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Heart Disease and Stroke

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Potential Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
HDS-2 Reduce coronary heart disease deaths
Revised

This objective was revised. See Revision History for Details.

Baseline: 129.2 coronary heart disease deaths per 100,000 population occurred in 2007 (age adjusted to the year 2000 standard population)
Target: 103.4 deaths per 100,000 population
Target-Setting Method: Projection/trend analysis
Data Sources:
National Vital Statistics System-Mortality (NVSS-M), CDC/NCHS; Bridged-race Population Estimates, CDC/NCHS and Census
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Healthy People 2010 The HP2010 objective with the same definition was 12-01.
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Revision History: This objective was revised. Read more about the revision history.
HDS-3 Reduce stroke deaths
Revised

This objective was revised. See Revision History for Details.

Baseline: 43.5 stroke deaths per 100,000 population occurred in 2007 (age adjusted to the year 2000 standard population)
Target: 34.8 deaths per 100,000 population
Target-Setting Method: Projection/trend analysis
Data Sources:
National Vital Statistics System-Mortality (NVSS-M), CDC/NCHS; Bridged-race Population Estimates, CDC/NCHS and Census
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Healthy People 2010 The HP2010 objective with the same definition was 12-07.
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Revision History: This objective was revised. Read more about the revision history.
Baseline: 90.6 percent of adults aged 18 years and over had their blood pressure measured within the preceding 2 years and could state their blood pressure in 2008 (age adjusted to the year 2000 standard population)
Target: 92.6 percent
Target-Setting Method: 2 percentage point improvement
Data Sources:
National Health Interview Survey (NHIS), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 12-12.
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Revision History: This objective was revised. Read more about the revision history.
HDS-5 Reduce the proportion of persons in the population with hypertension
Baseline: 29.9 percent of adults aged 18 years and over had high blood pressure/hypertension in 2005–08 (age adjusted to the year 2000 standard population)
Target: 26.9 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 12-09.
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Baseline: 3.5 percent of children and adolescents aged 8 to 17 years had high blood pressure/hypertension in 2005–08
Target: 3.2 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Baseline: 74.6 percent of adults aged 18 years and over had their blood cholesterol checked within the preceding 5 years in 2008 (age adjusted to the year 2000 standard population)
Target: 82.1 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health Interview Survey (NHIS), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 12-15.
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Baseline: 15.0 percent of adults aged 20 years and over had total blood cholesterol levels of 240 mg/dL or greater in 2005–08 (age adjusted to the year 2000 standard population)
Target: 13.5 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 12-14.
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Baseline: 197.7 mg/dL was the mean total blood cholesterol level for adults aged 20 years and over in 2005–08 (age adjusted to the year 2000 standard population)
Target: 177.9 mg/dL (mean)
Target-Setting Method: 10 percent improvement
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 12-13.
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HDS-9 Increase the proportion of adults with prehypertension who meet the recommended guidelines
Baseline: 28.7 percent of adults aged 18 years and over with prehypertension met the recommended guidelines for body mass index in 2005–08 (age adjusted to the year 2000 standard population)
Target: 33.0 percent
Target-Setting Method: Minimal statistical significance
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Revision History: This objective was revised. Read more about the revision history.
Baseline: 31.4 percent of adults aged 18 years and over with high prehypertension met the recommended guidelines for saturated fat consumption in 2005–08 (age adjusted to the year 2000 standard population)
Target: 35.7 percent
Target-Setting Method: Minimal statistical significance
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Potential Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
Baseline: 37.4 percent of adults aged 18 years and over with prehypertension met the recommended guidelines for physical activity in 2007–10 (age adjusted to the year 2000 standard population)
Target: 42.1 percent
Target-Setting Method: Minimal statistical significance
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Revision History: This objective was revised. Read more about the revision history.
HDS-10 Increase the proportion of adults with hypertension who meet the recommended guidelines
Baseline: 18.0 percent of adults aged 18 years and over with high blood pressure/hypertension met the recommended guidelines for body mass index (BMI) in 2005–08 (age adjusted to the year 2000 standard population)
Target: 21.6 percent
Target-Setting Method: Minimal statistical significance
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 12-11.
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Revision History: This objective was revised. Read more about the revision history.
Baseline: 30.5 percent of adults aged 18 years and over with high blood pressure/hypertension met the recommended guidelines for saturated fat consumption in 2005–08 (age adjusted to the year 2000 standard population)
Target: 35.7 percent
Target-Setting Method: Minimal statistical significance
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 12-11.
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Revision History: This objective was revised. Read more about the revision history.
Baseline: 0.66 percent of adults aged 18 years and over with high blood pressure/hypertension met the recommended guidelines for sodium intake in 2009–12 (age adjusted to the year 2000 standard population)
Target: 1.19 percent
Target-Setting Method: Minimal statistical significance
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 12-11.
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Revision History: This objective was revised. Read more about the revision history.
Baseline: 28.0 percent of adults aged 18 years and over with high blood pressure/hypertension met the recommended guidelines for physical activity in 2007–10 (age adjusted to the year 2000 standard population)
Target: 33.7 percent
Target-Setting Method: Minimal statistical significance
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 12-11.
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Revision History: This objective was revised. Read more about the revision history.
Potential Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
Data:
Healthy People 2010 The HP2010 objective with the same definition was 12-11.
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Baseline: 63.2 percent of adults aged 18 years and over with high blood pressure/hypertension were taking the prescribed medications to lower their blood pressure in 2005–08 (age adjusted to the year 2000 standard population)
Target: 69.5 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 12-11.
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Revision History: This objective was revised. Read more about the revision history.
HDS-12 Increase the proportion of adults with hypertension whose blood pressure is under control
LHI

Leading Health Indicators are a subset of Healthy People 2020 objectives selected to communicate high-priority health issues.

Baseline: 43.7 percent of adults aged 18 years and over with high blood pressure/hypertension had it under control in 2005–08 (age adjusted to the year 2000 standard population)
Target: 61.2 percent
Target-Setting Method: Projection/trend analysis
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 12-10.
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HDS-13 (Developmental) Increase the proportion of adults with elevated LDL cholesterol who have been advised by a health care provider regarding cholesterol-lowering management, including lifestyle changes and, if indicated, medication
HDS-14 (Developmental) Increase the proportion of adults with elevated LDL-cholesterol who adhere to the prescribed LDL-cholesterol lowering management lifestyle changes and, if indicated, medication
HDS-15 Increase aspirin use as recommended among adults with no history of cardiovascular disease
Baseline: 17.7 percent of office visits by women aged 55 to 79 years with no history of cardiovascular disease included prescription of aspirin or other antiplatelet medication in 2006–07
Target: 24.8 percent
Target-Setting Method: Minimal statistical significance
Data Sources:
National Ambulatory Medical Care Survey (NAMCS), CDC/NCHS
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Baseline: 15.9 percent of office visits by men aged 45 to 79 years with no history of cardiovascular disease included prescription of aspirin or other antiplatelet medication in 2006–07
Target: 19.5 percent
Target-Setting Method: Minimal statistical significance
Data Sources:
National Ambulatory Medical Care Survey (NAMCS), CDC/NCHS
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HDS-16 Increase the proportion of adults aged 20 years and older who are aware of the symptoms of and how to respond to a heart attack
Baseline: 37.2 percent of adults aged 20 years and over were aware of the early warning symptoms and signs of a heart attack and the importance of accessing rapid emergency care by calling 9–1–1 or another emergency number in 2008 (age adjusted to the year 2000 standard population)
Target: 40.9 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health Interview Survey (NHIS), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 12-02.
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Revision History: This objective was revised. Read more about the revision history.
Baseline: 39.6 percent of adults aged 20 years and over were aware of the early warning symptoms and signs of a heart attack in 2008 (age adjusted to the year 2000 standard population)
Target: 43.6 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health Interview Survey (NHIS), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 12-02.
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Revision History: This objective was revised. Read more about the revision history.
Baseline: 91.8 percent of adults aged 20 years and over were aware of the importance of accessing rapid emergency care for a heart attack by calling 9–1–1 or another emergency number in 2008 (age adjusted to the year 2000 standard population)
Target: 93.8 percent
Target-Setting Method: 2 percentage point improvement
Data Sources:
National Health Interview Survey (NHIS), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 12-02.
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Revision History: This objective was revised. Read more about the revision history.
HDS-17 Increase the proportion of adults aged 20 years and older who are aware of the symptoms of and how to respond to a stroke
Baseline: 51.3 percent of adults aged 20 years and over were aware of the early warning symptoms and signs of a stroke and the importance of accessing rapid emergency care by calling 9–1–1 or another emergency number in 2009 (age adjusted to the year 2000 standard population)
Target: 56.4 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 53.9 percent of adults aged 20 years and over were aware of the early warning symptoms and signs of a stroke in 2009 (age adjusted to the year 2000 standard population)
Target: 59.3 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health Interview Survey (NHIS), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 12-08.
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Revision History: This objective was revised. Read more about the revision history.
Baseline: 92.7 percent of adults aged 20 years and over were aware of the importance of accessing rapid emergency care for a stroke by calling 9–1–1 or another emergency number in 2009 (age adjusted to the year 2000 standard population)
Target: 94.7 percent
Target-Setting Method: 2 percentage point improvement
Data Sources:
National Health Interview Survey (NHIS), CDC/NCHS
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HDS-19 Increase the proportion of eligible patients with heart attacks or strokes who receive timely artery-opening therapy as specified by current guidelines
Baseline: 70.0 percent of eligible heart attack patients received fibrinolytic therapy within 30 minutes of hospital arrival in 2009
Target: 77.0 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Acute Coronary Treatment and Intervention Outcomes Network Registry (ACTION Registry), American College of Cardiology (ACC)
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Healthy People 2010 The HP2010 objective with the same definition was 12-03a.
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Revision History: This objective was revised. Read more about the revision history.
Baseline: 90.4 percent of eligible heart attack patients received percutaneous intervention within 90 minutes of hospital arrival in 2009
Target: 99.4 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Acute Coronary Treatment and Intervention Outcomes Network Registry (ACTION Registry), American College of Cardiology (ACC)
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Healthy People 2010 The HP2010 objective with the same definition was 12-03b.
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Revision History: This objective was revised. Read more about the revision history.
Baseline: 74.1 percent of stroke patients received acute reperfusion therapy within 3 hours of symptom onset in 2009
Target: 81.5 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Get With the Guidelines-Stroke (GWTG-Stroke), American Heart Association and American Stroke Association (AHA and ASA)
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HDS-20 Increase the proportion of adults with coronary heart disease or stroke who have their low-density lipoprotein (LDL) cholesterol level at or below recommended levels
Baseline: 52.3 percent of adults aged 20 years and over with coronary heart disease had their low-density lipoprotein (LDL) cholesterol at or below recommended levels in 2005–08 (age adjusted to the year 2000 standard population)
Target: 67.5 percent
Target-Setting Method: Minimal statistical significance
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 12-16.
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Revision History: This objective was revised. Read more about the revision history.
Baseline: 33.4 percent of adults aged 20 years and over who have had a stroke had their low-density lipoprotein (LDL) cholesterol at or below recommended levels in 2005–08 (age adjusted to the year 2000 standard population)
Target: 56.1 percent
Target-Setting Method: Minimal statistical significance
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Baseline: 45.7 percent of office visits by adults aged 18 years and over with a history of cardiovascular disease included prescription of aspirin or other antiplatelet medication to prevent recurrent cardiovascular events in 2006–07
Target: 51.9 percent
Target-Setting Method: Minimal statistical significance
Data Sources:
National Ambulatory Medical Care Survey (NAMCS), CDC/NCHS
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Baseline: 77.1 percent of adult heart attack survivors were referred to a cardiac rehabilitation program at discharge in 2009
Target: 84.8 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Acute Coronary Treatment and Intervention Outcomes Network Registry (ACTION Registry), American College of Cardiology (ACC)
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Baseline: 96.2 percent of stroke survivors were assessed for and/or referred to a stroke rehabilitation program in 2009
Target: Not applicable
Target-Setting Method: This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.
Data Sources:
Get With the Guidelines-Stroke (GWTG-Stroke), American Heart Association and American Stroke Association (AHA and ASA)
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HDS-24 Reduce hospitalizations of older adults with heart failure as the principal diagnosis.
Baseline: 10.4 hospitalizations for heart failure per 1,000 population aged 65 to 74 years occurred in 2007
Target: 9.4 hospitalizations per 1,000 population
Target-Setting Method: 10 percent improvement
Data Sources:
National Hospital Discharge Survey (NHDS), CDC/NCHS; Population Estimates, Census
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Healthy People 2010 The HP2010 objective with the same definition was 12-06a.
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Revision History: This objective was revised. Read more about the revision history.
Baseline: 23.4 hospitalizations for heart failure per 1,000 population aged 75 to 84 years occurred in 2007
Target: 21.1 hospitalizations per 1,000 population
Target-Setting Method: 10 percent improvement
Data Sources:
National Hospital Discharge Survey (NHDS), CDC/NCHS; Population Estimates, Census
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Healthy People 2010 The HP2010 objective with the same definition was 12-06b.
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Revision History: This objective was revised. Read more about the revision history.
Baseline: 38.7 hospitalizations for heart failure per 1,000 population aged 85 years and over occurred in 2007
Target: 34.8 hospitalizations per 1,000 population
Target-Setting Method: 10 percent improvement
Data Sources:
National Hospital Discharge Survey (NHDS), CDC/NCHS; Population Estimates, Census
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Healthy People 2010 The HP2010 objective with the same definition was 12-06c.
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Revision History: This objective was revised. Read more about the revision history.
Baseline: 58.3 percent of office visits by adults aged 18 years and over with hypertension had blood pressure control in 2006–07
Target: 64.1 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Ambulatory Medical Care Survey (NAMCS), CDC/NCHS
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