The Burden of Heart Disease and Stroke in South Carolina

The Burden of Heart Disease and Stroke in South Carolina

South Carolina Department of Health and Environmental Control Heart Disease and Stroke Prevention Division

2010 Edition

Acknowledgements

We gratefully acknowledge the assistance of those who contributed to this report:

Bureau of Community Health and Chronic Disease Prevention, Heart Disease and Stroke Prevention Division

Division Director..................................................................... Joy Brooks, MHA Public Information Coordinator.............................................. Betsy Crick

Bureau of Community Health and Chronic Disease Prevention, Office of Chronic Disease Epidemiology and Evaluation

Division Director..................................................................... Khosrow Heidari, MA, MS, MS Senior Epidemiologist............................................................. Betsy Barton, MSPH Senior Epidemiologist............................................................. Patsy Myers, DrPH BRFSS Coordinator................................................................ Ryan Lewis, MPH

Funding for the Heart Disease and Stroke Prevention program is provided by the Centers for Disease Control and Prevention (CDC) and South Carolina Department of Health and Environmental Control (DHEC).

Please direct requests for additional information to:

Heart Disease and Stroke Prevention Division Bureau of Community Health and Chronic Disease Prevention South Carolina Department of Health and Environmental Control 1800 St. Julian Place Columbia, SC 29204 (803) 545-4490

For further information, please visit our website at .

The Burden Of Heart Disease And Stroke In South Carolina

Table of Contents

I. Cardiovascular Disease.............................................................2

II. Heart Disease...........................................................................3

Overview

.

Morbidity

.

Mortality

.

Knowledge of Heart Attack Symptoms

.

Heart Failure

.

STEMI

III. Stroke......................................................................................11

Overview

.

Morbidity

.

Mortality

.

Knowledge of Stroke Symptoms

.

Success Story

.

Pre-Transport Stroke Deaths

IV. Risk Factors.............................................................................17

.

High Blood Pressure

.

High Blood Cholesterol

.

Tobacco Use

.

Poor Nutrition

.

Physical Inactivity

.

Overweight and Obesity

.

Diabetes

.

Risk Factor Clustering

.

Actions Taken to Reduce Risk

V. Disparities................................................................................23

.

Race & Ethnicity

.

Gender

.

Age

.

Socio-Economic Status

.

Risk Factors

VI. Economic Costs.......................................................................28

.

Heart Disease

.

Stroke

VII. Policy........................................................................................31

.

Overview

.

Success Story

VIII. Glossary...................................................................................34

IX. References...............................................................................36

X. Notes........................................................................................36

XI. Appendices..............................................................................37

.

A: County Age-Adjusted Rates

.

B : Heart Disease Mortality Rates & Stroke Mortality

Rates

"On July 13, 1996, I woke up between 6:30 a.m. and 7:00 a.m. I needed to scratch my right arm, and I tried to move my left arm, but it would not cooperate. I tried to sit up in bed, I couldn't sit up, and I fell out of bed. Life has not been the same. I have made all kinds of adjustments and learned how to accept what I cannot change."

- Cassandra, Stroke Survivor

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