Researchers now suspect socioeconomic conditions, availability of health care and migration patterns are much more important than once thought.
Susan Aschoff, "Mapping out stroke deaths," St. Petersburg Times, March 18, 2003
Forms of the disease are high in China's Kishan Province and in the flat coastal lands of North Carolina and South Carolina. ...
Until a few years ago, adolescents and young women in Kishan Province died at alarming rates from Kishan's Disease, which causes congestive heart failure and pulmonary edema.
People in the province, as well as the "stroke belt" of Georgia and the Carolinas, have an unusually low level of the trace element selenium in their diets, Hames told his visitors.
"Study Heart Disease In Georgia, Carolinas," The Associated Press, March 22, 1983
Here are the ten states with the worst rates, measured in deaths per 100,000 people (the ranking begins at 35 which represents the state with the highest rate because some states were tied):
Here are the ten states with the lowest rates of stroke deaths:
sedentary death syndrome
white coat effect