HrtDisDth coronary heart disease, heart attack, cardiovascular disease HrtDisDth.Ut_USYear The rate of coronary heart disease-related deaths per 100,000 population. The number of deaths with ICD-10 codes I20-I25 listed as primary cause. Total midyear resident population for the same calendar year. This indicator uses ICD-10 codes for ischemic heart disease, ICD-10 code I20-I25. Note that this indicator was formerly called coronary heart disease deaths. After a review by the HEAL Program, it was determined ischemic heart disease was a better term and matches the CDC coding. The name of the indicator has been changed to "Ischemic Heart Disease Deaths" (see https://www.ncbi.nlm.nih.gov/books/NBK209964/). Please note that for some data views, 11 age categories are used for age adjusting, and in some cases (race, ethnicity), 3 age categories are used. Some views may have a different "overall" rate than the rate shown on the U.S./Utah graph. Some data views use combined years to obtain more reliable estimates, also affecting the value for the overall rate. 11/29/2022 Ischemic heart disease (sometimes called coronary heart disease or coronary artery disease) is a condition in which blood flow to the heart is reduced. A common cause of this condition is a buildup of plaque in the arteries. When the coronary arteries become narrowed or clogged, an inadequate amount of blood oxygen reaches the heart tissue. HDS-2 [https://www.cste.org/group/CDIndicators Council of State and Territorial Epidemiologists - Chronic Disease Indicators] In 2020, the age-adjusted mortality rate for ischemic heart disease in Utah was 66.9 deaths per 100,000 population. In 1999 (the year ICD-10 codes began to be used for death records), the age-adjusted rate was 118.3 per 100,000. This shows a decline in mortality rates as a result of ischemic heart disease in Utah between 1999 and 2020. The Utah age-adjusted mortality rate for ischemic heart disease for 2020 was 66.9 per 100,000 population. In contrast, the rate for the U.S. for 2019 (the latest available data at this time) was 88.0 per 100,000 population. HEAL aims to reduce the incidence of diabetes, heart disease, and stroke by targeting risk factors including reducing obesity, increasing physical activity and nutritious food consumption, and improving diabetes and hypertension control. HEAL is part of the Utah Million Hearts Coalition. [https://millionhearts.hhs.gov/index.html Million Hearts 2027] is an initiative co-led by the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services. Million Hearts aimed to reduce the number of heart attacks and strokes in the U.S. by 1 million by 2027. The Utah Million Hearts Coalition has initiated efforts to educate staff in primary care clinics on the proper techniques for measuring high blood pressure. HEAL is also working on the following things to address issues related to high blood cholesterol: *Increasing healthy nutrition and physical activity environments in K-12 schools *Increasing healthy nutrition and physical activity environments in early care and education (childcare/preschool) *Increasing healthy nutrition and physical activity environments and programs in worksites *Improving awareness of prediabetes, hypertension, and high blood cholesterol for Utahns *Improving the quality of medical care for people with diabetes, hypertension, and high blood cholesterol *Improving the linkages between health care providers and supporting community programs for Utahns with prediabetes, diabetes, hypertension, and high blood cholesterol *Improving access and availability to community health programs for Utahns with prediabetes, diabetes, hypertension, and high blood cholesterol *Improving care and management of students with chronic conditions in Utah schools The Utah Department of Health and Human Services, Healthy Environments Active Living program plays a key role in improving the health of residents in the state of Utah. The program was formed in July 2013 (as EPICC), through a new funding opportunity from the Centers of Disease Control and Prevention (CDC) that allowed for the merging of three previously existing programs: the Heart Disease and Stroke Prevention Program, the Diabetes Prevention and Control Program, and the Physical Activity, Nutrition and Obesity Program, as well as the addition of a school health program. The Healthy Environments Active Living Program (HEAL) was recently restructured as part of this strategic planning process and the new program model focuses on working together with staff and partners to address the social determinants of health while advancing health equity and increasing policy, systems and environment changes. HEAL champions public health initiatives and addresses the challenges of making health awareness and access truly universal and equitable in eight key areas: nutrition, heart health, diabetes, physical activity, schools, child care, community health workers, and worksites. Visit [https://heal.utah.gov/ HEAL's website] for more information. [https://dhhs.utah.gov/ The Utah Department of Health and Human Services] has a Health Resource hotline: 1-888- 222-2542. Please call this number or 211 for information about self-management programs in Utah. [https://www.heart.org/ American Heart Association] 1937 S. 300 W. #120 Salt Lake City, UT 84115 (801) 484-3838 or 1-800-242-8721 Heart disease is the leading cause of death and is responsible for 1 of every 3 deaths in the country. [https://millionhearts.hhs.gov/ Million Hearts] is a national initiative that has set an ambitious goal to prevent 1 million heart attacks and strokes within 5 years (by 2027). The impact will be even greater over time. Million Hearts aims to prevent heart disease and stroke by: Improving access to effective care. Improving the quality of care for the ABCS (appropriate aspirin prescription, blood pressure control, cholesterol control, and smoking cessation). Focusing clinical attention on the prevention of heart attack and stroke. Activating the public to lead a heart-healthy lifestyle. Improving the prescription and adherence to appropriate medications for the ABCS. Visit https://millionhearts.hhs.gov/ for more information. HEAL karleewalker@utah.gov A 11/30/2022 Detail modified by: cjasumback@utah.gov, 11/25/2022 Updated 10/28/2021 Bralls NOTE Taylor noted that CDC Wonder calls this ischemic heart disease Detail modified by: thoj@utah.gov, 12/28/2020 Status changed by: thoj@utah.gov, 11/09/2020 The International Classification of Diseases has been revised approximately every ten years since 1900. The latest revision, ICD-10, was implemented in 1999 replacing ICD-9, the standard since 1979. ICD-10 differs from ICD-9 in several respects. ICD-10 is far more detailed with about 8,000 categories compared with 5,000 in ICD-9. Some of the coding rules and rules for selecting the underlying cause of death have also been changed. These changes create discontinuities in cause-of-death statistics and are critical to the interpretation of mortality trends. Comparability ratios have been created for many cause-of-death classifications in order to reduce the impact of these changes but caution should be used when interpreting trends across the Ninth and Tenth ICD revisions. USING ICD 10 I20-I25 Ischemic heart disease. US rate from CDC Wonder 11.19.18 BR updated wording in SA view, per Kim's suggestion. Also replaced broken link for Million Hearts under Resources and References Updated 11/16/2021 CJasumback Updated 11/29/2022 CJasumback & BRalls 3 x 11/30/2022 Status changed by: vlund@utah.gov 11/30/2022 HDS-2 HDS HDS-2 Reduce coronary heart disease deaths 103.4 deaths per 100,000 population 54.0 deaths per 100,000 population 592 08/15/2011 x PopChar Age, gender, and socioeconomic risk factors are related to ischemic heart disease deaths. Advanced age is the major risk factor for ischemic heart disease deaths. Men have a higher ischemic heart disease death rate than women in all age groups. Rates tend to be lowest for Utahns who identify as Asian. AgeDistPop AgeDistPop.Ut_US HHInc HHInc.UT_US HII HII.SA PerCapInc PerCapInc.Cnty Pov Pov.UT_US RacEthPop RacEthPop.RaceYear SystemFactors Advances in medical technology and clinical care have contributed significantly to the overall decline in ischemic heart disease mortality in the U.S. since 1980. Further decline could be achieved through improved treatment of high blood pressure and diabetes in primary care. BloCholScr BloCholScr.Ut_USYear CosBarHtlhCar CosBarHtlhCar.UT_US DiabMgt DiabMgt.LHD EMSResTim EMSResTim.CntyType HEDISHbA1c HEDISHbA1c.Year HlthIns HlthIns.UT_US_ACS PriProvUsuPl PriProvUsuPl.Age_Sex RouMedCarVis RouMedCarVis.AgeSex RiskFactors Individuals who smoke cigarettes, have high blood pressure, elevated cholesterol, diabetes, poor nutrition, a family history of heart disease, or who are overweight, obese, or physically inactive are at great risk of developing ischemic heart disease. 5aDayFruit 5aDayFruit.UT_US 5aDayVeg 5aDayVeg.UT_US BloCholDrDiag BloCholDrDiag.UT_US CigSmokAdlt CigSmokAdlt.Ut_US DiabPrev DiabPrev.LHD FPHlth FPHlth.Ut_USYear HypAwa HypAwa.UT_US Obe Obe.UT_US OvrwtObe OvrwtObe.UT_US PhysAct PhysAct.UT_US PhysActAdol PhysActAdol.Sex.Year PreDiab PreDiab.Age HealthStatus Ischemic heart disease is a chronic condition in which atherosclerosis develops in the coronary arteries that supply blood to the heart muscle. HeaAttHosp HeaAttHosp.NumYr HrtDisDth.Ut_USYear Utah and U.S., 1999-2020 Age-adjusted Rate per 100,000 Population HrtDisDth.AgeSex by Age and Sex, Utah, 2018-2020 Rate per 100,000 Population HrtDisDth.Eth by Ethnicity, Utah, 2021 Age-adjusted Rate per 100,000 Population HrtDisDth.Race by Race, Utah, 2021 Age-adjusted Rate per 100,000 Population HrtDisDth.LHD by Local Health District, Utah, 2019-2020 Age-adjusted Rate per 100,000 Population HrtDisDth.Cnty by County, Utah, 2016-2020 Age-adjusted Rate per 100,000 Population HrtDisDth.SA by Utah Small Area, 2016-2020 Age-adjusted Rate per 100,000 Population