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Abstract Details

Trends and Patterns in Ischemic Stroke and Heart Failure Mortality among Adults in the United States: A 20-Year Retrospective Analysis
Cerebrovascular Disease and Interventional Neurology
P7 - Poster Session 7 (8:00 AM-9:00 AM)
4-021

To investigate the mortality due to ischemic stroke and heart failure (HF) in the US from 1999 to 2019.

Ischemic stroke and HF are among the leading causes of cerebrovascular and cardiovascular mortality, respectively, sharing common risk factors. Individuals with heart failure are two to five times more likely to suffer an ischemic stroke. This study analyzes mortality trends of ischemic stroke and HF in the US.

We utilized the CDC WONDER database to analyze age-adjusted mortality rates (AAMRs) per 100,000 adults (≥25) for HF and ischemic stroke from 1999 to 2019. Average annual percentage changes (AAPCs) were calculated using the Joinpoint Regression Program.

Ischemic stroke and HF caused 30,508 deaths in US adults from 1999 to 2019, with an AAMR of 3.50 (95% CI: 3.46 – 3.54) and an AAPC of -1.83% (-2.84 to -0.8), indicating a decline. Males had a greater AAMR than females (3.66 vs. 3.35), while females saw a greater decline in AAMRs than males (AAPCs: -1.75% and -1.09%, respectively). Among the racial and ethnic groups, NH Blacks had the highest AAMR (3.84), followed by NH Whites (3.57), and Hispanics or Latinos (2.61). The Hispanics or Latinos also experienced the greatest decline in AAMRs with an AAPC of -1.79%. Regionally, the Midwest had the highest AAMR (3.59), and the Northeast had the lowest (2.90). The Northeast also exhibited the highest decline in mortality (AAPC: -2.61%). Non-metropolitan areas had a greater mortality burden than metropolitan areas (AAMR: 4.18 vs. 3.34).

Overall, ischemic stroke and HF mortality in the US decreased from 1999 to 2019, yet disparities persisted, with higher AAMRs in males, NH Blacks, the Midwest, and non-metropolitan areas. Targeted health policy measures are needed to mitigate these disparities.
Authors/Disclosures
Adel Kanaan, BS
PRESENTER 		Mr. Kanaan has nothing to disclose.
Ahmed Raza Ahmed Raza has nothing to disclose.
Syeda T. Fatima Syeda T. Fatima has nothing to disclose.
Abdul Raheem K. Malik, MBBS Mr. Malik has nothing to disclose.
Shabnam Ijaz Miss Ijaz has nothing to disclose.
Eman Alamgir, MBBS, Student MBBS Miss Alamgir has nothing to disclose.
Syed H. Inam, MD Dr. Inam has nothing to disclose.