The American Heart Association (AHA) faces hurdles in its goal to reduce cardiovascular disease (CVD) mortality and morbidity by 20 percent by 2020, judging from results of a study published online March 16 in the Journal of the American Medical Association. An analysis of time trends in seven cardiovascular health metrics found few people meet most of the metrics, but those who do have a much lower risk of all-cause, CVD and ischemic heart disease mortality.