4
Introduction
Note: The numbering of the following tables may differ from that of the Clinical
Practice Guideline.
Colors in tables and figures correspond to Class of Recommendations and
Level of Evidence tables on pages 62– 63.
Table 4. US Heart Disease Prevalence, by Age, Race, Ethnicity,
and Sex, 2015–2018
Population
Group
Prevalence, CHD,
2015–2018,
≥20 y
Prevalence, MI,
2015–2018,
≥20 y
Prevalence, AP,*
2015–2018,
≥20 y
Both sexes 20.1 million (7.2%) 8.8 million (3.1%) 11 million (4.1%)
Men 11 million (8.3%) 5.8 million (4.3%) 5.3 million (4.2%)
Women 9.1 million (6.2%) 3 million (2.1%) 5.7 million (4.0%)
NH White men 8.7% 4.4% 4.5%
NH White women 6.0% 2.0% 4.0%
NH Black men 6.7% 3.9% 3.3%
NH Black women 7.2% 2.3% 4.7%
Hispanic men 6.8% 3.7% 3.5%
Hispanic women 6.4% 2.1% 4.3%
NH Asian men 5.0% 2.7% 2.1%
NH Asian women 3.2% 0.7% 2.2%
NH Native
American/Alaska
Native
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CHD includes people who responded "yes" to at least 1 of the questions in "Has a doctor or other
health professional ever told you that you had CHD, angina or angina pectoris, heart attack, or
MI?" ose who answered "no" but were diagnosed with Rose angina are also included (the Rose
questionnaire is administered only to survey participants >40 y of age). CIs have been added
for overall prevalence estimates in key chapters. CIs have not been included in this table for all
subcategories of prevalence for ease of reading.
Percentages for racial and ethnic groups are age adjusted for Americans ≥20 y of age. Age-specific
percentages are extrapolated to the 2018 US population estimates. ese data are based on self-
reports includes people who either answered "yes" to the question of ever having angina or angina
pectoris or were diagnosed with Rose angina (the Rose questionnaire is administered only to survey
participants >40 y of age).
* AP is chest pain or discomfort that results from insufficient blood flow to the heart muscle. Stable
AP is predictable chest pain on exertion or under mental or emotional stress. e incidence
estimate is for AP without MI.
Percentages for racial and ethnic groups are age adjusted for US adults ≥20 y of age. Estimates from
NHANES 2015 to 2018 were applied to 2018 population estimates (≥20 y of age)."
Source: Prevalence of CHD: unpublished National Heart, Lung, and Blood Institute (NHLBI)
tabulation using National Health and Nutrition Examination Survey and Behavioral Risk Factor
Surveillance System data. https://www.cdc.gov/nchs/nhanes/ Accessed June 3, 2020 and https://www.
cdc.gov/brfss/brfssprevalence/ Accessed June 3, 2020.
Adapted with permission from Tsao CW, et al. Circulation. 2022;145:e153-e639. Copyright 2022
American Heart Association, Inc.
