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West Virginia Ranks Last in Heart Disease
ATLANTA -- In West Virginia, every 10th adult has had a heart attack or suffers from coronary artery disease, with or without symptoms of angina, according to a CDC survey. No state has a worse record.
ATLANTA, Feb. 16 -- In West Virginia, every 10th adult has had a heart attack or suffers from coronary artery disease, with or without symptoms of angina, according to a CDC survey. No state has a worse record.
West Virginia's prevalence was 10.4% in 2005 for myocardial infarction, and angina/coronary heart disease. Kentucky (8.8%) had he next worst prevalence.
Many of the states with the highest prevalence were clustered in the Mississippi and Ohio River valleys, areas that have been documented previously as having high proportions of residents with heart disease risk factors and high heart-disease mortality, said the report in today Morbidity and Mortality Weekly Report.
Colorado (4.8% prevalence) was the two heart-healthiest state , followed by Hawaii (4.9), according to survey of more than 350,000 Americans in telephone surveys conducted by the 2005 Behavioral Risk Factor Surveillance System.
Four percent of all Americans reported a history of MI, while 4.4% said they had a history of angina/coronary heart disease and 6.5% said they one or more of those condition.
The CDC report noted that heart disease has been the leading cause of death in the U.S. for 80 years.
Among the survey findings:
- Men had a significantly higher prevalence of MI than women (5.5% versus 2.9%) higher angina/coronary heart disease rate (5.5% versus 3.4%) and were more likely to report a history of at least one of those conditions (8.2% versus 5.0%).
- High school dropouts were twice as likely to have report one or more heart conditions than college graduates (9.8% versus 5.0%).
- The prevalence of all conditions was similar among blacks and whites (6.2%), but was significantly higher for American Indian/Alaskan Native (11.2% for MI, angina or coronary heart disease) and for people who identified themselves as multiracial (9.0%).
- The MI rate was lowest in the U.S. Virgin Islands (2.1%) and highest in West Virginia.
- The angina/coronary heart disease rate was highest in Puerto Rico (8.5%) followed by West Virginia (7.3%) while the lowest rates were in the U.S. Virgin Islands (2.2%) and Colorado (2.8%).
The CDC cautioned that report was based on self-reported information, which was subject to recall bias. It was also limited by the populations surveyed, which excluded residents of nursing homes, prisons, and military bases. It also only included households with traditional land lines and excluded households that relied that did not have telephones or those that relied exclusively on cellular telephones.
