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U.S. Heart and Stroke Deaths Fell in 2023, AHA Report Shows, but Cardiovascular Disease Still Leads

AHA leaders frame the decline as an early rebound from pandemic disruptions that underscores the need for earlier, integrated prevention through a cardiovascular‑kidney‑metabolic lens.

Overview

  • Cardiovascular deaths fell 2.73% to 915,973 in 2023 from 941,652 in 2022, with an average of one U.S. death every 34 seconds, according to the AHA’s 2026 statistics update.
  • Coronary heart disease deaths dropped 5.9% to 349,470 and stroke deaths decreased 1.7% to 162,639, as stroke moved to the No. 4 cause of death.
  • Heart disease and stroke together accounted for more than a quarter of all U.S. deaths in 2023, exceeding the combined toll of cancer and accidents.
  • Key risk trends worsened or remained high: hypertension prevalence reached 47.3%, childhood obesity rose to 28.1%, blood pressure control declined, cigarette smoking fell, and e‑cigarette use increased.
  • Roughly half of U.S. adults have some form of cardiovascular disease; adherence to Life’s Essential 8 is linked to about a 74% lower CVD risk, with researchers estimating large prevention potential as the report introduces a cardiovascular‑kidney‑metabolic framework to integrate care.