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The stroke belt cluster of 11 states versus the rest of the United States. Mortality trends for death due to heart failure, stroke, The nationwide mortality trends derived from the death certificates of all American Methods: A retrospective cross-sectional analysis of the CDC WONDER database was done to evaluate Ischemic heart disease or any cardiovascular cause, were identified in the strokeīelt and non-stroke belt populations using ICD-10 codes. Results: Among 16,111,775 deaths due to cardiovascular causes during the study period, theĪge-adjusted mortality rates (AAMR) were highest among non-Hispanic Black, males from Was used to assess the change in mortality trends. In the stroke belt, AAMR due toĪll cardiovascular causes [Average Annual Percentage Change (AAPC): -2.5 (95% CI:-2.9 Non-metropolitan areas, living in the stroke belt. Preventive efforts targeting risk factors and The mortality gaps were persistent across sub-groups of age, sex, race, and levelĬonclusions: Despite the overall decline in cardiovascular mortality, significant geographic disparities The gap in age-adjusted mortality estimates for cardiovascularĬause of death was 11.8% in 1999 and was 16% in 2017 across the two regions (Figure 1). Improved disease management may attenuate the longstanding geographical heterogeneityīackground: The U.S.

Validated post-stratification weights for an existing stroke patient registry to represent lacks an appropriate stroke surveillance system.