Chart 2 (IMAGE) Virginia Commonwealth University Caption In March and April of 2020, mortality rates from (clockwise from top left) heart disease, diabetes, Alzheimer's disease and stroke spiked in states that also had the most COVID-19 deaths: Massachusetts, Michigan, New Jersey, New York -- particularly New York City -- and Pennsylvania. (Courtesy of JAMA) Credit (Courtesy of JAMA) Usage Restrictions None License Licensed content Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.