HealthDay News — The burden of cardiovascular disease and stroke remains high in the United States, but cardiovascular mortality is down since 2000, according to  a American Heart Association Statistical Update published online Dec. 18 in Circulation.

Alan S. Go, MD, from Kaiser Permanente of Northern California in Oakland, and colleagues reviewed all relevant literature from the past year and presented up-to-date national data on heart disease, stroke and other cardiovascular (CVD)-related morbidity and mortality.

Overall CVD disease burden remains high, with an overall death rate of 235.5 per 100,000 in 2010, down 31% from 2000.

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CVD accounted for about one in three deaths in the United States, with coronary heart disease and stroke causing one in six and one in 19 deaths, respectively.

Poor cardiovascular health behaviors account for a considerable proportion of CVD mortality, with adjusted estimated population attributable fractions of 40.6% for high blood pressure; 13.7% for smoking; 13.2% for poor diet; 11.9% for insufficient physical activity; and 8.8% for abnormal blood glucose levels.

In 2010, the total direct and indirect costs of CVD and stroke were estimated at $315.4 billion — more than any other diagnostic group.


  1. American Heart Association. Circulation. 2013; doi: 10.1161/​CIR.0b013e31823ac04