Recent Trends in Cardiovascular Mortality in the United States and Public Health Goals

Abstract

Deceleration in the decline of all CVD, HD, and stroke mortality rates has occurred since 2011. If this trend continues, strategic goals for lowering the burden of CVD set by the American Heart Association and the Million Hearts Initiative may not be reached.

Improved survival for individuals with common chronic conditions in the Medicare population

“…Predicted 5‐year survival improved for all individuals from 2004 to 2014 across race and sex for the 16 chronic condition combinations we evaluated. This is consistent with the findings of others during this study period, showing that patients with diabetes and cardiovascular disease had a declining mortality risk (Hyland et al, 2016; Sidney et al, 2016). Improvements in diabetes, either in combination with other diseases or alone, yielded the largest absolute survival improvements in our study.…”

Cardiovascular Disease Mortality in Mississippi, 2000–2018

“…For nearly 2 decades, the age-adjusted CVD death rate declined for both sexes and racial groups in Mississippi. These results align with those reported in other epidemiologic studies ( 15 , 27 , 28 ). The magnitude of decline was lowest among White and Black men and highest among Black women.…”

“…Our finding that the age-adjusted CVD death rate declined for both Black and White adults in Mississippi but was higher among Black than White adults at all time points is similar to previous observations ( 15 , 27 , 28 ). Trends in both groups consisted of 2 distinct segments: a significant decline in the first segment and nonsignificant decline in the second segment.…”

Trends in Cardiovascular Disease–Related Mortality in Texas

“…Despite an initial promising decline since 1999, the AAMRs started leveling out in 2009 in Texas and in 2011 in the United States. These results are congruent with the findings of Sydney et al, 21 who first reported a deviation in the favorable downturn observed since the mid-1960s. This may be attributed in part to the surge in prevalence of CVD risk factors—namely, obesity and diabetes.…”