Stroke

  • Stroke: What is YOUR risk?

    Risk of Stroke, whether TIA (Transient Ischemic Attack*) or full Cerebro Vascular Attacks varies by heredity, lifestyle, and other factors, but trends exist, and knowing your non-controllable risks can help you determine the importance of watching the controllable risk factors.

    What is little known is that across all ethnicities, about 20% of strokes occur under the age of 20!

    *TIA: A brief stroke-like attack that, despite resolving within minutes to hours, still requires immediate medical attention to distinguish from an actual stroke.

    Stroke deaths, by age group and race and Hispanic origin: average annual, 2010–2013:

    Stroke by Age

    The age distribution of stroke deaths varied by race and Hispanic origin during 2010–2013.

    • More than one-fourth of the stroke deaths among non-Hispanic black persons aged 45 and over (28.6%) occurred to those in the youngest age group (45–64.) By contrast, the portion of stroke deaths in this age group among the other race?ethnicity groups ranged from one-tenth among non-Hispanic white persons (10.0%) to less than one-fourth among Hispanic persons (22.4%).

    Learn how to prevent stroke:

    Stroke mortality among adults aged 45 and over varied by race and Hispanic origin and sex during 2010–2013.

    • The age-adjusted stroke death rate for non-Hispanic black men aged 45 and over (154.8 deaths per 100,000 population) was 54% higher than the rate for non-Hispanic white men, 67% higher than the rate for non-Hispanic Asian or Pacific Islander men, and 68% higher than the rate for Hispanic men of the same age.
    • The rate for non-Hispanic black women (131.4 per 100,000 population) was 30% higher than the rate for non-Hispanic white women, 58% higher than the rate for non-Hispanic Asian or Pacific Islander women, and 61% higher than the rate for Hispanic women of the same age.
    • Non-Hispanic Asian or Pacific Islander and Hispanic men and women had the lowest
      age-adjusted stroke death rates (men: 92.8 and 91.9 per 100,000 population; women: 83.0 and 81.6).
    • Non-Hispanic white men and women aged 45 and over had similar age-adjusted stroke death rates (100.7 and 101.1 deaths per 100,000 population). Men in the other race-ethnicity groups had higher age-adjusted stroke death rates than women of the same race and ethnicity (12% to 18% higher).

    Age-adjusted stroke death rates among men and women aged 45 and over, by race and Hispanic origin: average annual, 2010–2013:

    Hispanic Stroke

    Data from the National Vital Statistics System, Mortality

    • During 2010–2013, the age-adjusted stroke death rate for non-Hispanic black men aged 45 and over (154.8 deaths per 100,000 population) was 54% to 68% higher than the rates for men of the same age in other race-ethnicity groups. The rate for non-Hispanic black women aged 45 and over was 30% to 61% higher than the rates for women of the same age in other race-ethnicity groups.
    • The age distribution of stroke deaths differed by race and ethnicity.
    • Stroke death rates were 32% higher in counties in the lowest median household income quartile than in counties in the highest income quartile.
    • Nonmetropolitan counties had higher stroke death rates than counties at other urbanization levels.
    • Stroke mortality inside and outside the Stroke Belt differed by race and ethnicity.

    Despite steady decreases in U.S. stroke mortality over the past several decades, stroke remained the fourth leading cause of death during 2010–2012 and the fifth leading cause in 2013. Most studies have focused on the excess mortality experienced by black persons compared with white persons and by residents of the southeastern states, referred to as the Stroke Belt. Few stroke mortality studies have focused on Asian or Pacific Islander and Hispanic persons or have explored urban–rural differences. This report provides updated information about stroke mortality among U.S. residents aged 45 and over during 2010–2013 by age, race and ethnicity, income, urban–rural residence, and residence inside or outside the Stroke Belt. Learn more

  • 200,000 people died that didn't have to

    Nearly 1 in 3 deaths in the US each year is caused by heart disease and stroke. At least 200,000 of these deaths could have been prevented through changes in health habits, such as stopping smoking, more physical activity, and less salt in the diet; community changes to create healthier living spaces, such as safe places to exercise and smoke-free areas; and managing high blood pressure, high cholesterol, and diabetes.

    200,000 heart disease and stroke deaths could be prevented according to New Vital Signs Report

    More people will have access to health care coverage and preventive care through the Affordable Care Act. Health care providers should talk with their patients about healthy habits at every visit and follow patients’ progress.

    Health care systems and providers can also:

    • Use electronic health records to identify and support patients who need help quitting smoking or who have high blood pressure or high cholesterol.
    • Refer patients to community resources, such as smoking quitlines and blood pressure selfmanagement programs.
    • Track patient progress on the ABCS of heart health—Aspirin when appropriate, Blood pressure control, Cholesterol management, and Smoking cessation.

    *Preventable (avoidable) deaths are defined as those from ischemic heart disease, stroke, chronic rheumatic heart disease, and hypertensive disease in people under age 75, although changes in health habits and the health care system can reduce death among all ages.

    Problem

    Many deaths from heart disease and stroke can be prevented.

    What do we know about preventable deaths from heart disease and stroke?
    Your chances of dying from heart disease and stroke depend on many things.

    Age: While the number of preventable deaths has declined in people ages 65-74, it has remained virtually unchanged in people under 65.

    Important progress has been made, but more is needed to continue to save lives, particularly for people under 65 years

    Important progress has been made, but more is needed to continue to save lives, particularly for people under 65 years
    SOURCE: National Vital Statistics System, US Census Bureau, 2001-2010.

    Race/ethnicity: Blacks are nearly twice as likely as whites to die early from heart disease and stroke.
    Sex:
    Men have the highest risk of death across all races and ethnic groups. Black men are most at risk.

    Black men are at highest risk of dying early from heart disease and stroke

    Black men are at highest risk of dying early from heart disease and stroke
    SOURCE: National Vital Statistics System, US Census Bureau, 2010.

    Location: Risk of preventable death from heart disease and stroke varies by county, even within the same state.

    Counties in southern states have the greatest risk overall

    Counties in southern states have the greatest risk overall
    SOURCE: National Vital Statistics System, US Census Bureau, 2008-2010.View more maps at the Interactive Atlas for Heart Disease and Stroke.

    Nearly 800,000 Americans die each year from heart disease and stroke. Most of the major risk factors can be managed or prevented

    What Can Be Done

    Icon: Federal governmentFederal government is:

    • Making it easier for Americans to afford regular preventive health care through the Affordable Care Act.
    • Leading the national Million Hearts® initiative to prevent 1 million heart attacks and strokes by 2017.
    • Providing resources to all 50 states to address chronic diseases, including heart disease and stroke.
    • Leading national campaigns that address risk factors for heart disease and stroke, such as Weight of the Nation® and Tips from Former Smokers.
    • Measuring progress in reaching the objectives of Healthy People 2020.

    Icon: Doctors, nursesInsurers, health care systems, and providers can:

    • Use electronic health records to identify and support patients who need help quitting smoking or who have high blood pressure or high cholesterol.
    • Use national quality indicators including "controlling high blood pressure" to monitor progress and carry out clinical improvements, such as team-based care.
    • Counsel patients to make healthy lifestyle choices. Follow patients’ progress.
    • Offer no or lower co-pays on blood pressure and cholesterol medicines.
    • Refer patients to community resources, such as smoking quitlines and blood pressure selfmanagement programs.
    • Connect uninsured patients with the Health Insurance Marketplace to learn about opportunities for affordable health insurance coverage.

    Icon: State and local health agenciesHealth departments and community organizations can:

    • Work with health care systems to monitor national quality indicators, including "controlling high blood pressure," and carry out quality improvements, such as clinical innovations including team-based care.
    • Encourage health systems to use health information technology to identify patients who have high blood pressure. Establish follow-up systems to monitor those patients.
    • Promote smoking quitlines, tobacco-free areas, safe walking areas, and access to healthy food.
    • Partner with hospitals to address health care issues in the community and perform a community health needs assessment to ensure interventions reach those most in need.

    Icon: EveryoneEveryone can:

    • Have a conversation with your health care provider about the ABCS of heart health.
    • Get help to stop smoking. If you don’t smoke, don’t start.
    • Try going for a brisk 10-minute walk, 3 times a day, 5 days a week.
    • Eat a heart-healthy diet with more fruits and vegetables and less sodium and trans fat.
    • Know the signs and symptoms of heart attack and stroke, and call 9-1-1 right away if you are experiencing them.

    More than 200,000 preventable deaths from heart disease and stroke occurred in the United States in 2010, according to a new Vital Signs report from the Centers for Disease Control and Prevention. More than half of these deaths happened to people younger than 65 years of age, and the overall rate of preventable deaths from heart disease and stroke went down nearly 30 percent between 2001 and 2010, with the declines varying by age. Lack of access to preventive screenings and early treatment for high blood pressure and high cholesterol could explain the differences among age groups.

    To save more lives from these preventable deaths, doctors, nurses, and other health care providers can encourage healthy habits at every patient visit, including not smoking, increasing physical activity, eating a healthy diet, maintaining a healthy weight, and taking medicines as directed. Everyone should LEARN CPR

  • Cardiovascular disease is the number one killer of men and women in the United States.

    Preventing Heart Disease, SCA & Stroke...

    "Did You Know?"

    • Annual-ReportThe Community Preventive Services Task Force’s annual report to Congress outlines proven means to reduce cardiovascular disease and gaps in the evidence about how to prevent it.
    • Cardiovascular disease is the number one killer of men and women in the United States. Almost 16% of US annual health expenditures go towards treating the 83 million American adults who suffer from heart disease and stroke.

    Health professionals can use a range of evidence-based strategies to reduce people’s risks for cardiovascular disease.

    Learn CPR

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