Table 13-2.

Age-Adjusted Death Rates per 100 000 Population for CVD, CHD, and Stroke by State, 2007–2009

State	CVD*			CHD†			Stroke‡
	Rank§	Death Rate	% Change, 1999–2001 to 2007–2009	Rank§	Death Rate	% Change, 1999–2001 to 2007–2009	Rank§	Death Rate	% Change, 1999–2001 to 2007–2009
Alabama	51	308.3	−20.9	24	108.5	−33.7	52	54.0	−22.4
Alaska	7	203.7	−28.6	6	87.2	−31.8	33	42.5	−34.2
Arizona	4	193.8	−32.3	21	106.3	−34.4	2	30.6	−41.3
Arkansas	47	293.0	−23.5	46	148.6	−20.5	51	53.4	−30.6
California	23	229.7	−30.0	31	119.5	−37.1	23	40.0	−36.7
Colorado	6	195.7	−29.1	5	87.0	−32.0	13	37.0	−34.5
Connecticut	18	218.8	−27.0	12	99.9	−37.5	5	33.7	−33.0
Delaware	27	237.6	−28.9	35	124.1	−37.2	19	39.1	−24.8
District of Columbia	45	284.2	−24.9	51	159.3	−21.2	10	35.6	−25.8
Florida	9	205.6	−33.5	26	110.8	−41.2	3	32.3	−34.3
Georgia	39	263.3	−30.0	9	92.7	−42.5	43	47.3	−33.8
Hawaii	5	195.3	−27.9	3	77.5	−31.8	21	39.4	−36.1
Idaho	14	213.9	−28.1	11	96.8	−34.2	27	41.5	−35.8
Illinois	32	247.8	−28.8	32	120.5	−36.9	30	41.8	−31.9
Indiana	40	263.4	−27.4	34	123.1	−34.1	38	44.8	−34.2
Iowa	28	237.9	−24.9	40	134.0	−28.0	32	42.0	−29.6
Kansas	30	239.7	−25.1	14	101.5	−34.2	39	45.6	−25.0
Kentucky	44	281.2	−28.3	43	135.7	−32.2	40	46.3	−31.4
Louisiana	48	294.6	−22.4	37	127.1	−32.5	45	47.6	−27.3
Maine	21	219.9	−29.0	18	103.7	−36.6	22	39.7	−31.1
Maryland	36	255.8	−25.0	41	134.6	−28.9	28	41.5	−33.2
Massachusetts	13	212.2	−26.8	16	102.0	−30.3	8	34.7	−30.7
Michigan	43	278.6	−24.9	45	146.6	−30.5	34	42.6	−30.5
Minnesota	1	179.5	−31.0	2	72.8	−39.3	12	36.7	−34.5
Mississippi	52	331.1	−23.8	39	133.5	−35.8	47	50.6	−29.0
Missouri	42	275.1	−26.2	44	143.0	−30.3	42	46.6	−27.3
Montana	16	217.3	−24.2	10	93.0	−24.9	20	39.2	−34.7
Nebraska	20	219.8	−27.3	7	88.0	−33.8	26	41.2	−28.6
Nevada	34	252.8	−26.1	15	101.8	−37.7	17	37.8	−33.6
New Hampshire	10	211.4	−32.4	22	106.9	−41.1	6	33.7	−39.1
New Jersey	26	237.0	−28.3	38	127.6	−35.5	7	33.9	−27.7
New Mexico	8	204.2	−26.4	19	103.8	−31.8	11	36.2	−28.9
New York	38	262.3	−25.8	52	166.3	−30.0	1	27.5	−32.1
North Carolina	33	251.9	−29.4	29	117.6	−35.6	46	49.0	−35.4
North Dakota	15	216.6	−28.6	28	116.8	−29.5	15	37.3	−37.5
Ohio	41	265.0	−27.1	42	135.5	−32.9	37	44.0	−27.0
Oklahoma	50	306.0	−24.8	50	157.1	−31.6	50	51.3	−24.8
Oregon	12	212.0	−28.3	8	89.1	−33.6	36	43.7	−40.3
Pennsylvania	35	254.8	−26.9	36	126.2	−33.8	29	41.6	−27.4
Puerto Rico	2	184.9	−28.6	4	85.0	−31.8	16	37.6	−27.4
Rhode Island	29	239.4	−23.4	48	150.6	−28.1	4	33.2	−30.4
South Carolina	37	255.8	−30.2	23	108.2	−38.5	48	50.7	−36.5
South Dakota	17	217.3	−28.2	33	120.8	−27.5	18	38.4	−33.8
Tennessee	46	286.9	−26.7	49	156.2	−28.7	49	50.7	−33.0
Texas	31	247.1	−29.5	30	118.4	−38.6	41	46.4	−29.1
Utah	3	193.6	−28.5	1	70.4	−37.6	14	37.2	−38.8
Vermont	11	211.4	−29.0	27	112.1	−31.4	9	35.1	−34.5
Virginia	25	236.5	−28.5	17	103.1	−34.5	35	43.4	−35.3
Washington	19	219.5	−26.8	25	109.6	−30.5	25	40.5	−41.0
West Virginia	49	295.8	−25.5	47	149.9	−31.8	44	47.4	−22.7
Wisconsin	22	226.1	−29.2	20	105.9	−35.0	24	40.1	−37.1
Wyoming	24	230.6	−22.3	13	100.6	−30.9	31	41.8	−28.3
Total United States		243.9	−28.2		121.6	−34.6		40.6	−32.3

CVD indicates cardiovascular disease; CHD, coronary heart disease.

^*CVD is defined here as International Classification of Diseases, 10th Revision (ICD–10) codes I00 to I99.

^†CHD is defined here as ICD-10 codes I20 to I25.

^‡Stroke is defined here as ICD-10 codes I60 to I69.

^§Rank is lowest to highest.

Source: Centers for Disease Control and Prevention (CDC) WONDER, 2007–2009. Data provided by personal communication with the National Heart, Lung, and Blood Institute. The Agency for Healthcare Research and Quality has released state-level data for heart disease for all 50 states and the District of Columbia; the data are taken from the congressionally mandated National Healthcare Quality Report.⁴⁹ In addition, the Women’s Health and Mortality Chartbook of the National Center for Health Statistics has state-related data for women.⁵⁰ Metropolitan/micropolitan area risk data are available for 500 such areas nationwide.⁵¹ Behavioral Risk Factor Surveillance System data are also collected within each state.⁵² The CDC has the Geographic Information Systems, which provides mortality rates down to the county level, by sex and ethnicity.⁵³ The 2008 Atlas of Stroke Hospitalizations Among Medicare Beneficiaries is a new resource that provides data down to the county level, by sex and race.⁵⁴