Coronary Artery Disease, Acute Myocardial Infarction, and Ischemic Stroke Rates

Atherosclerotic cardiovascular disease (ASCVD) refers to disease of the heart and blood vessels due to the accumulation of plaques. ASCVD can limit blood flow to the heart coronary artery disease (CAD) and lead to dangerous cardiovascular events such as heart attacks acute myocardial infarction (AMI). ASCVD in the blood vessels of the brain can decrease blood flow to the brain and result in ischemic strokes. Heart disease and stroke are among the top five leading causes of death.

Coronary Artery Disease, Acute Myocardial Infarction, and Ischemic Stroke Rates Among Inpatient Stays, a statistical brief from the Healthcare Cost and Utilization Project, presents data on adult inpatient stays with a principal diagnosis of ASCVD, defined as one of three specific diagnoses: CAD, AMI, and ischemic stroke.

Highlights

• From 2001 to 2014, the rate of ASCVD inpatient stays among adults decreased 41.5 percent, from 1,192.9 to 698.0 stays per 100,000 adults. ASCVD is defined here as CAD, AMI, or ischemic stroke.
• The percentage of stays for ischemic stroke resulting in an in-hospital death decreased 38.1 percent from 2001 to 2014; in-hospital deaths also decreased 29.3 percent during this time among stays for AMI.
• In 2014, the rate of ASCVD stays per 100,000 adults was highest in low-income areas and progressively decreased as community-level income increased. Specifically, there were 855.8 stays per 100,000 adults in the lowest income areas compared with 536.1 stays per 100,000 adults in the wealthiest communities.
• The rate of stays for CAD was 69.3 percent higher in the lowest income areas than in the wealthiest areas in 2014 (222.0 vs. 131.2 stays per 100,000 adults).
• The rate of ASCVD stays among adults in 2014 was 31.2 percent lower in large metropolitan areas than in rural areas (667.7 vs. 969.8 stays per 100,000 adults).
• The rate of stays for AMI was 40.1 percent lower in large metropolitan areas than in rural areas in 2014 (239.8 vs. 400.1 stays per 100,000 adults).

Select to access Coronary Artery Disease, Acute Myocardial Infarction, and Ischemic Stroke Rates Among Inpatient Stays.