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Heart Disease and Stroke Statistics—2021 Update: A Report From the American Heart Association
Open accessAbstract
Background: The American Heart Association, in conjunction with the National Institutes of Health, annually reports the most up-to-date statistics related to heart disease, stroke, and cardiovascular risk factors, including core health behaviors (smoking, physical activity, diet, and weight) and health factors (cholesterol, blood pressure, and glucose control) that contribute to cardiovascular health. The Statistical Update presents the latest data on a range of major clinical heart and circulatory disease conditions (including stroke, congenital heart disease, rhythm disorders, subclinical atherosclerosis, coronary heart disease, heart failure, valvular disease, venous disease, and peripheral artery disease) and the associated outcomes (including quality of care, procedures, and economic costs). Methods: The American Heart Association, through its Statistics Committee, continuously monitors and evaluates sources of data on heart disease and stroke in the United States to provide the most current information available in the annual Statistical Update. The 2021 Statistical Update is the product of a full year’s worth of effort by dedicated volunteer clinicians and scientists, committed government professionals, and American Heart Association staff members. This year’s edition includes data on the monitoring and benefits of cardiovascular health in the population, an enhanced focus on social determinants of health, adverse pregnancy outcomes, vascular contributions to brain health, the global burden of cardiovascular disease, and further evidence-based approaches to changing behaviors related to cardiovascular disease. Results: Each of the 27 chapters in the Statistical Update focuses on a different topic related to heart disease and stroke statistics. Conclusions: The Statistical Update represents a critical resource for the lay public, policy makers, media professionals, clinicians, health care administrators, researchers, health advocates, and others seeking the best available data on these factors and conditions.
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“In North America, women bear a greater burden of disease due to a higher lifetime risk of stroke,1 a higher lifetime risk of death from stroke, and a higher risk of poor outcomes following stroke compared with men.2–4”
From Sex Differences in Physical Activity and Incident Stroke: A Systematic Review (2022) · cites this paper as [4]
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“Despite improved prevention methods and treatment techniques [1, 2], it is still the leading cause of morbidity and mortality worldwide, representing 32% of all deaths [3], and an enormous stress on the national health finances [4, 5].”
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Pre-hospital ECPR for Refractory Cardiac Arrest - The PRECARE pilot feasibility study.
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Mitochondrial DNA leakage triggers inflammation in age-related cardiovascular diseases
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Cell-based intelligent micro/nanorobots for precise regulation and active biotherapy
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Age-Related Alterations in Immune Function and Inflammation: Focus on Ischemic Stroke
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“Stroke is the leading cause of mortality and disability [1].”
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“Patients in the SES-6 group had the highest median ED visit of 7 (3 – 14) per year, while the least frequent ED visit was observed in the SES-1 group (4 [2 – 9] per year) (Table 1).”
BackgroundTominaga, Y., Kawamura, T., Ito, E., Takeda, M., Harada, A., Torigata, K., Sakaniwa, R., Sawa, Y., & Miyagawa, S. (2023) · The Journal of Heart and Lung Transplantation · doi:10.1016/j.healun.2023.08.011 · Cited by 34
Time to Benefit of Sodium-Glucose Cotransporter-2 Inhibitors Among Patients With Heart Failure
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Advances in Machine Learning Approaches to Heart Failure with Preserved Ejection Fraction
Ahmad, F. S., Luo, Y., Wehbe, R. M., Thomas, J. D., & Shah, S. J. (2022) · Heart Failure Clinics · doi:10.1016/j.hfc.2021.12.002 · Cited by 34
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Sex- and gender-related disparities in chest pain syndromes: the feminine mystique of chest pain
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“Similarly, the years from 2011 to 2017 saw a 2.7% annual decrease in the mortality rate from coronary heart disease, reflecting the enhanced efficacy of contemporary therapeutic approaches, including statins and other cholesterol-managing medications [17].”
BackgroundInfluentialThe Ketogenic Effect of SGLT-2 Inhibitors—Beneficial or Harmful?
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“The prevalence of HF is escalating to epidemic proportions, which can be attributed in part to the worldwide burden of cardiovascular risk factors and the aging of populations [140–144].”
BackgroundExpanding the Paradigm for Cardiovascular Palliative Care
Godfrey, S., Kirkpatrick, J. N., Kramer, D. B., & Sulistio, M. S. (2023) · Circulation · doi:10.1161/circulationaha.123.063193 · Cited by 38
The interaction between intestinal microenvironment and stroke
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Increased cardiovascular events in young patients with mental disorders: a nationwide cohort study.
Park, C., Choi, E., Han, K., Ahn, H., Kwon, S., Lee, S.-R., Oh, S., & Lip, G. (2023) · European Journal of Preventive Cardiology · doi:10.1093/eurjpc/zwad102 · Cited by 32
Macrophage-based pathogenesis and theranostics of vulnerable plaques
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“Although age-related mortality from atherosclerosis has declined in recent years, it remains a leading global cause of death [2].”
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Heart Failure Remote Monitoring: A Review and Implementation How-To
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“In 2012, the economic cost of HF within the U.S. was estimated to be USD 30.7 billion, with projections to increase to USD 69.8 billion by 2030 [4,5].”
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“patients suffering from the effects of stroke, the importance and burden of stroke rehabilitation are high [1, 2].”
BackgroundAcute pulmonary embolism: Diagnosis and management
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Robotic arm use for upper limb rehabilitation after stroke: A systematic review and meta‐analysis
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Engineered hybrid cell membrane nanosystems for treating cardiovascular diseases
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“CVDs account for approximately 32 % (17.9 million cases) of total global mortality annually, with acute myocardial infarction (MI) and cerebrovascular accidents constituting the predominant etiologies, representing 85 % of CVD-related fatalities [4].”
InfluentialBenjamin, K. J., Chen, Q., Eagles, N. J., Huuki-Myers, L. A., Collado‐Torres, L., Stolz, J. M., Pertea, G. M., Shin, J. H., Paquola, A. C. M., Hyde, T. M., et al. (2024) · Nature Neuroscience · doi:10.1038/s41593-024-01636-0 · Cited by 38
“For instance, small-vessel and ischemic stroke are 50% more frequent in BAs, and Black men are up to 70% more likely to die from stroke compared to non-Hispanic white men 40,41 .”
Targeting estrogen receptor signaling for treating heart failure
Qian, C., Liu, J.-J., & Liu, H.-D. (2023) · Heart Failure Reviews · doi:10.1007/s10741-023-10356-9 · Cited by 30
“Cardiovascular disease continues to be a major cause of mortality worldwide [1].”
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Jeng, B., DuBose, N. G., Martin, T. B., Šilić, P., Flores, V. A., Zheng, P.-X., & Motl, R. (2023) · American Journal of Physical Medicine & Rehabilitation · doi:10.1097/phm.0000000000002312 · Cited by 30
Assessment of cardiovascular disease risk: a 2023 update
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CircRNAs: versatile players and new targets in organ fibrosis
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Vasomotor symptoms and their links to cardiovascular disease risk
Carson, M. Y., & Thurston, R. (2023) · Current Opinion in Endocrine and Metabolic Research · doi:10.1016/j.coemr.2023.100448 · Cited by 30
Evaluating machine learning models for stroke prediction based on clinical variables
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Long-term statin therapy is associated with severe coronary artery calcification
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“In addition, the average annual cost of heart disease from 2016 to 2017 was $219.6 billion [4].”
BackgroundInfluentialGender Bias in Clinical Trial Enrollment: Female Authorship Matters.
Chhaya, V. Y., Binion, C., Mulles, S. M., Tannhauser, P. A., Aziz, D. Z., Greenwood, J. D., Barlek, M., Rouan, J. R., Wyatt, T. G., & Kibbe, M. (2023) · Annals of Vascular Surgery · doi:10.1016/j.avsg.2023.03.008 · Cited by 29
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Bridging gaps and optimizing implementation of guideline-directed medical therapy for heart failure
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Impact of Digital Health Technology on Quality of Life in Patients With Heart Failure.
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Recent Advances in Microbiota-Associated Metabolites in Heart Failure
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Large animal models of cardiac ischemia-reperfusion injury: Where are we now?
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Sex Differences in Physical Activity and Incident Stroke: A Systematic Review
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Monogenic and Polygenic Models of Coronary Artery Disease
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iCARDIO Alliance Global Implementation Guidelines on Heart Failure 2025
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Inflammatory Association between Periodontal Disease and Systemic Health
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“Heart disease is the No. 1 killer of women and is more deadly than all forms of cancer combined [70].”
Cui, Y., & Choi, M. (2024) · Lipids in Health and Disease · doi:10.1186/s12944-024-02343-2 · Cited by 27
“Its estimated prevalence ranges from 2% to over 10% in the general adult population and demonstrates an increasing trend over time [4–7].”
BackgroundMetrnl: a promising biomarker and therapeutic target for cardiovascular and metabolic diseases
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“Mainly caused by abnormal metabolic processes, CVMD is one of the most common causes of morbidity and mortality globally, which imposes enormous social and economic burden on the healthcare system and individuals [1, 2].”
BackgroundNeighborhood-Level Disparities in Hypertension Prevalence and Treatment Among Middle-Aged Adults
Blazel, M. M., Perzynski, A., Gunsalus, P., Mourany, L., Gunzler, D. D., Jones, R. W., Pfoh, E. R., & Dalton, J. E. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.29764 · Cited by 27
Nanoparticles as Drug Delivery Systems for the Targeted Treatment of Atherosclerosis
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“…and abrupt cardiac death [11,12]. vulnerab8-le plaques that can result in occlusive luminal thrombosis and its aftere ff ects, which include myocardial infarction (MI), stroke, and abrupt Molecules 2024 , 29 , 2873 2 of 26 Molecules 2024 , 29 , x FOR PEER REVIEW 2 of 27 cardiac death [11,12].”
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Integrity and Privacy Assurance Framework for Remote Healthcare Monitoring Based on IoT
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A few-shot learning-based ischemic stroke segmentation system using weighted MRI fusion
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“Recent statistics reveal that in 2019, approximately 460 million individuals, accounting to 6.25% of the world ’ s population, experienced type 2 diabetes (Virani et al., 2021).”
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Heart–brain interaction in cardiogenic dementia: pathophysiology and therapeutic potential
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“000 from 2010 to 2016 in 35–64 years of age; while Centers for Disease Control and Prevention (CDC) reported that every 4 min someone dies due to stroke, and stroke also reduces mobility in more than 50% of stroke geriatric survivors [4, 5].”
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“2 mmol/L) [11], or the use of lipid-lowering drugs, or a history of dyslipidemia were all considered to be diagnostic criteria for dyslipidemia.”
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Racial, ethnic, and sex disparities in atrial fibrillation management: rate and rhythm control
Gomez, S. E., Fazal, M., Nunes, J. C., Shah, S., Perino, A. C., Narayan, S. M., Tamirisa, K. P., Han, J. K., Rodriguez, F., & Baykaner, T. (2022) · Journal of Interventional Cardiac Electrophysiology · doi:10.1007/s10840-022-01383-x · Cited by 24
Self-citation
Metadata
- Authors
- Virani, S. S., Alonso, A., Aparicio, H. J., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., Carson, A. P., Chamberlain, A. M., Cheng, S., Delling, F. N., Elkind, M. S. V., Evenson, K. R., Ferguson, J. F., Gupta, D. K., Khan, S. S., Kissela, B. M., Knutson, K. L., Lee, C. D., Lewis, T. T., Liu, J., Loop, M. S., Lutsey, P. L., Ma, J., Mackey, J., Martin, S. S., Matchar, D. B., Mussolino, M. E., Navaneethan, S. D., Perak, A. M., Roth, G. A., Samad, Z., Satou, G. M., Schroeder, E. B., Shah, S. H., Shay, C. M., Stokes, A., VanWagner, L. B., Wang, N.-Y., Tsao, C. W., & On behalf of the American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee
- ORCID
- Virani, Salim S.
- Aparicio, Hugo J.
- Benjamin, Emelia J.
- Callaway, Clifton W.
- Carson, April P.
- Chamberlain, Alanna M.
- Cheng, Susan
- Delling, Francesca N.
- Elkind, Mitchell S.V.
- Evenson, Kelly R.
- Ferguson, Jane F.
- Gupta, Deepak K.
- Khan, Sadiya S.
- Knutson, Kristen L.
- Lee, Chong D.
- Lewis, Tené T.
- Liu, Junxiu
- Loop, Matthew Shane
- Lutsey, Pamela L.
- Ma, Jun
- Mackey, Jason
- Martin, Seth S.
- Matchar, David B.
- Navaneethan, Sankar D.
- Perak, Amanda Marma
- Roth, Gregory A.
- Samad, Zainab
- Satou, Gary M.
- Schroeder, Emily B.
- Shah, Svati H.
- Shay, Christina M.
- Stokes, Andrew
- VanWagner, Lisa B.
- Wang, Nae-Yuh
- Tsao, Connie W.
- Venue
- Circulation
- Published
- 2021-02-23
- Volume
- 143
- Issue
- 8
- Pages
- e254-e743
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- PMC
- PMC13036842
- OpenAlex
- W3122226502
- Cited by
- 5,784
- References
- 0
- Citations by year
- 2026: 503 · 2025: 658 · 2024: 915 · 2023: 1282 · 2022: 1694 · 2021: 646
- FWCI
- 764.95
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- eCommons - AKU (Aga Khan University) (submittedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R03HL145195, R01HL155717)
- National Institute of Neurological Disorders and Stroke (L30 NS093634, R01NS017950)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Health Sciences › Medicine › Epidemiology › Healthcare Systems and Public Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- heart disease, stroke, cardiovascular disease statistics, cardiovascular risk factors, cardiovascular health behaviors, congenital heart disease, rhythm disorders, subclinical atherosclerosis, coronary artery disease, heart failure, valvular heart disease, venous disease, peripheral arterial disease, quality of care, health care costs, social determinants of health, adverse pregnancy outcomes, cardiovascular disease prevention
- MeSH terms
- Global Burden of Disease, Diet, Healthy, American Heart Association, Blood Pressure, Cholesterol, Diabetes Mellitus, Heart Diseases, Hospitalization, Humans, Obesity, Risk Factors, Smoking, United States, Health Behavior, Exercise, Prevalence, Stroke
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