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Home > 2020 Topics & Objectives > Heart Disease and Stroke

Heart Disease and Stroke

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HDS-1 (Developmental) Increase overall cardiovascular health in the U.S. population

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-2 Reduce coronary heart disease deaths

Baseline:

126.0 coronary heart disease deaths per 100,000 population occurred in 2007 (age adjusted to the year 2000 standard population)

Target:

100.8 deaths per 100,000 population

Target-Setting Method:

Projection/trend analysis

Data Source:

National Vital Statistics System–Mortality (NVSS–M), CDC, NCHS

More Information:

Data from the HHS Health
Indicators Warehouse

HDS-3 Reduce stroke deaths

Baseline:

42.2 stroke deaths per 100,000 population occurred in 2007 (age adjusted to the year 2000 standard population)

Target:

33.8 deaths per 100,000 population

Target-Setting Method:

Projection/trend analysis

Data Source:

National Vital Statistics System–Mortality (NVSS–M), CDC, NCHS

More Information:

Data from the HHS Health
Indicators Warehouse

The HP2010 objective with the same definition was 12-7. View on DATA2010

HDS-4 Increase the proportion of adults who have had their blood pressure measured within the preceding 2 years and can state whether their blood pressure was normal or high

Baseline:

90.6 percent of adults aged 18 years and older 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 Source:

National Health Interview Survey (NHIS), CDC, NCHS

More Information:

Data from the HHS Health
Indicators Warehouse

The HP2010 objective with the same definition was 12-12. View on DATA2010

HDS-5 Reduce the proportion of persons in the population with hypertension

HDS-5.1

Reduce the proportion of adults with hypertension

Baseline:

29.9 percent of adults aged 18 years and older 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 Source:

National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

More Information:

Data from the HHS Health
Indicators Warehouse

The HP2010 objective with the same definition was 12-9. View on DATA2010

HDS-5.2

Reduce the proportion of children and adolescents with hypertension

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 Source:

National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

More Information:

Data from the HHS Health
Indicators Warehouse

HDS-6 Increase the proportion of adults who have had their blood cholesterol checked within the preceding 5 years

Baseline:

74.6 percent of adults aged 18 years and older 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 Source:

National Health Interview Survey (NHIS), CDC, NCHS

More Information:

Data from the HHS Health
Indicators Warehouse

The HP2010 objective with the same definition was 12-15. View on DATA2010

HDS-7 Reduce the proportion of adults with high total blood cholesterol levels

Baseline:

15.0 percent of adults aged 20 years and older 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 Source:

National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

More Information:

Data from the HHS Health
Indicators Warehouse

The HP2010 objective with the same definition was 12-14. View on DATA2010

HDS-8 Reduce the mean total blood cholesterol levels among adults

Baseline:

197.7 mg/dl was the mean total blood cholesterol level for adults aged 20 years and older in 2005–08 (age adjusted to the year 2000 standard population)

Target:

177.9 mg/dl (mean)

Target-Setting Method:

10 percent improvement

Data Source:

National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

More Information:

Data from the HHS Health
Indicators Warehouse

The HP2010 objective with the same definition was 12-13. View on DATA2010

HDS-9 (Developmental) Increase the proportion of adults with prehypertension who meet the recommended guidelines

HDS-9.1

(Developmental) Increase the proportion of adults with prehypertension who meet the recommended guidelines for body mass index (BMI)

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-9.2

(Developmental) Increase the proportion of adults with prehypertension who meet the recommended guidelines for saturated fat consumption

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-9.3

(Developmental) Increase the proportion of adults with prehypertension who meet the recommended guidelines for sodium intake

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-9.4

(Developmental) Increase the proportion of adults with prehypertension who meet the recommended guidelines for physical activity

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-9.5

(Developmental) Increase the proportion of adults with prehypertension who meet the recommended guidelines for moderate alcohol consumption

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-10 (Developmental) Increase the proportion of adults with hypertension who meet the recommended guidelines

HDS-10.1

(Developmental) Increase the proportion of adults with hypertension who meet the recommended guidelines for body mass index (BMI)

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-10.2

(Developmental) Increase the proportion of adults with hypertension who meet the recommended guidelines for saturated fat consumption

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-10.3

(Developmental) Increase the proportion of adults with hypertension who meet the recommended guidelines for sodium intake

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-10.4

(Developmental) Increase the proportion of adults with hypertension who meet the recommended guidelines for physical activity

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-10.5

(Developmental) Increase the proportion of adults with hypertension who meet the recommended guidelines for moderate alcohol consumption

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-11 Increase the proportion of adults with hypertension who are taking the prescribed medications to lower their blood pressure

Baseline:	63.2 percent of adults aged 18 years and older 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 Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-12 Increase the proportion of adults with hypertension whose blood pressure is under control

Baseline:

43.7 percent of adults aged 18 years and older 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 Source:

National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

More Information:

Data from the HHS Health
Indicators Warehouse

The HP2010 objective with the same definition was 12-10. View on DATA2010

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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-13.1

(Developmental) Increase the proportion of adults with elevated LDL cholesterol who have been advised by a health care provider regarding a cholesterol-lowering diet

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-13.2

(Developmental) Increase the proportion of adults with elevated LDL cholesterol who have been advised by a health care provider regarding cholesterol-lowering physical activity

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-13.3

(Developmental) Increase the proportion of adults with elevated LDL cholesterol who have been advised by a health care provider regarding cholesterol-lowering weight control

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-13.4

(Developmental) Increase the proportion of adults with elevated LDL cholesterol who have been advised by a health care provider regarding cholesterol-lowering prescribed drug therapy

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

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-14.1

(Developmental) Increase the proportion of adults with elevated LDL-cholesterol who adhere to the prescribed cholesterol-lowering diet

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-14.2

(Developmental) Increase the proportion of adults with elevated LDL-cholesterol who adhere to the prescribed cholesterol-lowering physical activity

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-14.3

(Developmental) Increase the proportion of adults with elevated LDL-cholesterol who adhere to the prescribed cholesterol-lowering weight control

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-14.4

(Developmental) Increase the proportion of adults with elevated LDL-cholesterol who adhere to the prescribed cholesterol-lowering drug therapy

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-15 (Developmental) Increase aspirin use as recommended among adults with no history of cardiovascular disease

HDS-15.1

(Developmental) Increase aspirin use as recommended among women aged 55 to 79 years with no history of cardiovascular disease

Potential Data Sources:	National Ambulatory Medical Care Survey (NAMCS), CDC, NCHS; National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC, NCHS

HDS-15.2

(Developmental) Increase aspirin use as recommended among men aged 45 to 79 years with no history of cardiovascular disease

Potential Data Sources:	National Ambulatory Medical Care Survey (NAMCS), CDC, NCHS; National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC, NCHS

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

HDS-16.1

Increase the proportion of adults aged 20 years and older who are 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

Baseline:

37.2 percent of adults aged 20 years and older 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 Source:

National Health Interview Survey (NHIS), CDC, NCHS

More Information:

Data from the HHS Health
Indicators Warehouse

The HP2010 objective with the same definition was 12-2. View on DATA2010

HDS-16.2

Increase the proportion of adults aged 20 years and older who are aware of the early warning symptoms and signs of a heart attack

Baseline:

39.6 percent of adults aged 20 years and older 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 Source:

National Health Interview Survey (NHIS), CDC, NCHS

More Information:

Data from the HHS Health
Indicators Warehouse

HDS-16.3

Increase the proportion of adults aged 20 years and older who are aware of the importance of accessing rapid emergency care for a heart attack by calling 9–1–1 or another emergency number

Baseline:

91.8 percent of adults aged 20 years and older 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 Source:

National Health Interview Survey (NHIS), CDC, NCHS

More Information:

Data from the HHS Health
Indicators Warehouse

HDS-17 (Developmental) Increase the proportion of adults aged 20 years and older who are aware of the symptoms of and how to respond to a stroke

HDS-17.1

Increase the proportion of adults who are 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

Baseline:	51.3 percent of adults aged 20 years and older 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 Source:	National Health Interview Survey (NHIS), CDC, NCHS

HDS-17.2

Increase the proportion of adults aged 20 years and older who are aware of the early warning symptoms and signs of a stroke

Baseline:

53.9 percent of adults aged 20 years and older 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 Source:

National Health Interview Survey (NHIS), CDC, NCHS

More Information:

The HP2010 objective with the same definition was 12-8. View on DATA2010

HDS-17.3

Increase the proportion of adults aged 20 years and older who are aware of the importance of accessing rapid emergency care for a stroke by calling 9–1–1 or another emergency number

Baseline:	92.7 percent of adults aged 20 years and older 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 Source:	National Health Interview Survey (NHIS), CDC, NCHS

HDS-18 (Developmental) Increase the proportion of out-of-hospital cardiac arrests in which appropriate bystander and emergency medical services (EMS) were administered

Potential Data Source:	National Emergency Medical Services (EMS) Information System (NEMSIS), DOT, NHTSA

HDS-19 Increase the proportion of eligible patients with heart attacks or strokes who receive timely artery-opening therapy as specified by current guidelines

HDS-19.1

Increase the proportion of eligible patients with heart attacks who receive fibrinolytic therapy within 30 minutes of hospital arrival

Baseline:

68.3 percent of eligible heart attack patients received fibrinolytic therapy within 30 minutes of hospital arrival in 2009

Target:

75.1 percent

Target-Setting Method:

10 percent improvement

Data Source:

Acute Coronary Treatment and Intervention Outcomes Network Registry–Get with the Guidelines (ACTION–GWTG), American College of Cardiology Foundation and American Heart Association

More Information:

Data from the HHS Health
Indicators Warehouse

HDS-19.2

Increase the proportion of eligible patients with heart attacks who receive percutaneous intervention (PCI) within 90 minutes of hospital arrival

Baseline:

88.6 percent of eligible heart attack patients received percutaneous intervention within 90 minutes of hospital arrival in 2009

Target:

97.5 percent

Target-Setting Method:

10 percent improvement

Data Source:

Acute Coronary Treatment and Intervention Outcomes Network Registry–Get with the Guidelines (ACTION–GWTG), American College of Cardiology Foundation and American Heart Association

More Information:

Data from the HHS Health
Indicators Warehouse

HDS-19.3

(Developmental) Increase the proportion of eligible patients with strokes who receive acute reperfusion therapy within 3 hours from symptom onset

Potential Data Source:	Get with The Guidelines–Stroke Module (GWTG–Stroke), American Heart Association/American Stroke Association

HDS-20 (Developmental) 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

HDS-20.1

(Developmental) Increase the proportion of adults with coronary heart disease who have their low-density lipoprotein (LDL)-cholesterol at or below recommended levels

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-20.2

(Developmental) Increase the proportion of adults who have had a stroke who have their low-density lipoprotein (LDL)-cholesterol at or below recommended levels

Potential Data Source:	National Health and Nutrition Examination Survey (NHANES), CDC, NCHS

HDS-21 (Developmental) Increase the proportion of adults with a history of cardiovascular disease who are using aspirin or antiplatelet therapy to prevent recurrent cardiovascular events.

Potential Data Sources:	National Ambulatory Medical Care Survey (NAMCS), CDC, NCHS; National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC, NCHS

HDS-22 (Developmental) Increase the proportion of adult heart attack survivors who are referred to a cardiac rehabilitation program at discharge.

Potential Data Source:	Acute Coronary Treatment and Intervention Outcomes Network Registry–Get with the Guidelines (ACTION–GWTG), American College of Cardiology Foundation and American Heart Association

HDS-23 (Developmental) Increase the proportion of adult stroke survivors who are referred to a stroke rehabilitation program at discharge.

Potential Data Source:	Acute Coronary Treatment and Intervention Outcomes Network Registry–Get with the Guidelines Program–Stroke Module (GWTG–Stroke), American Heart Association/American Stroke Association