Heart Disease Mortality in the United States, 1970 to 2022

Background Studying trends in mortality is essential to advance understanding of population health. Further evaluation of long‐term heart disease mortality trends and subtypes in the United States is needed to guide public health and clinical interventions. Methods This study used the National Vital...

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Main Authors: Sara J. King, Tenzin Yeshi Wangdak Yuthok, Adrian M. Bacong, Abha Khandelwal, Dhruv S. Kazi, Michael E. Mussolino, Sally S. Wong, Seth S. Martin, Eldrin F. Lewis, Fatima Rodriguez, Latha P. Palaniappan
Format: Article
Language:English
Published: Wiley 2025-07-01
Series:Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
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Online Access:https://www.ahajournals.org/doi/10.1161/JAHA.124.038644
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author Sara J. King
Tenzin Yeshi Wangdak Yuthok
Adrian M. Bacong
Abha Khandelwal
Dhruv S. Kazi
Michael E. Mussolino
Sally S. Wong
Seth S. Martin
Eldrin F. Lewis
Fatima Rodriguez
Latha P. Palaniappan
author_facet Sara J. King
Tenzin Yeshi Wangdak Yuthok
Adrian M. Bacong
Abha Khandelwal
Dhruv S. Kazi
Michael E. Mussolino
Sally S. Wong
Seth S. Martin
Eldrin F. Lewis
Fatima Rodriguez
Latha P. Palaniappan
author_sort Sara J. King
collection DOAJ
description Background Studying trends in mortality is essential to advance understanding of population health. Further evaluation of long‐term heart disease mortality trends and subtypes in the United States is needed to guide public health and clinical interventions. Methods This study used the National Vital Statistics System Centers for Disease Control and Prevention Wide‐Ranging Online Data for Epidemiologic Research data for adults aged 25 years and older in the United States from 1970 to 2022. Outcomes included absolute number and age‐adjusted mortality of total heart disease, ischemic heart disease, and other heart disease subtypes. Results From 1970 to 2022, overall age‐adjusted heart disease mortality decreased by 66% from 1970 to 2022 (from 761 to 258 per 100 000). In 1970, 91% of all heart disease deaths were ischemic, declining to 53% of all heart disease deaths in 2022. From 1970 to 2022, age‐adjusted mortality decreased by 89% for acute myocardial infarction (from 354 to 40 per 100 000) and 81% for all ischemic heart disease (from 693 to 135 per 100 00). In contrast, from 1970 to 2022 age‐adjusted mortality for other heart disease subtypes increased by 81% (from 68 to 123 per 100 000), with the greatest increases in heart failure (146% increase), hypertensive heart disease (106% increase) and arrhythmias (450% increase). Conclusions Heart disease mortality has decreased over the past 5 decades. There is an increasing burden of mortality from other heart conditions including heart failure, hypertensive heart disease, and arrhythmias. Further efforts must be undertaken to address the growing challenge of these other heart conditions.
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spelling doaj-art-eb3bcb98b0a14b75a4d8f941229480482025-08-20T03:34:45ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802025-07-01141310.1161/JAHA.124.038644Heart Disease Mortality in the United States, 1970 to 2022Sara J. King0Tenzin Yeshi Wangdak Yuthok1Adrian M. Bacong2Abha Khandelwal3Dhruv S. Kazi4Michael E. Mussolino5Sally S. Wong6Seth S. Martin7Eldrin F. Lewis8Fatima Rodriguez9Latha P. Palaniappan10Department of Medicine Stanford University School of Medicine Stanford CA USADepartment of Medicine Stanford University School of Medicine Stanford CA USADivision of Cardiovascular Medicine and the Cardiovascular Institute, Center for Academic Medicine Stanford Universitsy School of Medicine Stanford CA USADivision of Cardiovascular Medicine and the Cardiovascular Institute, Center for Academic Medicine Stanford Universitsy School of Medicine Stanford CA USARichard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center Boston MA USANational Heart, Lung, and Blood Institute National Institutes of Health Bethesda MD USAAmerican Heart Association, Office of Science, Medicine and Health Dallas TX USACiccarone Center for the Prevention of Cardiovascular Disease, Division of Cardiology Johns Hopkins University School of Medicine Baltimore MD USADivision of Cardiovascular Medicine and the Cardiovascular Institute, Center for Academic Medicine Stanford Universitsy School of Medicine Stanford CA USADivision of Cardiovascular Medicine and the Cardiovascular Institute, Center for Academic Medicine Stanford Universitsy School of Medicine Stanford CA USADivision of Cardiovascular Medicine and the Cardiovascular Institute, Center for Academic Medicine Stanford Universitsy School of Medicine Stanford CA USABackground Studying trends in mortality is essential to advance understanding of population health. Further evaluation of long‐term heart disease mortality trends and subtypes in the United States is needed to guide public health and clinical interventions. Methods This study used the National Vital Statistics System Centers for Disease Control and Prevention Wide‐Ranging Online Data for Epidemiologic Research data for adults aged 25 years and older in the United States from 1970 to 2022. Outcomes included absolute number and age‐adjusted mortality of total heart disease, ischemic heart disease, and other heart disease subtypes. Results From 1970 to 2022, overall age‐adjusted heart disease mortality decreased by 66% from 1970 to 2022 (from 761 to 258 per 100 000). In 1970, 91% of all heart disease deaths were ischemic, declining to 53% of all heart disease deaths in 2022. From 1970 to 2022, age‐adjusted mortality decreased by 89% for acute myocardial infarction (from 354 to 40 per 100 000) and 81% for all ischemic heart disease (from 693 to 135 per 100 00). In contrast, from 1970 to 2022 age‐adjusted mortality for other heart disease subtypes increased by 81% (from 68 to 123 per 100 000), with the greatest increases in heart failure (146% increase), hypertensive heart disease (106% increase) and arrhythmias (450% increase). Conclusions Heart disease mortality has decreased over the past 5 decades. There is an increasing burden of mortality from other heart conditions including heart failure, hypertensive heart disease, and arrhythmias. Further efforts must be undertaken to address the growing challenge of these other heart conditions.https://www.ahajournals.org/doi/10.1161/JAHA.124.038644heart diseaseischemicmortality
spellingShingle Sara J. King
Tenzin Yeshi Wangdak Yuthok
Adrian M. Bacong
Abha Khandelwal
Dhruv S. Kazi
Michael E. Mussolino
Sally S. Wong
Seth S. Martin
Eldrin F. Lewis
Fatima Rodriguez
Latha P. Palaniappan
Heart Disease Mortality in the United States, 1970 to 2022
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
heart disease
ischemic
mortality
title Heart Disease Mortality in the United States, 1970 to 2022
title_full Heart Disease Mortality in the United States, 1970 to 2022
title_fullStr Heart Disease Mortality in the United States, 1970 to 2022
title_full_unstemmed Heart Disease Mortality in the United States, 1970 to 2022
title_short Heart Disease Mortality in the United States, 1970 to 2022
title_sort heart disease mortality in the united states 1970 to 2022
topic heart disease
ischemic
mortality
url https://www.ahajournals.org/doi/10.1161/JAHA.124.038644
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