.9
31.4

30

30.2

29.8
26.5

20

10

0
White

Black

Source: NCHS and NHLBI.

2013 American Heart Association, Inc. All rights reserved.

Asian/Pacific Islander

Males

American
Indian/Alaska Native

Hispanic

Females
Go AS et al. Published online in Circulation Dec. 18, 2013

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

20-34

35-44

45-54
Male

55-64

65-74

75

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.
2013 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 18, 2013

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
39.9
38.6

40

37.5

41.5
38.2

Percent of Population

35

30

30.3
28.3

28.2

26.9
27.4

25.7
25.5

25.6
25

26.8
26.0
25.0

22.9

20

15

10

NH White Men NH White Women NH Black Men NH Black Women

1988-1994

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

2013 American Heart Association, Inc. All rights reserved.

1999-2004

Mexican
Mexican
American Men American Women

2005-2010
Go AS et al. Published online in Circulation Dec. 18, 2013

Trends in mean total serum cholesterol among adolescents 1217 years of age
(NHANES: 1976-1980*, 19881994*, 19992004 and 2005-2010)
180
174.0

175

172

171

170

Mean Total Cholesterol

170

166.0

165

165.0
163 163

161

161

160

163

163

158
157

155

160

160

159

156

157

153

150

145

140
NH White Males

NH Black Males

1976-80

NH White
Females

1988-94

NH Black Females Mex. Am. Males Mex. Am. Females

1999-2004

2005-2010

Source: NCHS and NHLBI. NH indicates non-Hispanic. Mex. Am. indicates Mexican American. * Data for Mexican Americans not available.
2013 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 18, 2013

Trends in mean total serum cholesterol among adults ages 20

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

210

206

Mean Serum Total Cholesterol

205

205
204

204
202
201

201

200

199

199

197

195

194
192

190

185
NH White

1988-94

NH Black

1999-2002

2003-2006

Mexican American

2007-2010

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

2013 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 18, 2013

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

(NHANES: 20072010)
18
16

15.4
13.5

Percent of Population

14

12.0

12

11.4

10
8

7.7
6.2

6
4
2
0
Male

NH White

Female

NH Black

Mexican American

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

2013 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 18, 2013

Trends in diabetes prevalence in adults 20 years of age

(NHANES: 19881994 and 20072010)
10
8.7

7.9

Percent of Population

8
7
6

5.4

5.4
4.7

5
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.

2013 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 18, 2013

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

Percent of Population

60

57.1

57.1

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.

2013 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 18, 2013

Prevalence of meeting the 2008 Federal Physical Activity Guidelines

among adults 18 years of age
(NHIS 2012)
60

56.4
50.9

Percent of Population

50

47.5

47.0

38.2

40
35.5
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.
2013 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 18, 2013

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

(Youth Risk Behavior Surveillance System, 2011)
25
21.5

Percent of the Population

20

19.5

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.

2013 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 18, 2013

Prevalence of current smoking for adults 18 years of age

(National Health Interview Survey, 2009-2011)
25

23.6

23.7

23.2

23.6

20.3

Percent of Population

20
16.9

16.3
15.1
15

10

8.9

5.7
5

0
Male

NH White

Female

NH Black

Hispanic

Asian

AIAN

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.
2013 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 18, 2013

Trends in the prevalence of obesity among US children and adolescents

20

18.8

18

17.6

17.0
16.0

15.9

16

18.2

Percent of Population

14
12

11.3
10.5

10
8
6.5

6.1

6
4

5.0
4.0

2
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.

2013 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 18, 2013

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

40
36.1
34.4

35

Percent of Population

30

34.0

28.1
26.0

25
20.6
20
15.7
15
12.2

16.8

17.1

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.

2013 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 18, 2013

Trends in cardiovascular procedures, United States: 19792010

1400

Procedures in Thousands

1200

1000

800

600

400

200

1979

1980

1985

1990

1995

2000

2005

2010

Year
Catheterizations

Bypass

PCI

Carotid Endarterectomy

Pacemakers

Note: Inpatient procedures only. Source: National Hospital Discharge Survey, NCHS, and NHLBI.
2013 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 18, 2013

Direct and indirect costs (in billions of dollars)

of major cardiovascular diseases and stroke (United States: 2010)
250

204.4

Billions of Dollars

200

150

100

46.4

50

36.5
28.0

Heart disease

Hypertension

Stroke

Other CVD

Source: National Heart, Lung, and Blood Institute.

2013 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 18, 2013

Projected Total Costs of CVD, 20152030 (in Billions 2012$) in the United States
1400
1208

Total Dollars (in billions)

1200

987

1000

804

800
656

600

380

400

200

150

274
225
184

182

322
266
220
95

185
148
119

310
251
204

418
337
272
221

47
24 30 38

All CVD

HBP

CHD
2015

CHF
2020

2025

Stroke
2030

Other CVDs

HBP as Risk
Factor

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

2013 American Heart Association, Inc. All rights reserved.

Go AS et al. Published online in Circulation Dec. 18, 2013