January 25, 2017Circulation
Heart Disease and Stroke Statistics—2017 Update: A Report From the American Heart Association
Emelia J. BenjaminMichael J. BlahaStephanie E. ChiuveMary CushmanSandeep R. DasRajat DeoSarah D. de FerrantiJames S. FloydMyriam FornageCathleen GillespieCarmen R. IsasiMonik C. JiménezLori Chaffin JordanSuzanne E. JuddDaniel T. LacklandJudith H. LichtmanLynda D. LisabethSimin LiuChris T. LongeneckerRachel H. MackeyKunihiro MatsushitaDariush MozaffarianMichael E. MussolinoKhurram NasirRobert W. NeumarLatha PalaniappanDilip K. PandeyRavi R. ThiagarajanMathew J. ReevesMatthew D. RitcheyCarlos J. RodríguezGregory A. RothWayne D. RosamondComilla SassonAmytis TowfighiConnie W. TsaoMelanie B. TurnerSalim S. ViraniJenifer H. VoeksJoshua Z. WilleyJohn T. WilkinsJason WuHeather M. AlgerSally S. WongPaul Muntner
Key result
AHA 2017 update details comprehensive prevalence, mortality, and risk factor data for CVD and stroke.
Key Points
- To compile and report the most recent national data on heart disease, stroke, and associated cardiovascular risk factors.
- Synthesized data from multiple national surveys, vital statistics databases, and prospective cohort studies across the United States.
- Evaluated cardiovascular health metrics, population attributable fractions, and survival outcomes across diverse demographic cohorts.
- Meeting 6 or 7 ideal health metrics versus 0 was associated with reduced risk of all-cause mortality (HR, 0.49; 95% CI, 0.33–0.74), CVD mortality (HR, 0.24; 95% CI, 0.13–0.47), and IHD mortality (HR, 0.30; 95% CI, 0.13–0.68).
- High blood pressure accounted for an adjusted population attributable fraction of 40.6% (95% CI, 24.5%–54.6%) for CVD mortality and 34.7% (95% CI, 6.6%–57.7%) for IHD mortality.
- Each 1-unit increase on a 0 to 14 cardiovascular health score scale was associated with an 8% lower risk of incident stroke (HR, 0.92; 95% CI, 0.88–0.95).
PICO
P
Population
A comprehensive statistical update compiling data on heart disease, stroke, and cardiovascular risk factors primarily in the United States population.
E
Exposure / Comparator
Cardiovascular risk factors and lifestyle behaviors
This comprehensive 2017 update from the American Heart Association provides critical epidemiological data and statistics on heart disease, stroke, and cardiovascular risk factors to guide public health and clinical practice.
Key expert perspectives
Captured external expert commentary on this paper, strongest first. Original sources are linked where available.
“We know that advances in cardiovascular health are not distributed evenly across the population. In particular, individuals who live in rural communities, have less education, have lower incomes, and are ethnic or racial minorities have an undue burden of cardiovascular disease and its risk factors.”
MJMariell JessupHeart failure expert, former AHA president
“The epidemics of diabetes and obesity both contribute to the rising number of patients who acquire heart failure -- our growing population of the elderly are particularly susceptible.”
“If we are to avert this looming crisis, we must maintain access to health care coverage by protecting the ban on pre-existing conditions and enabling everyone to take advantage of an important weapon against CVD – prevention. Most importantly, we must invest more funding from the National Institutes of Health in heart and stroke research so we can give Americans the treatments and cures they will desperately need in the coming years.”
Implication
Updates US CVD mortality and prevalence estimates; extends annual surveillance but leaves targeted prevention strategies open.
Abstract
WRITING GROUP MEMBERS Emelia J. Benjamin, MD, SCM, FAHA Michael J. Blaha, MD, MPH Stephanie E. Chiuve, ScD Mary Cushman, MD, MSc, FAHA Sandeep R. Das, MD, MPH, FAHA Rajat Deo, MD, MTR Sarah D. de Ferranti, MD, MPH James Floyd, MD, MS Myriam Fornage, PhD, FAHA Cathleen Gillespie, MS Carmen R. Isasi, MD, PhD, FAHA Monik C. Jiménez, ScD, SM Lori Chaffin Jordan, MD, PhD Suzanne E. Judd, PhD Daniel Lackland, DrPH, FAHA Judith H. Lichtman, PhD, MPH, FAHA Lynda Lisabeth, PhD, MPH, FAHA Simin Liu, MD, ScD, FAHA Chris T. Longenecker, MD Rachel H. Mackey, PhD, MPH, FAHA Kunihiro Matsushita, MD, PhD, FAHA Dariush Mozaffarian, MD, DrPH, FAHA Michael E. Mussolino, PhD, FAHA Khurram Nasir, MD, MPH, FAHA Robert W. Neumar, MD, PhD, FAHA Latha Palaniappan, MD, MS, FAHA Dilip K. Pandey, MBBS, MS, PhD, FAHA Ravi R. Thiagarajan, MD, MPH Mathew J. Reeves, PhD Matthew Ritchey, PT, DPT, OCS, MPH Carlos J. Rodriguez, MD, MPH, FAHA Gregory A. Roth, MD, MPH Wayne D. Rosamond, PhD, FAHA Comilla Sasson, MD, PhD, FAHA Amytis Towfighi, MD Connie W. Tsao, MD, MPH Melanie B. Turner, MPH Salim S. Virani, MD, PhD, FAHA Jenifer H. Voeks, PhD Joshua Z. Willey, MD, MS John T. Wilkins, MD Jason HY. Wu, MSc, PhD, FAHA Heather M. Alger, PhD Sally S. Wong, PhD, RD, CDN, FAHA Paul Muntner, PhD, MHSc On behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee Heart Disease and Stroke Statistics—2017 Update
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Cite This Study
Benjamin et al. (2017) conducted a review in Cardiovascular disease and stroke. Cardiovascular risk factors and lifestyle behaviors was evaluated. The 2017 American Heart Association statistical update provides comprehensive epidemiological data on the prevalence, mortality, and risk factors associated with cardiovascular disease and stroke.