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Circulation | 2012

Heart Disease and Stroke Statistics—2012 Update A Report From the American Heart Association

Véronique L. Roger; Alan S. Go; Donald M. Lloyd-Jones; Emelia J. Benjamin; Jarett D. Berry; William B. Borden; Dawn M. Bravata; Shifan Dai; Earl S. Ford; Caroline S. Fox; Heather J. Fullerton; Cathleen Gillespie; Susan M. Hailpern; John A. Heit; Virginia J. Howard; Brett Kissela; Steven J. Kittner; Daniel T. Lackland; Judith H. Lichtman; Lynda D. Lisabeth; Diane M. Makuc; Gregory M. Marcus; Ariane J. Marelli; David B. Matchar; Claudia S. Moy; Dariush Mozaffarian; Michael E. Mussolino; Graham Nichol; Nina P. Paynter; Elsayed Z. Soliman

Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .e3 1. About These Statistics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .e7 2. American Heart Associations 2020 Impact Goals. . . . . . . . . . . . . . . . .e10 3. Cardiovascular Diseases . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .e21 4. Subclinical Atherosclerosis . . . . . . . . . . . . . . . . . . . . .e45 5. Coronary Heart Disease, Acute Coronary Syndrome, and Angina Pectoris . . . . . . . . .e54 6. Stroke (Cerebrovascular Disease) . . . . . . . . . . . . . . . . . . . . . . . . . . . .e68 7. High Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .e88 8. Congenital Cardiovascular Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . .e97 9. Cardiomyopathy and Heart Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . .e102 10. Disorders …


Circulation | 2013

Heart Disease and Stroke Statistics—2013 Update A Report From the American Heart Association

Alan S. Go; Dariush Mozaffarian; Véronique L. Roger; Emelia J. Benjamin; Jarett D. Berry; William B. Borden; Dawn M. Bravata; Shifan Dai; Earl S. Ford; Caroline S. Fox; Sheila Franco; Heather J. Fullerton; Cathleen Gillespie; Susan M. Hailpern; John A. Heit; Virginia J. Howard; Mark D. Huffman; Brett Kissela; Steven J. Kittner; Daniel T. Lackland; Judith H. Lichtman; Lynda D. Lisabeth; David J. Magid; Gregory M. Marcus; Ariane J. Marelli; David B. Matchar; Darren K. McGuire; Emile R. Mohler; Claudia S. Moy; Michael E. Mussolino

Author(s): Go, Alan S; Mozaffarian, Dariush; Roger, Veronique L; Benjamin, Emelia J; Berry, Jarett D; Borden, William B; Bravata, Dawn M; Dai, Shifan; Ford, Earl S; Fox, Caroline S; Franco, Sheila; Fullerton, Heather J; Gillespie, Cathleen; Hailpern, Susan M; Heit, John A; Howard, Virginia J; Huffman, Mark D; Kissela, Brett M; Kittner, Steven J; Lackland, Daniel T; Lichtman, Judith H; Lisabeth, Lynda D; Magid, David; Marcus, Gregory M; Marelli, Ariane; Matchar, David B; McGuire, Darren K; Mohler, Emile R; Moy, Claudia S; Mussolino, Michael E; Nichol, Graham; Paynter, Nina P; Schreiner, Pamela J; Sorlie, Paul D; Stein, Joel; Turan, Tanya N; Virani, Salim S; Wong, Nathan D; Woo, Daniel; Turner, Melanie B; American Heart Association Statistics Committee and Stroke Statistics Subcommittee


Circulation | 2011

Heart Disease and Stroke Statistics—2011 Update A Report From the American Heart Association

Véronique L. Roger; Alan S. Go; Donald M. Lloyd-Jones; Robert J. Adams; Jarett D. Berry; Todd M. Brown; Mercedes R. Carnethon; Shifan Dai; Giovanni de Simone; Earl S. Ford; Caroline S. Fox; Heather J. Fullerton; Cathleen Gillespie; Kurt J. Greenlund; Susan M. Hailpern; John A. Heit; P. Michael Ho; Virginia J. Howard; Brett Kissela; Steven J. Kittner; Daniel T. Lackland; Judith H. Lichtman; Lynda D. Lisabeth; Diane M. Makuc; Gregory M. Marcus; Ariane J. Marelli; David B. Matchar; Mary M. McDermott; James B. Meigs; Claudia S. Moy

Rosamond, Paul D. Sorlie, Randall S. Stafford, Tanya N. Turan, Melanie B. Turner, Nathan D. Dariush Mozaffarian, Michael E. Mussolino, Graham Nichol, Nina P. Paynter, Wayne D. Ariane Marelli, David B. Matchar, Mary M. McDermott, James B. Meigs, Claudia S. Moy, Lackland, Judith H. Lichtman, Lynda D. Lisabeth, Diane M. Makuc, Gregory M. Marcus, John A. Heit, P. Michael Ho, Virginia J. Howard, Brett M. Kissela, Steven J. Kittner, Daniel T. Caroline S. Fox, Heather J. Fullerton, Cathleen Gillespie, Kurt J. Greenlund, Susan M. Hailpern, Todd M. Brown, Mercedes R. Carnethon, Shifan Dai, Giovanni de Simone, Earl S. Ford, Véronique L. Roger, Alan S. Go, Donald M. Lloyd-Jones, Robert J. Adams, Jarett D. Berry, Association 2011 Update : A Report From the American Heart −− Heart Disease and Stroke Statistics


Circulation | 2014

Heart Disease and Stroke Statistics—2014 Update A Report From the American Heart Association

Alan S. Go; Dariush Mozaffarian; Véronique L. Roger; Emelia J. Benjamin; Jarett D. Berry; Michael J. Blaha; Shifan Dai; Earl S. Ford; Caroline S. Fox; Sheila Franco; Heather J. Fullerton; Cathleen Gillespie; Susan M. Hailpern; John A. Heit; Virginia J. Howard; Mark D. Huffman; Suzanne E. Judd; Brett Kissela; Steven J. Kittner; Daniel T. Lackland; Judith H. Lichtman; Lynda D. Lisabeth; Rachel H. Mackey; David J. Magid; Gregory M. Marcus; Ariane J. Marelli; David B. Matchar; Darren K. McGuire; Emile R. Mohler; Claudia S. Moy

Author(s): Go, Alan S; Mozaffarian, Dariush; Roger, Veronique L; Benjamin, Emelia J; Berry, Jarett D; Blaha, Michael J; Dai, Shifan; Ford, Earl S; Fox, Caroline S; Franco, Sheila; Fullerton, Heather J; Gillespie, Cathleen; Hailpern, Susan M; Heit, John A; Howard, Virginia J; Huffman, Mark D; Judd, Suzanne E; Kissela, Brett M; Kittner, Steven J; Lackland, Daniel T; Lichtman, Judith H; Lisabeth, Lynda D; Mackey, Rachel H; Magid, David J; Marcus, Gregory M; Marelli, Ariane; Matchar, David B; McGuire, Darren K; Mohler, Emile R; Moy, Claudia S; Mussolino, Michael E; Neumar, Robert W; Nichol, Graham; Pandey, Dilip K; Paynter, Nina P; Reeves, Matthew J; Sorlie, Paul D; Stein, Joel; Towfighi, Amytis; Turan, Tanya N; Virani, Salim S; Wong, Nathan D; Woo, Daniel; Turner, Melanie B; American Heart Association Statistics Committee and Stroke Statistics Subcommittee


Circulation | 2010

Executive summary: Heart disease and stroke statistics-2016 update: A Report from the American Heart Association

Dariush Mozaffarian; Emelia J. Benjamin; Alan S. Go; Donna K. Arnett; Michael J. Blaha; Mary Cushman; Sandeep R. Das; Sarah D. de Ferranti; Jean-Pierre Després; Heather J. Fullerton; Virginia J. Howard; Mark D. Huffman; Carmen R. Isasi; Monik C. Jiménez; Suzanne E. Judd; Brett Kissela; Judith H. Lichtman; Lynda D. Lisabeth; Simin Liu; Rh Mackey; David J. Magid; Darren K. McGuire; Emile R. Mohler; Claudia S. Moy; Paul Muntner; Michael E. Mussolino; Khurram Nasir; Robert W. Neumar; Graham Nichol; Latha Palaniappan

Author(s): Writing Group Members; Mozaffarian, Dariush; Benjamin, Emelia J; Go, Alan S; Arnett, Donna K; Blaha, Michael J; Cushman, Mary; Das, Sandeep R; de Ferranti, Sarah; Despres, Jean-Pierre; Fullerton, Heather J; Howard, Virginia J; Huffman, Mark D; Isasi, Carmen R; Jimenez, Monik C; Judd, Suzanne E; Kissela, Brett M; Lichtman, Judith H; Lisabeth, Lynda D; Liu, Simin; Mackey, Rachel H; Magid, David J; McGuire, Darren K; Mohler, Emile R; Moy, Claudia S; Muntner, Paul; Mussolino, Michael E; Nasir, Khurram; Neumar, Robert W; Nichol, Graham; Palaniappan, Latha; Pandey, Dilip K; Reeves, Mathew J; Rodriguez, Carlos J; Rosamond, Wayne; Sorlie, Paul D; Stein, Joel; Towfighi, Amytis; Turan, Tanya N; Virani, Salim S; Woo, Daniel; Yeh, Robert W; Turner, Melanie B; American Heart Association Statistics Committee; Stroke Statistics Subcommittee


Circulation | 2016

Heart Disease and Stroke Statistics—2016 Update: A Report From the American Heart Association

Dariush Mozaffarian; Emelia J. Benjamin; Alan S. Go; Donna K. Arnett; Michael J. Blaha; Mary Cushman; Sandeep R. Das; Sarah D. de Ferranti; Jean-Pierre Després; Heather J. Fullerton; Virginia J. Howard; Mark D. Huffman; Carmen R. Isasi; Monik Jimenez; Suzanne E. Judd; Brett Kissela; Judith H. Lichtman; Lynda D. Lisabeth; Simin Liu; Rachel H. Mackey; David J. Magid; Darren K. McGuire; Emile R. Mohler; Claudia S. Moy; Paul Muntner; Michael E. Mussolino; Khurram Nasir; Robert W. Neumar; Graham Nichol; Latha Palaniappan

Author(s): Writing Group Members; Mozaffarian, Dariush; Benjamin, Emelia J; Go, Alan S; Arnett, Donna K; Blaha, Michael J; Cushman, Mary; Das, Sandeep R; de Ferranti, Sarah; Despres, Jean-Pierre; Fullerton, Heather J; Howard, Virginia J; Huffman, Mark D; Isasi, Carmen R; Jimenez, Monik C; Judd, Suzanne E; Kissela, Brett M; Lichtman, Judith H; Lisabeth, Lynda D; Liu, Simin; Mackey, Rachel H; Magid, David J; McGuire, Darren K; Mohler, Emile R; Moy, Claudia S; Muntner, Paul; Mussolino, Michael E; Nasir, Khurram; Neumar, Robert W; Nichol, Graham; Palaniappan, Latha; Pandey, Dilip K; Reeves, Mathew J; Rodriguez, Carlos J; Rosamond, Wayne; Sorlie, Paul D; Stein, Joel; Towfighi, Amytis; Turan, Tanya N; Virani, Salim S; Woo, Daniel; Yeh, Robert W; Turner, Melanie B; American Heart Association Statistics Committee; Stroke Statistics Subcommittee


Circulation | 2015

Heart Disease and Stroke Statistics—2015 Update A Report From the American Heart Association

Dariush Mozaffarian; Emelia J. Benjamin; Alan S. Go; Donna K. Arnett; Michael J. Blaha; Mary Cushman; Sarah D. de Ferranti; Jean-Pierre Després; Heather J. Fullerton; Virginia J. Howard; Mark D. Huffman; Suzanne E. Judd; Brett Kissela; Daniel T. Lackland; Judith H. Lichtman; Lynda D. Lisabeth; Simin Liu; Rachel H. Mackey; David B. Matchar; Darren K. McGuire; Emile R. Mohler; Claudia S. Moy; Paul Muntner; Michael E. Mussolino; Khurram Nasir; Robert W. Neumar; Graham Nichol; Latha Palaniappan; Dilip K. Pandey; Mathew J. Reeves

STRIDE (Stanford Translational Research Integrated Database Environment) is a research and development project at Stanford University to create a standards-based informatics platform supporting clinical and translational research. STRIDE consists of three integrated components: a clinical data warehouse, based on the HL7 Reference Information Model (RIM), containing clinical information on over 1.3 million pediatric and adult patients cared for at Stanford University Medical Center since 1995; an application development framework for building research data management applications on the STRIDE platform and a biospecimen data management system. STRIDEs semantic model uses standardized terminologies, such as SNOMED, RxNorm, ICD and CPT, to represent important biomedical concepts and their relationships. The system is in daily use at Stanford and is an important component of Stanford Universitys CTSA (Clinical and Translational Science Award) Informatics Program.on behalf of the American Heart Association Statistics Committee and Stroke Statistics Nathan D. Wong, Daniel Woo and Melanie B. Turner Elsayed Z. Soliman, Paul D. Sorlie, Nona Sotoodehnia, Tanya N. Turan, Salim S. Virani, Claudia S. Moy, Dariush Mozaffarian, Michael E. Mussolino, Graham Nichol, Nina P. Paynter, Lynda D. Lisabeth, Diane M. Makuc, Gregory M. Marcus, Ariane Marelli, David B. Matchar, Lichtman, Virginia J. Howard, Brett M. Kissela, Steven J. Kittner, Daniel T. Lackland, Judith H. Caroline S. Fox, Heather J. Fullerton, Cathleen Gillespie, Susan M. Hailpern, John A. Heit, Benjamin, Jarett D. Berry, William B. Borden, Dawn M. Bravata, Shifan Dai, Earl S. Ford, Writing Group Members, Véronique L. Roger, Alan S. Go, Donald M. Lloyd-Jones, Emelia J. Association 2012 Update : A Report From the American Heart −− Heart Disease and Stroke StatisticsHeart Disease, Stroke and other Cardiovascular Diseases • Cardiovascular disease is the leading global cause of death, accounting for 17.3 million deaths per year, a number that is expected to grow to more than 23.6 million by 2030. • In 2008, cardiovascular deaths represented 30 percent of all global deaths, with 80 percent of those deaths taking place in lowand middle-income countries. • Nearly 787,000 people in the U.S. died from heart disease, stroke and other cardiovascular diseases in 2011. That’s about one of every three deaths in America. • About 2,150 Americans die each day from these diseases, one every 40 seconds. • Cardiovascular diseases claim more lives than all forms of cancer combined. • About 85.6 million Americans are living with some form of cardiovascular disease or the after-effects of stroke. • Direct and indirect costs of cardiovascular diseases and stroke total more than


Circulation | 2010

Executive Summary: Heart Disease and Stroke Statistics—2013 Update

Alan S. Go; Dariush Mozaffarian; Véronique L. Roger; Emelia J. Benjamin; Jarett D. Berry; William B. Borden; Dawn M. Bravata; Shifan Dai; Earl S. Ford; Caroline S. Fox; Sheila Franco; Heather J. Fullerton; Cathleen Gillespie; Susan M. Hailpern; John A. Heit; Virginia J. Howard; Mark D. Huffman; Brett Kissela; Steven J. Kittner; Daniel T. Lackland; Judith H. Lichtman; Lynda D. Lisabeth; David J. Magid; Gregory M. Marcus; Ariane J. Marelli; David B. Matchar; Darren K. McGuire; Emile R. Mohler; Claudia S. Moy; Michael E. Mussolino

320.1 billion. That includes health expenditures and lost productivity. • Nearly half of all African-American adults have some form of cardiovascular disease, 48 percent of women and 46 percent of men. • Heart disease is the No. 1 cause of death in the world and the leading cause of death in the United States, killing over 375,000 Americans a year. • Heart disease accounts for 1 in 7 deaths in the U.S. • Someone in the U.S. dies from heart disease about once every 90 seconds.Author(s): Mozaffarian, Dariush; Benjamin, Emelia J; Go, Alan S; Arnett, Donna K; Blaha, Michael J; Cushman, Mary; de Ferranti, Sarah; Despres, Jean-Pierre; Fullerton, Heather J; Howard, Virginia J; Huffman, Mark D; Judd, Suzanne E; Kissela, Brett M; Lackland, Daniel T; Lichtman, Judith H; Lisabeth, Lynda D; Liu, Simin; Mackey, Rachel H; Matchar, David B; McGuire, Darren K; Mohler, Emile R; Moy, Claudia S; Muntner, Paul; Mussolino, Michael E; Nasir, Khurram; Neumar, Robert W; Nichol, Graham; Palaniappan, Latha; Pandey, Dilip K; Reeves, Mathew J; Rodriguez, Carlos J; Sorlie, Paul D; Stein, Joel; Towfighi, Amytis; Turan, Tanya N; Virani, Salim S; Willey, Joshua Z; Woo, Daniel; Yeh, Robert W; Turner, Melanie B; American Heart Association Statistics Committee and Stroke Statistics Subcommittee


Neurology | 2003

Risk of stroke in children Ethnic and gender disparities

Heather J. Fullerton; Yvonne W. Wu; Shoujun Zhao; S. Claiborne Johnston

Author(s): Go, Alan S; Mozaffarian, Dariush; Roger, Veronique L; Benjamin, Emelia J; Berry, Jarett D; Borden, William B; Bravata, Dawn M; Dai, Shifan; Ford, Earl S; Fox, Caroline S; Franco, Sheila; Fullerton, Heather J; Gillespie, Cathleen; Hailpern, Susan M; Heit, John A; Howard, Virginia J; Huffman, Mark D; Kissela, Brett M; Kittner, Steven J; Lackland, Daniel T; Lichtman, Judith H; Lisabeth, Lynda D; Magid, David; Marcus, Gregory M; Marelli, Ariane; Matchar, David B; McGuire, Darren K; Mohler, Emile R; Moy, Claudia S; Mussolino, Michael E; Nichol, Graham; Paynter, Nina P; Schreiner, Pamela J; Sorlie, Paul D; Stein, Joel; Turan, Tanya N; Virani, Salim S; Wong, Nathan D; Woo, Daniel; Turner, Melanie B; American Heart Association Statistics Committee and Stroke Statistics Subcommittee


Pediatrics | 2007

Risk of Recurrent Childhood Arterial Ischemic Stroke in a Population-Based Cohort: The Importance of Cerebrovascular Imaging

Heather J. Fullerton; Yvonne W. Wu; Stephen Sidney; S. Claiborne Johnston

Methods: Using a California-wide hospital discharge database, the authors analyzed all first admissions for stroke in children 1 month through 19 years of age from 1991 through 2000. Incidence rates were estimated as the number of first hospitalizations divided by the person-years at risk; case fatality rates were based on in-hospital deaths. Results: The authors identified 2,278 first admissions for childhood stroke, yielding an annual incidence rate of 2.3 per 100,000 children (1.2 for ischemic stroke, 1.1 for hemorrhagic stroke). Compared with whites, black children were at higher risk of stroke (for ischemic stroke, relative risk [RR] 2.59, 95% CI 2.17 to 3.09, p < 0.0001; subarachnoid hemorrhage [SAH], RR 1.59, CI 1.06 to 2.33, p = 0.02; intracerebral hemorrhage [ICH], RR 1.66, CI 1.23 to 2.13, p = 0.0001). Hispanics, however, had a lower risk of ischemic stroke (RR 0.70, CI 0.60 to 0.82, p < 0.0001) and ICH (RR 0.77, CI 0.64 to 0.93, p = 0.0004), whereas Asians had similar risks as whites. Boys were at higher risk for all stroke types than girls (ischemic stroke, RR 1.25, CI 1.11 to 1.40, p = 0.0002; SAH, RR 1.24, CI 1.00 to 1.53, p = 0.047; ICH, RR 1.34, CI 1.16 to 1.56, p = 0.0001). After eliminating cases with coexisting sickle cell disease, excess stroke risk persisted in blacks; after elimination of trauma, excess stroke risk persisted in boys. Case fatality rates were similar among different ethnic groups. Compared with girls, boys had a higher case fatality rate for ischemic stroke (17 vs 12%; p = 0.002) but not for ICH or SAH. Conclusions: Rates of hospitalization for stroke are higher among black children and boys; sickle cell disease and trauma do not fully account for these findings.

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Nancy K. Hills

University of California

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Timothy J. Bernard

University of Colorado Denver

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Lynda D. Lisabeth

Centers for Disease Control and Prevention

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Rebecca Ichord

Children's Hospital of Philadelphia

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