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Heart
Disease Death Rates, 1999–2003
Adults Ages 35 Years and Older, by County

Click
HERE to view a larger version of this map. (PDF 96K)
*Heart disease death rates are spatially smoothed
to enhance the stability of rates in counties with small populations. Deaths
are defined according to the following International Classification of
Diseases (ICD) codes: ICD-9: 390–398, 402, 404–429; ICD-10:
100–109, I11, I13, 120–151.
Data Sources: National Vital Statistics System, CDC, and the U.S. Census Bureau.
Heart Disease Facts
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Heart disease
is the leading cause of death for women and men in the United States.*1,2
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In 2003, a
total of 685,089 people died of heart disease (51% of them women), accounting
for 28% of all U.S. deaths. The age–adjusted death rate was 232 per 100,000
population.2
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In the United
States, the highest death rates from heart disease are located primarily in
Appalachia, along the southeastern coastal plains, inland through the southern
regions of Georgia and Alabama, and along the lower Mississippi River Valley.
3
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Heart disease
death rates per 100,000 population for the five largest U.S. racial/ethnic
groups are as follows: blacks, 300; whites, 228; Hispanics, 173; American
Indian/Alaskan Natives, 160 and Asian and Pacific Islanders,128.4
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In 2006, heart
disease is projected to cost $142.5 billion, including health care services,
medications, and lost productivity.2
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Studies among
coronary heart disease patients have shown that 90% have prior exposure to at
least 1 of these heart disease risk factors: high blood cholesterol or taking
cholesterol–lowering drugs, high blood pressure or taking blood
pressure–lowering drugs, current cigarette use, or clinical report of
diabetes.5
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* For
this fact sheet, the term “heart disease” refers to the broadest category of
“disease of the heart” as defined by the International Classification of
Diseases and used by CDC’s National Center for Health Statistics. This category
includes acute rheumatic fever, chronic rheumatic heart disease, hypertensive
heart disease, coronary heart disease, pulmonary heart disease, congestive heart
failure, and any other heart condition or disease.
CDC Activities to Reduce the Burden of Heart
Disease
CDC's Heart Disease and Stroke Prevention Program
CDC currently funds health departments
in 32 states and the District of Columbia to develop, implement, and evaluate
programs that promote heart–healthy and stroke–free communities; prevent and
control heart disease, stroke, and their risk factors; and eliminate disparities
among populations. These programs emphasize the use of education, policies,
environmental strategies, and systems changes to address heart disease and
stroke in various settings and to ensure quality of care. For more information,
visit
www.cdc.gov/dhdsp/state_program/index.htm.
Women and Heart Disease: An Atlas of Racial and
Ethnic Disparities in Mortality and
Men and Heart Disease: An Atlas of Racial and Ethnic Disparities in Mortality
These two publications present an extensive series of national and state maps
depicting disparities in county–level heart disease death rates among the five
largest U.S. racial and ethnic groups. This information can help health
professionals and concerned citizens tailor prevention policies and programs to
communities with the highest death rates for heart disease. Interactive versions
of the atlases are available at
http://www.cdc.gov/dhdsp/maps/.
For More Information
For more information on heart disease, visit the
following Web sites.
The Center for Disease Control and Prevention's
Division for Heart Disease and Stroke Prevention
http://www.cdc.gov/dhdsp/
American Heart Association
http://www.americanheart.org*
National Heart, Lung, and Blood Institute
http://www.nhlbi.nih.gov
Resources
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American Heart
Association. Heart Disease and Stroke Statistics—2006 Update. Dallas,
Texas: American Heart Association, 2006.
-
Hoyert DL,
Heron MP, Murphy SL, Kung H. Deaths: Final Data for 2003. National vital
statistics reports; vol 54 no 13. Hyattsville, MD: National Center for Health
Statistics. 2006.
-
Centers for
Disease Control and Prevention. Heart Disease Death Rates, 1999–2003: Adults
Ages 35 Years and Older, by County. Available at
http://www.cdc.gov/dhdsp/library/maps/index.htm (please see map above).
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Centers for
Disease Control and Prevention, Health, United States, 2005 with Chartbook on
Trends in the Health of Americans. Hyattsville, MD: National Center for Health
Statistics, 2005.
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Greenland P,
Knoll MD, Stamler J, Neaton JD, Dyer AR, Garside DB, Wilson PW. Major risk
factors as antecedents of fatal and nonfatal coronary heart disease events.
JAMA 2003;290:891–897.
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