U.S. Cardiovascular Disease Mortality Shows Persistent Racial, Ethnic, and Place-Based Disparities Despite Overall Decline
A new analysis published in JACC reveals that while overall cardiovascular disease (CVD) mortality in the U.S. has declined, significant racial, ethnic, and place-based disparities persist. The study, led by George A. Mensah, MD, FACC, director of the Center for Translation Research and Implementation Science at the National Heart, Lung, and Blood Institute, examined age-standardized mortality rates (ASMRs) for five racial and/or ethnic groups across 3,110 counties and 21 causes of CVD death from 2000 to 2019. Data from the U.S. National Vital Statistics System indicated that in 2019, the ASMR for total CVD was 237.8 deaths per 100,000 individuals. Although mortality decreased for total CVD and 12 of 17 detailed causes, the pace of improvement slowed after 2011. Notably, mortality rates increased for hypertensive heart disease, atrial fibrillation and flutter, stroke, non-rheumatic valvular heart disease, and cardiomyopathy and myocarditis. The Black population experienced the highest mortality rates for t...