Declining coronary heart disease mortality in Iceland: contribution by incidence, recurrence and case fatality rate
Average rating
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Star rating
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Authors
Sigfusson, NikulasSigurdsson, Gunnar
Agnarsson, Uggi
Gudmundsdottir, Inga Ingibjorg
Stefansdottir, Ingibjorg
Sigvaldason, Helgi
Gudnason, Vilmundur
Issue Date
2002-12-01
Metadata
Show full item recordCitation
Scand. Cardiovasc. J. 2002, 36(6):337-41Abstract
OBJECTIVE: To analyse to what extent the recent decline in coronary heart disease mortality in Iceland is due to changes in incidence, recurrence and case fatality rates. DESIGN: A countrywide registration of myocardial infarction (MI) in people aged 25-74 was performed in Iceland during 1981-1999 according to the MONICA protocol. Possible cases were found by review of all hospital discharge records, autopsy records and death certificates. RESULTS: MI death rate declined by 63% in males and 51% in females, most in the youngest age groups in men (86%) and least in the oldest (49%). In women there was not a significant difference in age groups. Overall the age-adjusted reduction in MI death rate was 55.4% in both sexes combined; of this 23.1% was due to incidence reduction, 22.8% to recurrence reduction and 11.6% to case fatality reduction. In the youngest age groups the decline in incidence contributed most to the decline in MI death rate (62% in men and 71% in women), but thereafter the decline in case fatality in men. In the older age groups decline in recurrence rate has greater weight. CONCLUSION: The recent decline in MI mortality under the age of 75 years in Iceland is due to reduction in incidence and recurrence rate by about 40% each and to reduction in case fatality by 20%.Description
To access publisher full text version of this article. Please click on the hyperlink in Additional Links fieldAdditional Links
http://dx.doi.org/10.1080/140174302762659049ae974a485f413a2113503eed53cd6c53
10.1080/140174302762659049
Scopus Count
Collections
Related articles
- [Recent time trends of myocardial infarction rates in northern Italy. Results from the MONICA and CAMUNI registries in Brianza: 1993-1994 versus 1997-1998].
- Authors: Ferrario MM, Fornari C, Bolognesi L, Gussoni MT, Benedetti M, Sega R, Borchini R, Cesana G, Gruppo di Ricerca MONICA-CAMUNI in Brianza.
- Issue date: 2003 Aug
- Trends in the incidence of acute myocardial infarction between 1984 and 1993 - The Halifax County MONICA Project.
- Authors: Bata IR, Gregor RD, Eastwood BJ, Wolf HK
- Issue date: 2000 May
- Trends in acute myocardial infarction mortality and morbidity from 1979 to 2001 in the City of Zagreb, Croatia.
- Authors: Heim I, Jembrek-Gostovic M, Kern J, Jonke V, Svetina M
- Issue date: 2005 Dec
- Stroke in Northern Sweden.
- Authors: Stegmayr B, Asplund K
- Issue date: 2003
- Are coronary event rates declining slower in women than in men - evidence from two population-based myocardial infarction registers in Finland?
- Authors: Lehto HR, Lehto S, Havulinna AS, Ketonen M, Lehtonen A, Kesäniemi YA, Airaksinen J, Salomaa V, FINAMI Study Group.
- Issue date: 2007 Nov 12