Dhruv Kazi Profile picture
Cardiology, outcomes research, health economics | Assoc Prof @HarvardMed | Assoc Director @SmithBIDMC | CCU Director @BIDMChealth

Jun 4, 2024, 10 tweets

Two @American_Heart Presidential Advisories released today project the future burden of #heartdisease and #stroke in the US
– and the numbers are truly astounding
@CircAHA

What will cardiovascular disease look like in 2050? And how much will it cost?

🧵 tinyurl.com/AHACVCosts

We project steep increases diabetes, obesity, and hypertension, and, as a result, large increases in cardiovascular disease

By 2050,
Prevalent CVD = 45 million (60%⬆️)
Diabetes = 80 million (100% ⬆️⬆️)
Obesity = 180 million (70% ⬆️)
Hypertension = 180 million (44% ⬆️)

2/

Also by 2050:

a 100% ⬆️⬆️ in the number of US adults living with stroke (19 million), and
a 66% ⬆️in people living with heart failure (11 million)
3/

All of this comes at a $$$.

By 2050, projected costs of treating CVD and stroke in US adult

Total costs =$1.85 Trillion (195% ⬆️⬆️)
including
Health care costs = $1.49 Trillion (279% ⬆️⬆️⬆️)

Cost of CVD will represent 4.6% of the US GDP
4/

Tons of details in the papers, but some striking numbers:

1049% increase in health care costs of stroke ($351 billion) (!)
274% increase in the HC cost of HF ($121 billion)

5/

Costs show big increases in older adults
(aging population)

but also rise in younger age groups
(increasing burden of risk factors, diversifying US popn).

And a worrisome finding: 2/3 of the cost will be borne by Medicare
6/

Increases in all race/ethnicity groups but particularly large (almost *500%*) relative increases in Asian American and Hispanic American populations due to increasing population size

7/

So, what can we do about this?

Each of us needs to know & work on our own CV risk

As a society:
Invest in cost-effective prevention strategies. esp for communities at highest risk
Advocate for affordable universal healthcare
Invest in research (basic, clinical, implementn)

Predictions are always challenging (and we are transparent about our assumptions and limitations in the paper) - but they offer a roadmap

In the word of editorialist
Elizabeth Magnuson

Soaring Costs are a Call to Arms
ahajournals.org/doi/epdf/10.11…

Papers here:



@american_heart news release here


Shout out to @kejoynt @MitchElkind and all co-authors and staff who made these papers possibletinyurl.com/AHACVDPrev
tinyurl.com/AHACVCosts
tinyurl.com/AHAForecastNews

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