About Million Hearts®

Every year, more than 1.5 million people in the United States suffer a heart attack or stroke.1 And while death rates due to heart disease have been declining steadily for the last 40 years, this trend appears to be stalling. Deaths in some population groups, including adults ages 35 to 64, are on the rise.2

This alarming trend points to the need to focus attention and action on improving the cardiovascular health of all Americans by helping people avoid unhealthy behaviors that put them at risk of heart attack and stroke and improving the care of those with key risk factors.

About Million Hearts® 2022

Million Hearts® 2022 is a national initiative co-led by the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS)external icon to prevent 1 million heart attacks and strokes within 5 years. It focuses on a small set of priorities selected for their ability to reduce heart disease, stroke, and related conditions.

CDC’s Division for Heart Disease and Stroke Prevention provides leadership and support for the Million Hearts® initiative, which began in 2012. The agency collaborates extensively with CMS, sets priorities, and leads the communications, partnership development, research, translation, and evaluation efforts for the initiative.

Million Hearts® 2022 Priorities and Targets

Million Hearts® 2022 seeks strong and specific commitments to these priorities and targets so that together we can improve cardiovascular health for all.

Keeping People Healthy
Keeping People Healthy


  • 20% reduction in average daily sodium intake
  • 20% decrease in prevalence of combustible tobacco use
  • 20% reduction in physical inactivity
Optimizing Care
Optimizing Care


  • 80% of patients age 18 or older with ischemic vascular disease use aspirin or another antithrombotic as appropriate
  • 80% of patients ages 18 to 85 with a diagnosis of high blood pressure have it under control
  • 80% of patients who need statin therapy receive it
  • 80% of adult tobacco users receive counseling to help them quit
  • 70% of eligible patients participate in cardiac rehab
Focus on Priority Populations
Focus on Priority Populations

Target groups:

  • Black/African American people with high blood pressure
  • People ages 35 to 64
  • People who have had a heart attack or stroke
  • People with mental and/or substance use disorders who use tobacco

What You Can Do to Support Million Hearts®

Million Hearts® Reports

Read in-depth reports about the Million Hearts® initiative and important progress and milestones.

Million Hearts® Continues to Make Significant National Impact

Million Hearts® Continues to Make Significant National Impact

Read the September 2020 impact statement to learn about the initiative’s current work and past successes.

View the content in HTML

View the impact statement pdf icon[PDF – 442 KB]

Preventing 1 Million Heart Attacks and Strokes: A Turning Point

Million Hearts®: 2012–2016 Final Report Addendum

This addendum was published in June 2020 as an update to the final report, Million Hearts®: Meaningful Progress 2012–2016. Read the addendum to learn more about the cardiovascular events that were prevented during the first 5-year period of the Million Hearts® initiative.

View the addendum pdf icon[PDF – 422 KB]

Million Hearts Meaningful Progress 2012-2016

Million Hearts®: Meaningful Progress 2012–2016—A Final Report

Million Hearts® has aligned efforts across the country to prevent cardiovascular disease using a select set of evidence-based public health and clinical strategies. Although final numbers will not be available until 2019, we estimate that up to half a million cardiovascular events may have been prevented from 2012 through 2016.

View the report  pdf icon[PDF – 1.4M]

Million Hearts Year in Review, 2012.

Million Hearts® 2012: Building Strong Partnerships for Progress

In 2012, the initiative’s first year, Million Hearts® built strong partnerships to ensure steady progress toward preventing 1 million heart attacks and strokes by 2017. Check out a few examples of how partners worked to improve heart health—a focus on the ABCS, using health information technology, and working in teams.

View the report pdf icon[PDF – 7M]


  1. Benjamin EJ, Muntner P, Alonso A, et al. Heart disease and stroke statistics—2019 update: a report from the American Heart Associationexternal icon. Circulation. 2019;139:e1–e473.
  2. Vaughan AS, Ritchey MD, Hannan J, Kramer MR, Casper M. Widespread recent increases in county-level heart disease mortality across age groupsexternal icon. Ann Epidemiol. 2017;27:796–800.
Page last reviewed: August 26, 2021